ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2020
Predictors of emergency department and GP use among patients with mental health conditions: a public health survey.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Suicide and Head and Neck Cancer: A Systematic Review With Meta-Analysis and Narrative Synthesis.Psycho-oncology · 2025Pooled it
- The effect of COVID-19 and socioeconomic inequalities on emergency department accesses for psychiatric conditions.PloS one · 2026Article
- Associate Psychological Practitioners (APPs) in primary care: modelling the impact.Primary health care research & development · 2025Article
- Article
- Profiles of quality of life among patients using emergency departments for mental health reasons.Health and quality of life outcomes · 2023Article
- Impact of the government's restrictions and guidance in relation to "social distancing" on the lives of ethnic minority populations: A mixed methods study.Health science reports · 2023Article
- Change of home visit frequency by public health nurses predicts emergency escorts for psychiatric patients living in the community: A retrospective medical record review.Frontiers in public health · 2023Article
- Profiles, Correlates and Outcomes Among Patients Experiencing an Onset of Mental Disorder Based on Outpatient Care Received Following Index Emergency Department Visits.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2022Article
- Could the Emergency Department Facilitate the Start of a Holistic Follow-Up Pathway for Patients Recovering from COVID-19?The Ulster medical journal · 2022Article
- Effectiveness of a targeted telephone-based case management service on activity in an Emergency Department in the UK: a pragmatic difference-in-differences evaluation.BMC health services research · 2022Article
- Emergency Departments as Care Providers for Patients with Cardiac Ambulatory Care Sensitive and Mental Health Conditions: Qualitative Interview and Focus Group Study with Patients and Physicians.International journal of environmental research and public health · 2022Article
- Socio-economic predictors of time to care home admission in people living with dementia in Wales: A routine data linkage study.International journal of geriatric psychiatry · 2021Article
- Potentially preventable hospitalisations for physical health conditions in community mental health service users: a population-wide linkage study.Epidemiology and psychiatric sciences · 2021Article
- Utilization of Complementary and Alternative Medicine among Korean Elite Athletes: Current Status and Future Implications.Evidence-based complementary and alternative medicine : eCAM · 2021Article
- The longitudinal NIHR ARC North West Coast Household Health Survey: exploring health inequalities in disadvantaged communities.BMC public health · 2020Article
- Social prescribing for people with mental health needs living in disadvantaged communities: the Life Rooms model.BMC health services research · 2020Article
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHigh demand for health services is an issue of current importance in England, in part because of the rapidly increasing use of emergency departments (EDs) and GP practices for mental health conditions and the high cost of these services.
aimTo examine the social determinants of health service use in people with mental health issues. DESIGN AND
settingTwenty-eight neighbourhoods, each with a population of 5000-10 000 people, in the north west coast of England with differing levels of deprivation.
methodA comprehensive public health survey was conducted, comprising questions on housing, physical health, mental health, lifestyle, social issues, environment, work, and finances. Poisson regression models assessed the effect of mental health comorbidity, mental and physical health comorbidity, and individual mental health symptoms on ED and general practice attendances, adjusting for relevant socioeconomic and lifestyle factors.
resultsParticipants who had both a physical and mental health condition reported attending the ED (rate ratio [RR] = 4.63, 95% confidence interval [CI] = 2.86 to 7.51) and general practice (RR = 3.82, 95% CI = 3.16 to 4.62) more frequently than all other groups. Having a higher number of mental health condition symptoms was associated with higher general practice and ED service use. Depression was the only mental health condition symptom that was significantly associated with ED attendance (RR = 1.41, 95% CI = 1.05 to 1.90), and anxiety was the only symptom significantly associated with GP attendance (RR = 1.19, 95% CI = 1.03 to 1.38).
conclusionMental health comorbidities increase the risk of attendances to both EDs and general practice. Further research into the social attributes that contribute to reduced ED and general practice attendance rates is needed.
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