1 pc pes status mental illness
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Individual-level data are restricted in accordance to the strict patient led governance established at South London and The Maudsley NHS Foundation Trust, and by NHS Digital for the case of linked data. It provides authorized researchers with regulated access to anonymized information extracted from SLaM's electronic clinical records system. The data used in this work have been obtained from the Clinical Record Interactive Search (CRIS), a system that has been developed for use within the NIHR Mental Health Biomedical Research Centre (BRC) at the South London and Maudsley NHS Foundation Trust (SLaM). This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.ĭata Availability: All relevant aggregate data are found within the paper. Received: MaAccepted: JPublished: September 17, 2020Ĭopyright: © 2020 Mansour et al. Prady, The University of York, UNITED KINGDOM PLoS Med 17(9):Īcademic Editor: Stephanie L. (2020) Severe mental illness diagnosis in English general hospitals 2006-2017: A registry linkage study.
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The main limitation of our study is the potential for misclassification of diagnosis in the reference-standard mental healthcare data.Ĭitation: Mansour H, Mueller C, Davis KAS, Burton A, Shetty H, Hotopf M, et al. Minority ethnicity, being married, and having better mental and physical health were associated with less accurate diagnostic recording. Category-level sensitivity (e.g., proportion of individuals with schizophrenia spectrum disorders (F20-29) who received any F20-29 diagnosis in hospital records) was 56.4% (95% CI 55.4–57.4) for schizophrenia spectrum disorder and 49.7% (95% CI 48.1–51.3) for bipolar affective disorder. Sensitivity for recording of SMI as any mental health diagnosis was 76.7% (95% CI 76.0–77.4). We analyzed time trends during the study period and used logistic regression to examine sociodemographic and clinical factors associated with psychiatric recording accuracy, with multiple imputation for missing data. We examined general hospital record sensitivity across patients’ subsequent hospital records, for each subsequent emergency admission, and at different levels of diagnostic precision. We undertook a cohort study of 13,786 adults with SMI diagnosed during 2006–2017, using data from a large secondary mental healthcare database as reference standard, linked to English national records for 45,706 emergency hospital admissions.