Mental disorders and long-term labour market outcomes : nationwide cohort study of 2 055 720 individuals

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http://hdl.handle.net/10138/317017

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Hakulinen , C , Elovainio , M , Arffman , M , Lumme , S , Pirkola , S , Keskimäki , I , Manderbacka , K & Böckerman , P 2019 , ' Mental disorders and long-term labour market outcomes : nationwide cohort study of 2 055 720 individuals ' , Acta Psychiatrica Scandinavica , vol. 140 , no. 4 , pp. 371-381 . https://doi.org/10.1111/acps.13067

Title: Mental disorders and long-term labour market outcomes : nationwide cohort study of 2 055 720 individuals
Author: Hakulinen, C.; Elovainio, M.; Arffman, M.; Lumme, S.; Pirkola, S.; Keskimäki, Ilmo; Manderbacka, K.; Böckerman, P.
Contributor: University of Helsinki, Department of Psychology and Logopedics
University of Helsinki, Department of Psychology and Logopedics
University of Helsinki, National Institute for Health and Welfare (THL)
Date: 2019-10
Language: eng
Number of pages: 11
Belongs to series: Acta Psychiatrica Scandinavica
ISSN: 0001-690X
URI: http://hdl.handle.net/10138/317017
Abstract: Objective To examine the associations between an onset of serious mental disorders before the age of 25 with subsequent employment, income and education outcomes. Methods Nationwide cohort study including individuals (n = 2 055 720) living in Finland between 1988–2015, who were alive at the end of the year they turned 25. Mental disorder diagnosis between ages 15 and 25 was used as the exposure. The level of education, employment status, annual wage or self‐employment earnings, and annual total income between ages 25 and 52 (measurement years 1988–2015) were used as the outcomes. Results All serious mental disorders were associated with increased risk of not being employed and not having any secondary or higher education between ages 25 and 52. The earnings for individuals with serious mental disorders were considerably low, and the annual median total income remained rather stable between ages 25 and 52 for most of the mental disorder groups. Conclusions Serious mental disorders are associated with low employment rates and poor educational outcomes, leading to a substantial loss of total earnings over the life course.
Subject: mental disorders
income
education
employment
BIPOLAR I DISORDER
ECONOMIC BURDEN
UNITED-STATES
SOCIOECONOMIC-STATUS
PSYCHIATRIC-DISORDERS
DEPRESSIVE SYMPTOMS
SCHIZOPHRENIA
INCOME
EMPLOYMENT
RISK
515 Psychology
5144 Social psychology
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