ArticleSocial psychiatry and psychiatric epidemiology2025
Self-reported psychological distress in childhood and mental health-related hospital attendance among young adults: a 12-year data linkage cohort study from England.
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 1 paper.
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1 citing paper in PubMed.
- The Optimal Exercise Modality and Dose for Cortisol Reduction in Psychological Distress: A Systematic Review and Network Meta-Analysis.Sports (Basel, Switzerland) · 2025Review
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4 authors.
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Abstract
purposeInvestigating the relationship between self-reported mental health and secondary care utilisation can provide evidence on the link between population-level common mental conditions and clinical care; however, cohort studies with linked administrative data are rare. We explored the link between self-reported mental health in adolescence and mental health-related hospital attendance in young adulthood.
methodsData from a nationally representative English cohort (Next Steps) were linked to NHS Hospital Episode Statistics. GHQ-12 assessed psychological distress in Next Steps at age 15; participants were followed up until their first mental health-related hospital presentations and outpatient treatments or were censored at the end of the study (age 27). Cox proportionate hazard models with survey weights estimated associations.
resultsOut of 4058 young people, 19% reported high levels of distress at age 15. During the 12-year follow-up, 5.3%, 2.9% and 2.7% of the participants had at least one mental disorder, drug/alcohol misuse and self-harm presentation, respectively, and 4.2% had a mental health treatment in NHS hospitals. Higher GHQ-12 scores were associated with mental disorder presentations (HR = 1.10, 95% CI:1.04-1.16), and mental health treatments (HR = 1.14, 95% CI:1.08-1.20). Associations for hospital treatments were weaker for young people living in deprived areas, or if their main parent had lower education.
conclusionAdolescent psychological distress is associated with subsequent hospital attendance in young adulthood, but there might be treatment gaps in service utilisation among more disadvantaged individuals. Detecting youth with mental health difficulties may facilitate early intervention, improve life-course outcomes, and ultimately reduce secondary healthcare use.
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