Outpatient service use | Profile 1: Follow-up care by usual psychiatrist | Profile 2: Low mental health (MH) follow-up care but high prior consultations for physical reasons | Profile 3: Follow-up care by general practitioners (GP) and psychiatrists | Profile 4: High follow-up care by usual GP and prior consultations for physical reasons | Profile 5: Low MH follow-up care and prior consultations for physical reasons | |
---|---|---|---|---|---|---|
Group size: N (%) | 2243 (1.3) | 85,391 (49.9) | 19,155 (11.2) | 39,574 (23.2) | 24,594 (14.4) | |
% | % | % | % | % | ||
Sociodemographic correlates (measured at the detection of the incident mental disorder (MD) in 2019–20, or other when specified) | ||||||
Women | 49.252,3,4,5 | 57.991,3,4,5 | 56.911,2,4,5 | 66.581,2,3,5 | 42.111,2,3,4 | |
Age group (years) | 12–17 | 23.502,3,4,5 | 8.871,3,4,5 | 7.121,2,4,5 | 3.281,2,3,5 | 21.681,2,3,4 |
18–29 | 16.43 | 16.88 | 24.91 | 13.63 | 20.45 | |
30–44 | 22.66 | 21.98 | 31.97 | 28.39 | 22.57 | |
45–64 | 26.68 | 27.81 | 23.48 | 35.02 | 23.11 | |
65+ | 10.73 | 24.46 | 12.52 | 19.68 | 12.18 | |
Living in more materially deprived areas: quintiles 4–5 (N = 159,823) | 43.414 | 41.134,5 | 41.814,5 | 39.991,2,3,5 | 43.172,3,4 | |
Living in more socially deprived areas: quintiles 4–5 (N = 159,823) | 47.522,4,5 | 41.971,3,4,5 | 46.832,4,5 | 40.091,2,3,5 | 43.471,2,3,4 | |
Type of residential area (N = 169,975) | Metropolitan areas (> 1,000,000) | 33.782,4,5 | 35.901,3,5 | 30.982,4,5 | 36.421,3 | 36.641,2,3 |
Other urban areas (10,000 to 1,000,000) | 49.93 | 44.37 | 52.25 | 43.62 | 43.18 | |
Rural areas (< 10,000) | 16.29 | 19.72 | 16.77 | 19.96 | 20.18 | |
Living in university regions (N = 170,518) | 41.192,4,5 | 37.221,3,4 | 41.632,4,5 | 35.841,2,3 | 36.441,3 | |
Being homeless within the prior 2 years (hospitalized with this diagnostic code) | 2.562,3,4,5 | 0.291,3,4,5 | 0.551,2,4,5 | 0.141,2,3,5 | 1.291,2,3,4 | |
Clinical correlates | ||||||
Incident principal MD (measured in 2019–20, including the previous 3-year clearance period without MD) | Serious MD | 59.672,3,4,5 | 17.511,3,4,5 | 25.641,2,4,5 | 18.611,2,3,5 | 18.081,2,3,4 |
Personality disorders | 7.82 | 5.71 | 7.43 | 6.41 | 5.95 | |
Common MD | 32.07 | 71.97 | 64.97 | 73.61 | 67.51 | |
Substance-related disorders (SRD) without MD | 0.44 | 4.82 | 1.95 | 1.37 | 8.46 | |
Number of prior MD episodes (not including the incident principal MD detected in 2019–20, measured from April 1, 1997 to the date of the 2019-20 incident MD) | 0 | 51.902,3,5 | 55.891,3,4,5 | 58.931,2,4,5 | 50.912,3,5 | 63.901,2,3,4 |
1 | 34.98 | 31.35 | 29.93 | 34.11 | 26.39 | |
2+ | 13.12 | 12.75 | 11.15 | 14.97 | 9.71 | |
Clinical correlates (continued) | ||||||
Severity of chronic physical illnesses (3 + such illnesses) (measured within 5 years before, and during the incident principal MD in 2019–20) | 11.622,3,4,5 | 17.411,3,4,5 | 11.981,2,4,5 | 15.191,2,3,5 | 13.111,2,3,4 | |
Suicide attempts (measured from April 1, 1997 to the 2019–20 incident MD) | 6.712,3,4,5 | 1.481,3,5 | 2.561,2,4 | 1.641,3,5 | 2.201,2,4 | |
Co-occurring MD-SRD (measured in 2019–2020) | 16.672,3,4 | 10.991,3,4,5 | 12.741,2,4,5 | 6.431,2,3,5 | 17.332,3,4 | |
Co-occurring MD-SRD-chronic physical illnesses (measured in 2019–2020) | 5.774 | 5.933,4 | 5.432,4 | 4.331,2,3,5 | 5.794 |