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Rising temperatures up to 18°C and lower sunshine correlate with increased mental health healthcare demandWeather Patterns Show Links to Mental Health Service Demand

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Key Takeaway
Note that rising temperatures up to 18°C and lower sunshine correlate with increased mental health service demand.

This meta-analysis synthesizes retrospective observational data from national surveillance records in England between 2014 and 2022 to examine the impact of daily weather conditions on mental health services. The analysis focused on unscheduled healthcare contacts, including emergency departments, out-of-hours general practice, and telephone advice lines.

The findings indicate modest but consistent associations between mental health service demand and specific environmental factors. Specifically, there is an increase in utilization during days with fewer hours of sunshine and as temperatures rise toward 18°C. Rainfall was not consistently associated with increased demand. For adults aged over 64 years, a U-shaped relationship was observed between temperature and emergency department attendances, with higher utilization occurring during both colder and warmer conditions. Daily healthcare demand showed modest variations of ±10–20% of baseline levels.

The authors note that these results represent associations only and do not imply causality. The findings may have practical implications for planning and preparedness for mental health services under changing climate conditions. However, the evidence is limited by the observational nature of the data and the modest scale of the observed variations.

How this fits prior evidence

This meta-analysis addresses a gap in understanding how environmental factors impact mental health service demand. While prior coverage has explored specific populations like fishermen facing high risk or ethnic minorities using multi-tiered coping strategies during crises, this study provides new evidence on the role of climate and weather patterns in driving healthcare utilization for mental health disorders.

Researchers analyzed national surveillance data from England between 2014 and 2022. They looked at how daily weather, including temperature, hours of sunshine, and rainfall, related to unscheduled mental health contacts like emergency department visits and out-of-hours GP services.

The study found modest but consistent links between weather and healthcare demand. Specifically, there was an increase in mental health service use on days with fewer hours of sunshine and during warmer temperatures up to 18 degrees Celsius. Rainfall did not show a consistent link to these services.

For adults over age 64, the relationship with temperature was shaped like a U-curve. This means these patients used emergency departments more often during both very cold and very warm conditions. These findings are based on observational data, which shows links rather than direct causes. They may help health planners prepare for mental health service needs as climate conditions change.

What this means for you:
Weather patterns like low sunshine and high temperatures are linked to increased demand for mental health services.

Common questions

How does the weather affect mental health service use?

The study found modest but consistent links between daily weather and mental health contacts. Demand for services like emergency departments and out-of-hours GP care increased on days with fewer hours of sunshine and during warmer temperatures up to 18 degrees Celsius.

Are there different effects for older adults?

For adults over the age of 64, the study found a U-shaped relationship between temperature and emergency department visits. This means these individuals used more services during both colder and warmer weather conditions.

Does rainfall affect mental health care demand?

The data did not show a consistent link between daily rainfall and the number of people seeking unscheduled mental health healthcare contacts. The most consistent links were found with sunshine hours and temperature levels.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedJun 2026
View Original Abstract ↓
BackgroundWeather conditions have been linked to adverse mental health outcomes, and rising concern about climate change has increased interest in these associations. However, most existing research focuses on extreme weather events, such as heatwaves, or on acute clinical outcomes, such as suicide. Evidence is more limited regarding population-level variations in mental health–related healthcare utilisation across the full range of daily weather conditions.ObjectiveTo examine associations between daily weather conditions and unscheduled mental health–related healthcare contacts in England using large-scale national surveillance data.MethodsWe conducted a retrospective observational study across nine English regions from 1 January 2014 to 31 December 2022. Outcomes were daily counts of unscheduled mental health–related contacts to emergency departments (EDs), general practice out-of-hours (GP OOH) services, and the NHS 111 telephone advice line. Weather exposures included mean daily temperature (°C), hours of full sunshine, and total daily rainfall (mm). Associations were estimated using distributed lag non-linear models at regional level and combined through two-stage multivariate meta-analysis. Models were adjusted for seasonality, long-term trends, day of week, public holidays, and population size.ResultsMental health–related unscheduled healthcare contacts showed modest but consistent associations with temperature and sunshine. Across services, relative risks (demand) increased with rising temperatures up to around 18 °C and were higher on days with fewer hours of sunshine. Sunshine demonstrated the clearest pattern, with increased utilisation on low-sunshine days across all healthcare settings. Rainfall was not consistently associated with healthcare contacts. Age-stratified analyses showed a U-shaped relationship between temperature and ED attendances among adults aged over 64 years, with higher utilisation during both colder and warmer conditions. Overall variations in daily healthcare demand were modest, typically within ±10–20% of baseline levels.ConclusionIn England, short-term variations in temperature and sunshine are associated with changes in unscheduled mental health–related healthcare utilisation, whereas rainfall shows little consistent effect. Although effect sizes were modest, these findings highlight the role of everyday weather conditions in influencing mental health–related healthcare demand and may support planning and preparedness efforts for mental health services under current and future climate conditions.
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