The role of mental health problems and common psychotropic drug treatments in accidental injury at work: a case-control study
The role of mental health problems and common psychotropic drug treatments in accidental injury at work: a case-control study
Objectives Mental illness and psychotropic drugs have been linked with workplace injury, but few studies have measured exposures and outcomes independently or established their relative timings. To address this shortcoming, we conducted a case–control study nested within a database prospectively recording injury consultations, diagnoses and drug prescriptions.
Methods The Clinical Practice Research Datalink logs primary care data for 6% of the British population, coding all consultations (by the Read system) and drug prescriptions. We identified 1348 patients aged 16–64?years from this database who had consulted a family doctor or hospital over a 20-year period for workplace injury (cases, 479 diagnostic codes) and 6652 age, sex and practice-matched controls with no such consultation. Groups were compared in terms of consultations for mental health problems (1328 codes) and prescription of psychotropic drugs prior to the case's injury consultation using conditional logistic regression.
Results In total, 1846 (23%) subjects had at least one psychiatric consultation before the index date and 1682 (21%) had been prescribed a psychotropic drug. The OR for prior mental health consultation was 1.44 (p<0.001) and that for psychotropic drug treatment was 1.57 (p<0.001). Risks were significantly elevated for several subclasses of mental health diagnosis (eg, psychosis, neurosis) and for each of the drug classes analysed. Assuming causal relationships, about 9–10% of all workplace injuries leading to medical consultation were attributable to mental illness or psychotropic medication.
Conclusions Mental health problems and psychotropic treatments may account for an important minority of workplace injuries.
308-312
Palmer, K.T.
0cfe63f0-1d33-40ff-ae8c-6c33601df850
D'Angelo, Stefania
13375ecd-1117-4b6e-99c0-32239f52eed6
Harris, E.C.
3e4bd946-3f09-45a1-8725-d35e80dd7971
Linaker, C.
6c6d1b90-ee40-4c96-8b2e-b06efbe030ae
Coggon, D.
2b43ce0a-cc61-4d86-b15d-794208ffa5d3
May 2014
Palmer, K.T.
0cfe63f0-1d33-40ff-ae8c-6c33601df850
D'Angelo, Stefania
13375ecd-1117-4b6e-99c0-32239f52eed6
Harris, E.C.
3e4bd946-3f09-45a1-8725-d35e80dd7971
Linaker, C.
6c6d1b90-ee40-4c96-8b2e-b06efbe030ae
Coggon, D.
2b43ce0a-cc61-4d86-b15d-794208ffa5d3
Palmer, K.T., D'Angelo, Stefania, Harris, E.C., Linaker, C. and Coggon, D.
(2014)
The role of mental health problems and common psychotropic drug treatments in accidental injury at work: a case-control study.
Occupational & Environmental Medicine, .
(doi:10.1136/oemed-2013-101948).
(PMID:24627304)
Abstract
Objectives Mental illness and psychotropic drugs have been linked with workplace injury, but few studies have measured exposures and outcomes independently or established their relative timings. To address this shortcoming, we conducted a case–control study nested within a database prospectively recording injury consultations, diagnoses and drug prescriptions.
Methods The Clinical Practice Research Datalink logs primary care data for 6% of the British population, coding all consultations (by the Read system) and drug prescriptions. We identified 1348 patients aged 16–64?years from this database who had consulted a family doctor or hospital over a 20-year period for workplace injury (cases, 479 diagnostic codes) and 6652 age, sex and practice-matched controls with no such consultation. Groups were compared in terms of consultations for mental health problems (1328 codes) and prescription of psychotropic drugs prior to the case's injury consultation using conditional logistic regression.
Results In total, 1846 (23%) subjects had at least one psychiatric consultation before the index date and 1682 (21%) had been prescribed a psychotropic drug. The OR for prior mental health consultation was 1.44 (p<0.001) and that for psychotropic drug treatment was 1.57 (p<0.001). Risks were significantly elevated for several subclasses of mental health diagnosis (eg, psychosis, neurosis) and for each of the drug classes analysed. Assuming causal relationships, about 9–10% of all workplace injuries leading to medical consultation were attributable to mental illness or psychotropic medication.
Conclusions Mental health problems and psychotropic treatments may account for an important minority of workplace injuries.
Text
Mental health paper FINAL R1 untracked.docx
- Other
More information
e-pub ahead of print date: March 2014
Published date: May 2014
Organisations:
Faculty of Medicine
Identifiers
Local EPrints ID: 367017
URI: http://eprints.soton.ac.uk/id/eprint/367017
ISSN: 1351-0711
PURE UUID: 5f20f50f-539b-4289-814a-6610f897e6e5
Catalogue record
Date deposited: 22 Jul 2014 08:35
Last modified: 15 Mar 2024 03:44
Export record
Altmetrics
Download statistics
Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.
View more statistics