Objective: To characterize cardiovascular disease risk factors (CVD-RFs) and preventive health services of people with schizophrenia and related disorders (SCZ) in a Canadian context.

Methods: This cross-sectional survey collected laboratory, physical examination, and interview data from 202 randomly selected Calgary outpatients with SCZ.

Results: There were high prevalences of several CVD-RFs. Metabolic syndrome was present in 30.0%. Mean 10-year general CVD risk was 8.8%. Many previously known CVD-RFs were inadequately treated, and several previously undetected CVD-RFs were discovered (e.g. 33.3% of diabetes). There was variable receipt of preventive services, and participants explained non-receipt by “Thought it was unnecessary” or “Didn’t get around to it”.

Interpretation: This study found substantial physical morbidity coupled with gaps in prevention, detection, and management, as well as patient factors that might be a target of interventions for improved care. Multifaceted strategies will be needed to make a difference in the health of people with schizophrenia.