People with long‐term, severe mental health problems are at higher risk of premature death linked to lifestyle. They are more likely to smoke, to be overweight, and to take little or no exercise. Their physical health needs also tend notoriously to be neglected by the health services. Diane Crone and colleagues conducted a comparative survey of the health behaviours and lifestyles of mental health service users in one city in the south west, and found much cause for concern.