“…In addition, this fear of discrimination can lead to ambivalence regarding receiving treatment and end-of-life and palliative care [ 14 , 21 , 22 , 26 , 39 , 51 , 56 ]. There is, however, across the research ample confirmation that people with SPMI are almost universally stigmatised within health and palliative care settings, resulting in substantial inequity, unmet need, reduced access to care, and poor end-of-life outcomes [ 5 , 14 , 15 , 18 , 21 , 22 , 24 , 25 , 26 , 27 , 28 , 39 , 49 , 51 , 53 , 54 , 57 , 58 , 59 ].…”