PMID: 8595280Mar 2, 1996Paper

Ethnic differences in risk of compulsory psychiatric admission among representative cases of psychosis in London

BMJ : British Medical Journal
S DaviesM Phelan

Abstract

To compare the risk of detention under the Mental Health Act 1983 in a representative group of people with psychotic disorders from different ethnic groups. Two defined geographical areas in south London. Annual period prevalent cases of psychosis were identified in 1993 in the study areas from hospital and community data. Standardised criteria were applied to case notes to establish diagnosis and detention under the act. 535 patients were identified, of whom 439 fulfilled ICD-10 criteria for psychosis. Risk of ever having been detained under the Mental Health Act 1983, risk of detention under specific sections of the act during the study year, and risk of contact with forensic services for the different ethnic groups. 439 patients with a psychotic illness were identified. Nearly half of the white patients had been detained under the act compared with 70% and 69% of black Caribbean and black African patients, respectively. Black Caribbean and black African patients were more likely than white patients to have been involuntarily detained (adjusted odds ratio 3.67; 95% confidence interval 2.07 to 6.50 and 2.88; 1.04 to 7.95, respectively). Rates of use of sections 2, 3 and 136 in the study year were higher for black than for whit...Continue Reading

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Citations

Jan 27, 2005·Social Psychiatry and Psychiatric Epidemiology·Olufemi Oluwatayo, Richard Gater
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