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CCU057: Risks for mortality in people with severe mental illnesses during the COVID-19 pandemic

Safe People

Organisation name

King's College London

Organisation sector

3

Applicant name(s)

Jay Das-Munshi

Funders/ Sponsors

Safe Projects

Project ID

CCU057

Lay summary

People with severe mental illnesses (SMI) such as schizophrenia and bipolar affective disorders have a life expectancy 15-20 years lower than the general population, with two thirds of deaths from preventable chronic conditions such as cardiovascular and cerebrovascular disease, cancers and respiratory conditions. The COVID-19 pandemic has further worsened these pre-existing inequities. Recent studies have suggested that people with severe mental illnesses who were infected by COVID-19 were more likely to die, compared to the general population and during the COVID-19 pandemic. At the same time, deaths from all other causes (non-COVID-19 related), have continued to be higher in people with severe mental illnesses, compared with the general population. The proposed analysis will address key questions relating to the risk and causes of death in people with severe mental illnesses, following the onset of the COVID-19 pandemic. Analyses will focus on vaccinations and other measures (e.g. lockdowns) on risk of death, alongside the impact of ethnicity and deprivation, and the impact of other long-term coexisting health conditions, on inequities.

Public benefit statement

The findings from this work will highlight how far policy interventions during the earlier and later phases of the pandemic (e.g. vaccinations and lockdowns) have impacted on mortality in people with severe mental illnesses, with a focus on other intersecting inequities such as deprivation and ethnicity. The findings will support future pandemic planning for this vulnerable group. Visit the BHF Data Science Centre website for more detailed information about project outputs. https://bhfdatasciencecentre.org/projects/ccu057/

Technical summary

This project accessed the following datasets within the Trusted Research Environment(s) for CVD-COVID-UK / COVID-IMPACT: - ENGLAND: - Civil Registration - Deaths - COVID-19 SARI-Watch (formerly CHESS) - Covid-19 Second Generation Surveillance System - Covid-19 UK Non-hospital Antibody Testing Results - Covid-19 UK Non-hospital Antigen Testing Results - COVID-19 Vaccination Adverse Reaction - COVID-19 Vaccination Status - GPES Data for Pandemic Planning and Research (COVID-19) - Hospital Episode Statistics Admitted Patient Care - ICNARC: Intensive Care National Audit and Research Centre - Mental Health Services Data Set

Other approval committees

Project start date

03/11/2023

Project end date

02/07/2024

Latest approval date

22/12/2023

Safe Data

Dataset(s) name

Data sensitivity level

De-Personalised

Release/Access date

22/12/2023

Safe Setting

Access type

TRE