[Skip to Navigation]
December 18, 2019

Income Inequality and Psychiatric Admission in a Rich Country: Happiness Does Not Guarantee Mental Health Equity

Author Affiliations
  • 1Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts
  • 2Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts
JAMA Psychiatry. 2020;77(3):233-234. doi:10.1001/jamapsychiatry.2019.3638

In this issue of JAMA Psychiatry, Suokas et al1 reinforce 2 observations emerging from the rich literature on the epidemiology of mental health problems. First, Scandinavian countries with established nationwide registries that permit the linking of diverse databases offer unparalleled opportunities to investigate the temporal associations between risk factors and mental health problems at the level of an individual’s life course and at the level of populations over time. Second, poverty, in this case defined by personal income, is a major determinant for poor mental health, in this case represented by the outcome of first psychiatric admission. In summary, this study shows that (1) the poorer you are in Finland, the higher the likelihood of experiencing a first psychiatric admission; (2) this risk gradient is seen across income strata; and (3) despite overall reductions in admission rates in adults during the 19 years of observation, which is probably a reflection of the changing orientation of psychiatric care, inequalities have persisted and even grown larger across the study period.

Add or change institution
Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words