{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T09:02:59Z","timestamp":1785315779879,"version":"3.55.0"},"reference-count":41,"publisher":"Royal College of Psychiatrists","issue":"1","license":[{"start":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T00:00:00Z","timestamp":1750636800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec id=\"S0007125025000698_as1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Research on mortality and admissions for physical health problems across eating disorder diagnoses in representative settings is scarce. Inequalities in these outcomes across a range of sociodemographic characteristics have rarely been investigated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125025000698_as2\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>We investigated whether people with eating disorders had greater all-cause mortality and physical health-related in-patient admissions compared with those without eating disorders, and whether associations varied by sex, ethnicity, deprivation, age and calendar year at diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125025000698_as3\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Using primary care Clinical Research Practice Datalink linked to Hospital Episode Statistics, we matched people with an incident eating disorder diagnosis (any, anorexia nervosa, bulimia nervosa, eating disorders not otherwise specified, generic eating disorder or a referral code) from primary care Read codes to four people without eating disorders (1:4 matching) on year of birth, sex, primary care practice, year of registration and index date. We used univariable and multivariable Cox (mortality) and Poisson (admissions) models, and fitted interactions to investigate whether associations varied by sociodemographic characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125025000698_as4\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We included 58\u00a0735 people (90.1% female, 91.6% White). People with any eating disorders had higher all-cause mortality (hazard ratio: 2.15, 95% CI: 1.73\u20132.67). Anorexia nervosa had the highest mortality (hazard ratio: 3.49, 95% CI: 2.43\u20135.01). People with any eating disorders had higher rates of planned (incidence rate ratio (IRR): 1.80, 95% CI: 1.4\u20131.87) and emergency admissions for physical health problems (IRR: 2.35. 95% CI: 2.35\u20132.46) and emergency admissions for injuries, accidents and substance misuse (IRR: 5.26, 95% CI: 5.24\u20135.29). Mortality and admission rate ratios were greater in males.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125025000698_as5\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>People with eating disorders have high rates of mortality and physical health-related admissions. Observed inequalities call for an understanding of why such inequalities exist. These findings highlight the need for prompt and effective treatment for eating disorders, and for improved guidance on primary care management of people with eating disorders.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjp.2025.69","type":"journal-article","created":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T06:15:24Z","timestamp":1750659324000},"page":"17-25","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":8,"title":["Mortality and hospital admissions in people with eating disorders: longitudinal cohort study in secondary care-linked English primary care records"],"prefix":"10.1192","volume":"229","author":[{"given":"Annie","family":"Jeffery","sequence":"first","affiliation":[{"name":"UCL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2286-3862","authenticated-orcid":false,"given":"Joseph F.","family":"Hayes","sequence":"additional","affiliation":[{"name":"UCL"},{"name":"North London Mental Health Partnership"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4241-938X","authenticated-orcid":false,"given":"Naomi","family":"Launders","sequence":"additional","affiliation":[{"name":"UCL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5205-8245","authenticated-orcid":false,"given":"Glyn","family":"Lewis","sequence":"additional","affiliation":[{"name":"UCL"},{"name":"North London Mental Health Partnership"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2519-1539","authenticated-orcid":false,"given":"David","family":"Osborn","sequence":"additional","affiliation":[{"name":"UCL"},{"name":"North London Mental Health Partnership"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8163-3210","authenticated-orcid":false,"given":"Helen","family":"Bould","sequence":"additional","affiliation":[{"name":"Population Health Sciences, Bristol Medical School, University of Bristol"},{"name":"Gloucestershire Health and Care NHS Foundation Trust"},{"name":"Bristol Medical School, University of Bristol"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6160-8982","authenticated-orcid":false,"given":"Naomi","family":"Warne","sequence":"additional","affiliation":[{"name":"Population Health Sciences, Bristol Medical School, University of Bristol"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0219-9503","authenticated-orcid":false,"given":"Francesca","family":"Solmi","sequence":"additional","affiliation":[{"name":"UCL"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2025,6,23]]},"reference":[{"key":"S0007125025000698_ref3","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0000000000000342"},{"key":"S0007125025000698_ref4","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291717000034"},{"key":"S0007125025000698_ref41","doi-asserted-by":"publisher","DOI":"10.1017\/S1754470X24000023"},{"key":"S0007125025000698_ref29","doi-asserted-by":"publisher","DOI":"10.1037\/a0034902"},{"key":"S0007125025000698_ref26","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(22)00225-5"},{"key":"S0007125025000698_ref21","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22797"},{"key":"S0007125025000698_ref36","doi-asserted-by":"publisher","DOI":"10.3390\/nu11123038"},{"key":"S0007125025000698_ref38","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2019.5313"},{"key":"S0007125025000698_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2015.03.003"},{"key":"S0007125025000698_ref15","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23789"},{"key":"S0007125025000698_ref1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2011.74"},{"key":"S0007125025000698_ref20","first-page":"e28526","article-title":"Emergency 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National Health Service (NHS) England Digital. Health Survey for England 2019 [NS]. NHS Digital, 2020 (https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/health-survey-for-england\/2019)."},{"key":"S0007125025000698_ref5","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23934"},{"key":"S0007125025000698_ref34","doi-asserted-by":"publisher","DOI":"10.1038\/nrendo.2016.175"},{"key":"S0007125025000698_ref13","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22249"},{"key":"S0007125025000698_ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s00406-018-0937-8"},{"key":"S0007125025000698_ref11","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2021.23"},{"key":"S0007125025000698_ref31","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2019.01.007"},{"key":"S0007125025000698_ref24","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22846"},{"key":"S0007125025000698_ref19","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-026691"},{"key":"S0007125025000698_ref37","doi-asserted-by":"publisher","DOI":"10.12740\/PP\/126233"}],"container-title":["The British Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0007125025000698","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T08:40:18Z","timestamp":1785314418000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0007125025000698\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,23]]},"references-count":41,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["S0007125025000698"],"URL":"https:\/\/doi.org\/10.1192\/bjp.2025.69","relation":{},"ISSN":["0007-1250","1472-1465"],"issn-type":[{"value":"0007-1250","type":"print"},{"value":"1472-1465","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,23]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}