Effects of the COVID-19 pandemic on primary care-recorded mental illness and self-harm episodes in the UK: a population-based cohort study

January 11, 2021

Matthew J Carr, PhD, Sarah Steeg, PhD, Prof Roger T Webb, PhD, Prof Nav Kapur, FRCPsych,Prof Carolyn A Chew-Graham, FRCGP, Prof Kathryn M Abel, FRCPsych, Holly Hope, PhD, Matthias Pierce, PhD, Prof Darren M Ashcroft, PhD

The Lancet Public Health

Carr et al. conducted a population-based cohort study using primary care electronic health records from general practices available on the United Kingdom Clinical Practice Research Datalink. The researchers aimed to assess trends in primary care-recorded common mental illness, episodes of self-harm, psychotropic medication prescribing, and general practitioner referrals to mental health services during the COVID-19 emergency in the United Kingdom. The study population included 11,946,696 patients from 1362 general practices in England alongside 2,263,811 patients from 355 general practices in Northern Ireland, Scotland, and Wales. In April 2020, the incidence of primary care-recorded depression, anxiety disorders, antidepressant prescribing, and self-harm decreased sharply compared to expected rates. Rates then increased in May and June and returned to expected rates in September 2020. The authors found that the largest reductions were observed in the most under-resourced populations. The findings of the study illuminate a temporary but marked reduction in the number of people with existing mental illness accessing primary care following episodes of self-harm. The implications of the study suggest addressing delays in mental health diagnosis and treatment in under-resourced communities.

Carr, M. J., Steeg, S., Webb, R. T., Kapur, N., Chew-Graham, C. A., Abel, K. M., Hope, H., Pierce, M., & Ashcroft, D. M. (n.d.). Effects of the COVID-19 pandemic on primary care-recorded mental illness and self-harm episodes in the UK: a population-based cohort study. The Lancet Public Health, 0(0). https://doi.org/10.1016/S2468-2667(20)30288-7

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