Observational studySocial psychiatry and psychiatric epidemiology2022
Associations between loneliness and acute hospitalisation outcomes among patients receiving mental healthcare in South London: a retrospective cohort study.
Observational study in Social psychiatry and psychiatric epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Geographic variations in end-of-life hospitalisations for patients with mental illness: a population-based observational study in England, UK.Discover mental health · 2025Article
- Socio-demographic Predictors of Hospitalization Duration Among Patients with Borderline Personality Disorder.Administration and policy in mental health · 2025Article
- Loneliness and its associated factors in older Australians residing in retirement living communities: a cross-sectional study.BMC geriatrics · 2025Article
- Recorded Loneliness and Adverse Outcomes in Older Acute Care Inpatients Receiving Psychiatric Assessment.International journal of geriatric psychiatry · 2025Article
- Associations between recorded loneliness and adverse mental health outcomes among patients receiving mental healthcare in South London: a retrospective cohort study.Social psychiatry and psychiatric epidemiology · 2024Article
- The Role of Acceptance in Everyday Loneliness Among Adults with Serious Mental Illness.Community mental health journal · 2024Article
- "Alone Again, Naturally": Mental Health Problems, Level of Personality Functioning, Social Withdrawal and Loneliness in Adolescents Admitted as Acute Inpatients in the Aftermath of the COVID-19 Pandemic.Children (Basel, Switzerland) · 2023Article
- Contribution of perceived loneliness to suicidal thoughts among French university students during the COVID-19 pandemic.Scientific reports · 2022Article
- Loneliness in older adult mental health services during the COVID-19 pandemic and before: Associations with disability, functioning and pharmacotherapy.International journal of geriatric psychiatry · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
purposeIt is well known that loneliness can worsen physical and mental health outcomes, but there is a dearth of research on the impact of loneliness in populations receiving mental healthcare. This study aimed to investigate cross-sectional correlates of loneliness among such patients and longitudinal risk for acute general hospitalisations.
methodA retrospective observational study was conducted on the data from patients aged 18 + receiving assessment/care at a large mental healthcare provider in South London. Recorded loneliness status was ascertained among active patients on the index date, 30th Jun 2012. Acute general hospitalisation (emergency/elective) outcomes were obtained until 31st Mar 2018. Length of stay was modelled using Poisson regression models and time-to hospitalisation and time-to mortality were modelled using Cox proportional hazards regression models.
resultsThe data from 26,745 patients were analysed. The prevalence of patients with recorded loneliness was 16.4% at the index date. In the fully adjusted model, patients with recorded loneliness had higher hazards of emergency (HR 1.15, 95% CI 1.09-1.22) and elective (1.05, 1.01-1.12) hospitalisation than patients who were not recorded as lonely, and a longer duration of both emergency (IRR 1.06, 95% CI 1.05-1.07) and elective (1.02, 1.01-1.03) general hospitalisations. There was no association between loneliness and mortality. Correlates of loneliness included having an eating disorder (OR 1.67, 95% CI 1.29-2.25) and serious mental illnesses (OR 1.44, 1.29-1.62).
conclusionLoneliness in patients receiving mental healthcare is associated with higher use of general hospital services. Increased attention to the physical healthcare of this patient group is therefore warranted.
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