ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2020
The impact of the great economic crisis on mental health care in Italy.
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Economic change and population health: lessons learnt from an umbrella review on the Great Recession.BMJ open · 2022Pooled it
- Prevalence of suicidal behavior in young university students: A systematic review with meta-analysis.Revista latino-americana de enfermagem · 2021Pooled it
- Does healthcare expenditure matter equally for all mental disorders? An international approach employing dynamic panel data methods.Cost effectiveness and resource allocation : C/E · 2026Article
- The decline of 'Deaths of Despair' in Italy: unveiling this phenomenon in a new context.Population health metrics · 2026Article
- Perceptions of mental health services among informal caregivers in Sardinia, Italy, during the post-pandemic crisis of the national health system: a comparative study between 2024 and 2025.Frontiers in psychiatry · 2026Article
- Unemployment and mental health: a global study of unemployment's influence on diverse mental disorders.Frontiers in public health · 2024Article
- Income inequality and healthcare utilization of the older adults-based on a study in three provinces and six cities in China.Frontiers in public health · 2024Article
- Impact of community mental health services on the adult psychiatric admission through the emergency unit: a 20-year population-based study.The Lancet regional health. Western Pacific · 2023Article
- A Mental Wealth perspective: crossing disciplines to understand the value of collective mental and social assets in the post-COVID-19 era.International journal of mental health systems · 2022Article
- Lockdown support, trust and COVID-19 conspiracy beliefs: Insights from the second national lockdown in France.Health policy (Amsterdam, Netherlands) · 2022Article
- Effects of the COVID-19 pandemic and previous pandemics, epidemics and economic crises on mental health: systematic review.BJPsych open · 2022Review
- Economic crisis and mental health during the COVID-19 pandemic in Japan.Journal of affective disorders · 2022Article
- The Impact of Economic Recessions on Depression, Anxiety, and Trauma-Related Disorders and Illness Outcomes-A Scoping Review.Behavioral sciences (Basel, Switzerland) · 2021Article
- After the first wave: What effects did the COVID-19 measures have on regular care and how can general practitioners respond to this?The European journal of general practice · 2020Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
The great economic crisis in 2008 has affected the welfare of the population in countries such as Italy. Although there is abundant literature on the impact of the crisis on physical health, very few studies have focused on the causal implications for mental health and health care. This paper, therefore, investigates the impact of the recent economic crisis on hospital admissions for severe mental disorder at small geographic levels in Italy and assesses whether there are heterogeneous effects across areas with distinct levels of income. We exploit 9-year (2007-2015) panel data on hospital discharges, which is merged with employment and income composition at the geographic units that share similar labour market structures. Linear and dynamic panel analysis are used to identify the causal effect of rising unemployment rate on severe mental illness admissions per 100,000 residents to account for time-invariant heterogeneity. We further create discrete income levels to identify the potential socioeconomic gradients behind this effect across areas with different economic characteristics. The results show a significant impact of higher unemployment rates on admissions for severe mental disorders after controlling for relevant economic factors, and the effects are concentrated on the most economically disadvantaged areas. The results contribute to the literature of spatio-temporal variation in the broader determinants of mental health and health care utilisation and shed light on the populations that are most susceptible to the effects of the economic crisis.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.