ArticleSocial psychiatry and psychiatric epidemiology2025
A population-based cohort to investigate the impact of COVID-19 on socioeconomic inequalities in mental health care in Italy (CoMeH): study protocol.
Article in Social psychiatry and psychiatric epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed.
- The effect of COVID-19 and socioeconomic inequalities on emergency department accesses for psychiatric conditions.PloS one · 2026Article
- The impact of the COVID-19 pandemic on hospital admissions for psychiatric disorders: results from the multicentre study on the Italian population "COVID-19 and Mental Health" (CoMeH).BMC psychiatry · 2025Article
- The impact of the COVID-19 pandemic on access to mental health services and socioeconomic inequalities in Italy.Frontiers in psychiatry · 2024Article
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11 authors.
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Abstract
purposeThe Covid and Mental Health (CoMeH) cohort was established to assess the impact of the COVID-19 pandemic on the use of mental health care services in Italy in the short and long term, with a particular focus on socioeconomic and/or citizenship inequalities.
methodsThe CoMeH cohort includes all residents for at least two years in one of three vast catchment areas (N = 5,167,043), aged ≥ 10 years and assisted by a National Health Service (NHS) general practitioner (GP) of the area of residence. Primary outcomes of interest are the following indicators of mental health care services use: first access to any mental health care service (MHCS), total number of accesses to MHCS, the consumption of psychiatric drugs, the number of psychiatric or psychological outpatient visits, the number of residential or day care days spent in psychiatric facilities, the number of emergency department (ED) admissions, and inpatient admissions to hospitals.
resultsInitial findings show that incident MHCS users were 3.2% of the population of the Bergamo Local Health Authority (LHA), 3.5% of the Rome 2 LHA, and 4.4% of the Tuscany Region. The overall crude incidence rate of access to mental health care was 3.3% in the pre-COVID-19 period and 2.6% during the pandemic. Prescriptions for a mental disorder (57.2%) and ED admissions (25.1%) were the main reasons for enrollment. Compared to the general population, people with mental health conditions were older and more often female. The distribution of the incident users by deprivation index overlapped that of the population. Immigrants were younger, socioeconomically more deprived, and more often entered the study for an ED admission.
conclusionThis first CoMeH cohort study focused on the impact of the pandemic through the evaluation of hospitalizations, emergency department accesses, outpatient visits, residential and day care service use, and drug prescriptions. We also evaluated socioeconomic inequalities through the use of census-based deprivation index and migration status. Finally, we also analyzed the impact of COVID-19 infection and outcome on the study cohort.
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