RESUMO
BACKGROUND: Many studies have found high levels of compulsory admission to psychiatric hospital in the UK among AfricanCaribbean and Black African patients with a psychotic illness. AIMS: To establish whether AfricanCaribbean and Black African ethnicity is associated with compulsory admission in an epidemiological sample of patients with a first episode of psychosis drawn from two UK centres. METHOD: All patients with a first episode of psychosis who made contact with psychiatric services over a 2-year period and were living in defined areas were included in the (ÆSOP) study. For this analysis we included all White British, other White, AfricanCaribbean and Black African patients from the ÆSOP sampling frame. Clinical, socio-demographic and pathways to care data were collected from patients, relatives and case notes. RESULTS: AfricanCaribbean patients were significantly more likely to be compulsorily admitted than White British patients, as were Black African patients. AfricanCaribbean men were the most likely to be compulsorily admitted. CONCLUSION: These findings suggest that factors are operating at or prior to first presentation to increase the risk of compulsory admission among AfricanCaribbean and Black African patients.
Assuntos
Humanos , Admissão do Paciente/tendências , Psiquiatria , Psiquiatria/tendências , Etnicidade/psicologiaRESUMO
BACKGROUND: Previous research has found that AfricanCaribbean and Black African patients are likely to come into contact with mental health services via more negative routes, when compared with White patients. We sought to investigate pathways to mental health care and ethnicityin a sample of patients with a first episode of psychosis drawn from two UK centres. METHOD: We included all White British, other White, AfricanCaribbean and Black African patients with a first episode of psychosis who made contact with psychiatric services over a 2-year period and were living in defined areas. Clinical, socio-demographic and pathways to care data were collected from patients, relatives and case notes. RESULTS: Compared with White British patients, general practitioner referral was less frequent for both AfricanCaribbean and Black African patients and referral by a criminal justice agency was more common. With the exception of criminal justice referrals for Black African patients, these findings remained significant after adjusting for potential confounders. CONCLUSIONS: These findings suggest that factors are operating during a first episode of psychosis to increase the risk that the pathway to care for Black patients will involve non-health professionals.
Assuntos
Humanos , Saúde das Minorias Étnicas , Encaminhamento e Consulta , Encaminhamento e Consulta/normasRESUMO
Background Many studies have found high levels of compulsory admission to psychiatric hospital in the UK among AfricanCaribbean and Black African patients with a psychotic illness. Aims To establish whether AfricanCaribbean and Black African ethnicity is associated with compulsory admission in an epidemiological sample of patients with a first episode of psychosis drawn from two UK centres. Method All patients with a firstepisode of psychosis who made contact with psychiatric services over a 2-year period and were living in defined areas were included in the (ÆSOP)study. For this analysis we included all White British, other White, AfricanCaribbean and Black African patients from the ÆSOP sampling frame. Clinical, socio-demographic and pathways to care data were collected frompatients, relatives and case notes. Results AfricanCaribbean patients were significantly more likely to be compulsorily admitted than White British patients, as were Black African patients. AfricanCaribbean men were the most likely to be compulsorily admitted. Conclusions These findings suggest that factors are operating at or prior to first presentation to increase the risk of compulsory admission among AfricanCaribbean and Black African patients.
Assuntos
Humanos , Hospitais Psiquiátricos , Transtornos Psicóticos , População Negra/genética , Região do CaribeRESUMO
Background Previous research has found that AfricanCaribbean and Black African patients are likely to come into contact with mental health services via more negative routes, when compared with White patients. We soughtto investigate pathways to mental health care and ethnicityin a sample of patients with a first episode of psychosis drawn from two UK centres. Method We included all White British, other White, AfricanCaribbean and Black African patients with a first episode of psychosis who made contact with psychiatric services over a 2-year period and were living in defined areas. Clinical, socio-demographic and pathways to care data were collected from patients, relatives and case notes. Results Compared with White British patients, general practitioner referral was less frequent for both AfricanCaribbean and Black African patients and referral by a criminal justice agency was more common. With the exception of criminal justice referrals for Black African patients, these findings remained significant after adjusting for potential confounders. Conclusions These findings suggest that factors are operating during a first episode of psychosis to increase the risk that the pathway to care for Black patients will involve non-health professionals.