Evidence map›Paper›PMID 37876350›Full record

ArticleThe British journal of psychiatry : the journal of mental science2023

Severe mental illness, race/ethnicity, multimorbidity and mortality following COVID-19 infection: nationally representative cohort study.

Jayati Das-Munshi, Ioannis Bakolis, Laia Bécares, Jacqueline Dyer, Matthew Hotopf, Josephine Ocloo, Robert Stewart, Ruth Stuart, Alex Dregan

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in The British journal of psychiatry : the journal of mental science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% of its field
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

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.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  6. COVID-19 in patients with severe mental illness: An analysis of in-patients at a psychiatric hospital in Cape Town.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2025
    Article
  7. Antipsychotic management in general practice: serial cross-sectional study (2011-2020).The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Jayati Das-MunshiDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK; Centre for Society and Mental Health, King's College London, UK; and South London & Maudsley NHS Trust, London, UK.ORCID 0000-0002-3913-6859
Ioannis BakolisCentre for Implementation Sciences, Department of Health Services and Population Research, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.ORCID 0000-0002-4800-1630
Laia BécaresDepartment of Global Health and Social Medicine, King's College London, UK.
Jacqueline DyerNHS England, London, UK.
Matthew HotopfDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK; and South London & Maudsley NHS Trust, London, UK.ORCID 0000-0002-3980-4466
Josephine OclooCentre for Implementation Sciences, Department of Health Services and Population Research, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
Robert StewartDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK; and South London & Maudsley NHS Trust, London, UK.ORCID 0000-0002-4435-6397
Ruth StuartDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK; and South London & Maudsley NHS Trust, London, UK.ORCID 0000-0002-9764-3840
Alex DreganDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.ORCID 0000-0002-7620-4902
King's College London · GBNHS England

Funding

Department of Health IS-BRC-1215-20018Medical Research Council MC_PC_17214Medical Research Council MR/S028188/1Medical Research Council MR/T045302/1Medical Research Council MR/V049879/1Medical Research Council MR/W014386/1
6 · The paper itself

Abstract

backgroundThe association of COVID-19 with death in people with severe mental illness (SMI), and associations with multimorbidity and ethnicity, are unclear.

aimsTo determine all-cause mortality in people with SMI following COVID-19 infection, and assess whether excess mortality is affected by multimorbidity or ethnicity.

methodThis was a retrospective cohort study using primary care data from the Clinical Practice Research Database, from February 2020 to April 2021. Cox proportional hazards regression was used to estimate the effect of SMI on all-cause mortality during the first two waves of the COVID-19 pandemic.

resultsAmong 7146 people with SMI (56% female), there was a higher prevalence of multimorbidity compared with the non-SMI control group (

conclusionsFollowing COVID-19 infection, patients with SMI were at an elevated risk of death, further magnified by multimorbidity. Black Caribbean/Black African people had a higher risk of death from COVID-19 than White people, and this inequity was similar for the SMI group and the control group.

Indexed as

COVID-19Mental DisordersCohort StudiesEthnicityFemaleHumansMaleMultimorbidityPandemicsRetrospective StudiesCOVID-19ethnicityMortalitymultimorbiditysevere mental illness

Identifiers

PMID37876350
PMCPMC7615273
OpenAlexW4387931637

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.