Duration of untreated psychosis, ethnicity and social isolation in the aesop (London) first onset psychosis study

Pathways to First-Episode Care for Psychosis in African-, Caribbean-, and European-Origin Groups in Ontario

“…12,13 Our findings suggest that people of African and Caribbean origin are less likely to have the involvement of a GP on the pathway to care, and more likely to have police or criminal justice involvement and to have an involuntary admission. 12 Three larger studies from the United Kingdom reported a shorter DUP for ethnic minority groups [14][15][16] ; however, we found little evidence overall that differences in the pathway to care translated into differences in the DUP. 13 Many of the studies included in our review were not designed or adequately powered to examine the differences linked to specific cultural, ethnic, or racialized group membership, although there have been notable exceptions.…”

“…Previous studies from the United Kingdom suggest that Black-African patients have a shorter DUP when compared with White-British patients, with no difference for the Black-Caribbean group. 14,15 These discrepant findings could be explained by differences in the social context of the African and Caribbean communities across the 2 countries. Interestingly, we did not find a difference between the ethnic groups in the time between the first contact after the onset of psychotic symptoms and entry into an EIS.…”

“…13 Many of the studies included in our review were not designed or adequately powered to examine the differences linked to specific cultural, ethnic, or racialized group membership, although there have been notable exceptions. 14,15 Our study aims to investigate pathways to care and DUP in 2 multicultural cities in Ontario. In our study, we disaggregated the African-Caribbean population into those of African origin and those of Caribbean origin, reflecting differences between these groups in culture, history of immigration, and socioeconomic conditions.…”

Combining dimensional and categorical representation of psychosis: the way forward for DSM-V and ICD-11?

“…DUP was defined as the period in weeks from the onset of psychosis to first contact with statutory mental health services. The end point for DUP was contact with secondary mental health services (for full details, see Morgan et al 2006). A parental history of any mental illness including psychosis was established using the Family Interview for Genetic Studies applied to study subjects and case-notes.…”

“…Age at onset was defined as the age of first onset of psychosis to the nearest year. Ethnicity was self-ascribed by participants at interview, using 2001 UK Census categories (for details, see Morgan et al 2006).…”