eprintid: 10205422
rev_number: 8
eprint_status: archive
userid: 699
dir: disk0/10/20/54/22
datestamp: 2025-02-28 10:08:30
lastmod: 2025-02-28 10:12:26
status_changed: 2025-02-28 10:08:30
type: article
metadata_visibility: show
sword_depositor: 699
creators_name: Baranyi, Gergő
creators_name: Harron, Katie
creators_name: Rajah, Nasir
creators_name: Fitzsimons, Emla
title: Self-reported psychological distress in childhood and mental health-related hospital attendance among young adults: a 12-year data linkage cohort study from England
ispublished: inpress
divisions: UCL
divisions: B16
divisions: B02
divisions: B14
divisions: J81
divisions: D13
divisions: G25
keywords: Adolescence; Cohort study; 
Administrative data; Mental health; 
Service use; Treatment gap
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abstract: Purpose:
Investigating 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.
//
Methods:
Data 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.
//
Results:
Out 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.
//
Conclusion:
Adolescent 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.
date: 2025-02-18
date_type: published
publisher: Springer Science and Business Media LLC
official_url: https://doi.org/10.1007/s00127-025-02854-y
oa_status: green
full_text_type: pub
language: eng
primo: open
primo_central: open_green
verified: verified_manual
elements_id: 2363105
doi: 10.1007/s00127-025-02854-y
medium: Print-Electronic
pii: 10.1007/s00127-025-02854-y
lyricists_name: Harron, Katie
lyricists_name: Fitzsimons, Emla
lyricists_name: Baranyi, Gergo
lyricists_id: KLHAR48
lyricists_id: EOAFI22
lyricists_id: GBARA64
actors_name: Baranyi, Gergo
actors_id: GBARA64
actors_role: owner
funding_acknowledgements: ES/M001660/1, ES/W013142/1 [Economic and Social Research Council]; ES/V000977/1, ES/X000427/1, ES/X003663/1 [Economic and Social Research Council]
full_text_status: public
publication: Social Psychiatry and Psychiatric Epidemiology
event_location: Germany
issn: 0933-7954
citation:        Baranyi, Gergő;    Harron, Katie;    Rajah, Nasir;    Fitzsimons, Emla;      (2025)    Self-reported psychological distress in childhood and mental health-related hospital attendance among young adults: a 12-year data linkage cohort study from England.                   Social Psychiatry and Psychiatric Epidemiology        10.1007/s00127-025-02854-y <https://doi.org/10.1007/s00127-025-02854-y>.    (In press).    Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/10205422/1/s00127-025-02854-y%20%281%29.pdf