A nationwide study was carried out comprising 50,877 persons aged 18-66, who were registered in 2003 in the Danish Psychiatric Register or in the National Patient Register with a psychiatric ICD-10 diagnosis. Of the population 87.1% were ethnic Danes, 7.8% migrants, 4.0% off-springs with one Danish born parent, 0.7% off-springs with both parents born outside Denmark and 0.3% adoptees. Males comprised 49% women 51% of the population. The 5 ethnic groups had significant differences in utilization of care, diagnostic distribution and use of coercion. Women had a higher contact rates in all groups apart from migrants. The contact rate among persons of Middle Eastern background was relatively low. Patients with a non-Danish background were more frequently nonvoluntarily admitted and had significantly more frequently contact with services due to a forensic measures. Substance abuse was higher among men in all ethnic groups. Contacts due to schizophrenia were higher among non-Danish patients and highest among young offspring males. Self-mutilating behaviour was seen more frequently among female off-springs from non-Western countries than among migrant women from non-Western countries. The paper will analyse selected significant differences among the ethnic groups. appropriate and diagnostic uncertainty. GPs need to be adequately informed about EIP & their important role to achieve this. References McGlashan TH: Recovery style from mental illness and long-term outcome.
Over the past few decades there has been a growing interest in first-episode psychosis (FEP), help-seeking behaviour and pathways to care. Treating psychotic disorders in their earliest stages has become a key focus for research and clinical care (Yung & McGorry, 2007). FEP studies show that the average time between onset of symptoms and first effective treatment is often 1 year or more (McGlashan, 1987). This long duration of untreated psychosis (DUP) is undesirable. Early treatment helps minimise the risk of the serious consequences of untreated psychosis, in terms of changes in mental state and behaviour (Larsen et al, 1998; Wyatt et al, 1998) and can reduce suffering (Ho et al, 2003). Some early results suggested that an ‘early intervention in psychosis’ (EIP) service is more cost-effective than generic services (Mihalopoulos et al, 1999).
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