Evidence map›Paper›PMID 38622311›Full record

ArticleSocial psychiatry and psychiatric epidemiology2024

Associations between recorded loneliness and adverse mental health outcomes among patients receiving mental healthcare in South London: a retrospective cohort study.

Mayur Parmar, Ruimin Ma, Sumudu Attygalle, Maaheshi Deepika Herath, Christoph Mueller, Brendon Stubbs, Robert Stewart, Gayan Perera

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Mayur ParmarDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience (King's College London), De Crespigny Park, Box 92, London, SE5 8AF, UK.
Ruimin MaDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience (King's College London), De Crespigny Park, Box 92, London, SE5 8AF, UK.ORCID http://orcid.org/0000-0002-6051-8093
Sumudu AttygalleUniversity of London, London, UK.
Maaheshi Deepika HerathMinistry of Health Sri Lanka, Colombo, Sri Lanka.ORCID http://orcid.org/0000-0002-6153-209X
Christoph MuellerDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience (King's College London), De Crespigny Park, Box 92, London, SE5 8AF, UK.ORCID http://orcid.org/0000-0001-9816-1686
Brendon StubbsDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience (King's College London), De Crespigny Park, Box 92, London, SE5 8AF, UK.ORCID http://orcid.org/0000-0001-7387-3791
Robert StewartDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience (King's College London), De Crespigny Park, Box 92, London, SE5 8AF, UK.ORCID http://orcid.org/0000-0002-4435-6397
Gayan PereraDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience (King's College London), De Crespigny Park, Box 92, London, SE5 8AF, UK. gayan.perera@kcl.ac.uk.ORCID http://orcid.org/0000-0002-3414-303X
King's College London · GBUniversity of London · GBUniversity of Ulster · GB

Funding

The UK Prevention Research Partnership Violence, Health and Society; MR-VO49879/1UKRI - Medical Research Council through the DATAMIND HDR UK Mental Health Data Hub MRC reference: MR/W014386
6 · The paper itself

Abstract

purposeLoneliness disproportionately affects people with mental disorders, but associations with mental health outcomes in groups affected remain less well understood.

methodA cohort of patients receiving mental healthcare on 30th June 2012 was assembled from a large mental health records database covering a south London catchment area. Recorded loneliness within the preceding 2 years was extracted using natural language processing and outcomes were measured between 30th June 2012 until 30th December 2019, except for survival which applied a censoring point of 6th December 2020 according to data available at the time of extraction. The following mental healthcare outcomes: (i) time to first crisis episode; (ii) time to first emergency presentation; (iii) all-cause mortality; (iv) days active to service per year; and (v) face-to-face contacts per year.

resultsLoneliness was recorded in 4,483 (16.7%) patients in the study population and fully adjusted models showed associations with subsequent crisis episode (HR 1.17, 95% CI 1.07-1.29), emergency presentation (HR 1.30, 1.21-1.40), days active per year (IRR 1.04, 1.03-1.05), and face-to-face contacts per year (IRR 1.28, 1.27-1.30). Recorded loneliness in patients with substance misuse problems was particularly strongly associated with adverse outcomes, including risk of emergency presentation (HR 1.68, 1.29-2.18) and mortality (HR 1.29, 1.01-1.65).

conclusionPatients receiving mental healthcare who are recorded as lonely have a higher risk of several adverse outcomes which may require a need for higher service input.

Indexed as

LonelinessMental DisordersMental Health ServicesAdolescentAdultAgedFemaleHumansLondonMaleMental HealthMiddle AgedRetrospective StudiesYoung AdultContacts with mental health servicesCrisis episodeLonelinessMental disordersMortality

Identifiers

PMID38622311
PMCPMC11522161
OpenAlexW4394805910

What OpenQuestion holds

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Registered trials

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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.