Evidence map›Paper›PMID 36434299›Full record

ArticleSocial psychiatry and psychiatric epidemiology2023

Adverse outcomes associated with recorded victimization in mental health electronic records during the first UK COVID-19 lockdown.

Giouliana Kadra-Scalzo, Daisy Kornblum, Robert Stewart, Louise M Howard

Abstract read
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Giouliana Kadra-ScalzoInstitute of Psychiatry, Psychology and Neuroscience, King's College London, BRC Nucleus, IOPPN, Mapother House, De Crespigny Park, London, UK. giouliana.kadra@kcl.ac.uk.ORCID http://orcid.org/0000-0003-3182-905X
Daisy KornblumSouth London and Maudsley NHS Foundation Trust, London, UK.
Robert StewartInstitute of Psychiatry, Psychology and Neuroscience, King's College London, BRC Nucleus, IOPPN, Mapother House, De Crespigny Park, London, UK.
Louise M Howard *Institute of Psychiatry, Psychology and Neuroscience, King's College London, BRC Nucleus, IOPPN, Mapother House, De Crespigny Park, London, UK.

Funding

Medical Research Council MC_PC_16048Medical Research Council MC_PC_17214Medical Research Council MR/T045302/1Medical Research Council MR/V049879/1Medical Research Council MR/W014386/1
6 · The paper itself

Abstract

purposeThe impact of COVID-19 pandemic policies on vulnerable groups such as people with mental health problems who experience violence remains unknown. This study aimed to investigate the prevalence of victimization recorded in mental healthcare records during the first UK lockdown, and associations with subsequent adverse outcomes.

methodsUsing a large mental healthcare database, we identified all adult patients receiving services between 16.12.2019 and 15.06.2020 and extracted records of victimisation between 16.03.2020 and 15.06.2020 (first UK COVID-19 lockdown). We investigated adverse outcomes including acute care, emergency department referrals and all-cause mortality in the year following the lockdown (16.06.2020- 01.11.2021). Multivariable Cox regressions models were constructed, adjusting for socio-demographic, socioeconomic, clinical, and service use factors.

resultsOf 21,037 adults receiving mental healthcare over the observation period, 3,610 (17.2%) had victimisation mentioned between 16.03.2020 and 15.06.2020 (first UK COVID-19 lockdown). Service users with mentions of victimisation in their records had an elevated risk for all outcomes: acute care (adjusted HR: 2.1; 95%CI 1.9-2.3, p < 0.001), emergency department referrals (aHR: 2.0; 95%CI 1.8-2.2; p < 0.001), and all-cause mortality (aHR: 1.5; 95%CI 1.1-1.9; p = 0.003), when compared to service users with no recorded victimisation. We did not observe a statistically significant interaction with gender; however, after adjusting for possible confounders, men had slightly higher hazard ratios for all-cause mortality and emergency department referrals than women.

conclusionPatients with documented victimisation during the first UK lockdown were at increased risk for acute care, emergency department referrals and all-cause mortality. Further research is needed into mediating mechanisms.

Indexed as

COVID-19Crime VictimsAdultCommunicable Disease ControlElectronicsFemaleHumansMaleMental HealthPandemicsUnited KingdomAdverse outcomesCOVID-19Domestic violenceMental healthVictimisation

Identifiers

PMID36434299
PMCPMC9702612

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