Social and Economic Predictors of the Severe Mental Disorders (SEP-MD) Study
Overview
Aims
The Social and Economic Predictors of the Severe Mental Disorders Study (SEP-MD) is a large, linked cohort connecting individual data from the 2011 UK Census with clinical records from the South London & Maudsley Trust and death registrations. SEP-MD aims to explore how neighbourhood and individual-level factors are related to mortality, in-patient admissions and long-term worklessness in people with severe mental health conditions. The study will also explore ethnic inequalities to deepen understanding of disparities in outcomes.
Institution
Institute of Psychiatry, Psychology & Neuroscience (IoPPN), King's College London
Geographic coverage - Nations
England
Geographic coverage - Regions
South East London
Start date
2018
Catalogue record last updated
25/09/2024
Sample
Sample type
Linked cohort
Sample details
The linked cohort includes clinical data from 19,808 SLaM service users with a diagnosis of severe mental illness, including schizophrenia-spectrum disorders, bipolar affective disorders and non-organic psychoses, linked with available data from the 2011 census and death registrations. SLaM provides mental health care to an ethnically diverse, urbanised location in South East London, with a catchment area of 1.3 million people and only 38.7% of SlaM service users reporting their ethnicity as 'White' in 2020-21.
In addition to the linked cohort, an additional sample is available to facilitate further research. For each individual in the SEP-MD cohort, data were matched with 5 controls from the study area who had completed census questions but did not have a history of severe mental health problems, allowing for examination of the social determinants of onset, course, and outcomes (admissions, worklessness and mortality) in people living with severe mental health conditions.
Sample size at recruitment
19,808 individuals with a diagnosis of severe mental illness
Sample size at most recent sweep
19,808 individuals with a diagnosis of severe mental illness
Sex
All
Age at recruitment
Varied
Cohort year of birth
Varied
Data
Data access
The linked dataset is hosted in an ONS secure setting and is accessible to accredited researchers working on the study, subject to completing an approvals process. Contact Dr Das-Munshi for more information: jayati.das-munshi@kcl.ac.uk
Genetic data collected
No
Linkage to administrative data
Health data
Additional information
Website
kcl.ac.uk/research/the-sep-md-data-linkage-study
Related themes
Cognitive measures,
Ethnicity and race,
Housing,
Language and literacy,
Neighbourhood,
Social care - provision,
Socioeconomic status and deprivation,
Work and employment
Summary
SEP-MD links census data with electronic health records for 20,000 South London and Maudsley Trust patients who are experiencing or have experienced a severe mental health condition. The study aims to explore how neighbourhood and individual factors influence mortality, in-patient admissions and long-term worklessness in people with severe mental health conditions.
Key Papers
Improving our understanding of the social determinants of mental health: A data linkage study of mental health records and the 2011 UK census.doi.org/10.1101/2023.03.10.23287114
Funders
Mental health measures timeline
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