Observational studySocial psychiatry and psychiatric epidemiology2021
Employment status and desire for work in severe mental illness: results from an observational, cross-sectional study.
Observational study in Social psychiatry and psychiatric epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
33 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Preference for Competitive Employment in People with Mental Disorders: A Systematic Review and Meta-analysis of Proportions.Journal of occupational rehabilitation · 2025Pooled it
- Supported employment interventions with people who have severe mental illness: Systematic mixed-methods umbrella review.PloS one · 2024Pooled it
- The impact of co-location employment partnerships within the Australian mental health service and policy context: A systematic review.International journal of mental health nursing · 2022Pooled it
- Evaluation of an Online-Based Self-Help Program for Patients With Panic Disorder: Randomized Controlled Trial.Journal of medical Internet research · 2025Trial
- Supporting return to work after psychiatric hospitalization-A cluster randomized study (RETURN-study).European psychiatry : the journal of the Association of European Psychiatrists · 2023Trial
- Unemployment & opioid use disorder - socio-medical assessment results by the Medical Service of the German Federal Employment Agency.Substance abuse treatment, prevention, and policy · 2026Article
- "I need to talk, to talk to people": a qualitative study of service user and carer views and priorities for social functioning in schizophrenia-spectrum disorders.Community mental health journal · 2026Article
- Job-search self-efficacy in unemployed individuals with mental health issues: investigating the role of self-stigma with variable-centered and person-centered approaches.BMC psychology · 2026Article
- [Rehabilitation and participation in work, employment and education for people with severe mental diseases : Refine established aspects and integrate new aspects].Der Nervenarzt · 2025Article
- Leveraging multigenerational health data to enhance mental disorder risk prediction: a population-based cohort study.BMC psychiatry · 2025Article
- Individual placement and support; service development and implementation of an evidence-based practice in Iran.Discover mental health · 2025Article
- Work re-entry and functioning in people with major depression: a longitudinal study of supported employment participants.BMC psychiatry · 2025Observational
- Comparative Analysis of Independent Reviewer-Rated and Self-Rated Fidelity Scores in Individual Placement and Support Programs: Repeated Cross-Sectional Surveys.Administration and policy in mental health · 2025Article
- Prevalence of mental disorders and work ability among unemployed individuals in Germany: a register-based analysis of socio-medical assessments by the Federal Employment Agency between 2016 and 2021.BMC public health · 2025Article
- Taking what you get or Getting what you Need: A Qualitative Study on Experiences with Mental Health and Welfare Services in Long-Term Recovery in First-Episode Psychosis.Community mental health journal · 2025Article
- A systematic review of occupation- and activity-based health management interventions for adult patients with severe mental disorders.Journal of education and health promotion · 2025Article
- Assessing sleep using the Pittsburgh Sleep Quality Index (PSQI) among comorbid HIV and psychiatric outpatients.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2025Article
- Effectiveness of a three-component intervention supporting unemployed individuals with mental health issues in their job search and mental health recovery (3for1): study protocol of a non-randomized controlled study.BMC public health · 2024Article
- [Introduction to the topic: is work good for your health?]Der Nervenarzt · 2024Article
- [Individual placement and support in mental health services: evaluation of routine clinical data using a retrospective chart review].Der Nervenarzt · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
21 authors.
Funding
Abstract
purposePeople with a severe mental illness (SMI) are at particular risk of occupational exclusion. Among the approaches to occupational rehabilitation, supported employment (SE) has been proven to be the most effective. A requirement to enter SE-programs is that individuals must want to seek competitive employment. The aim of this work is to investigate the relationship between serious mental illness and the desire to work including potential predictors.
methodsThis is a cross-sectional observational study of patients with SMI aged 18-65 years (n = 397). Patients were interviewed by trained staff using standardised instruments. The relationship between potential predictors and a strong preference for employment were analysed using a hierarchic binary logistic regression model.
resultsOnly about one-quarter (27.9%) of SMI patients is in competitive employment. Another quarter is unemployed (25.9%). Results show that the desire for competitive employment is strong among more than half of the SMI patients. Among the unemployed, two-thirds express a strong desire for work. These individuals are an ideal target group for SE interventions. Comorbid chronic physical illness, diagnosis, and the subjectively judged ability to work are associated with the desire for work.
conclusionOur data confirm a substantial exclusion of individuals with SMI from the workforce. In general, care needs for workplace interventions are not being met and leave much room for improvement. In addition to employment status, the desire for work should be routinely assessed. STUDY REGISTRATION: The study was registered in the German Clinical Trials Register (DRKS) ( https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00015801 ) and under the WHO-Platform "International Clinical Trials Registry Platform" (ICTRP) ( https://apps.who.int/trialsearch/Trial2.aspx?TrialID=DRKS00015801 ) under the registration number DRKS00015801 before the start of recruitment (Registration date: 21.02.2019).
Indexed as
Identifiers
What OpenQuestion holds
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.