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The first time I heard someone say that mental illness usually shortens the life span was from a NAMI group facilitator. I was pretty shocked, and couldn't understand why he'd said such a horrible thing. Over the years I've read it and heard it, and in my own experience I can understand now why mental illness *might* shorten life. It's is because of medication side effects that cause things like high blood pressure, high cholesterol, diabetes, etc.
Also, suicidal behavior is sometimes, of course, a serious concern.
So yeah, there are a few reason why BD and other serious mental illness can be considered "deadly."
I'm not sure what you mean by "make deals"...do you mean agreements or contracts about SI?
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