Emergency psychiatry, compulsory admissions and clinical presentation among immigrants to the Netherlands

Mulder, Cornelis L.; Koopmans, Gerrit T.; Selten, Jean‐Paul

doi:10.1192/bjp.188.4.386

Cited by 82 publications

(82 citation statements)

References 10 publications

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“…In our study, the most common reason for ED admission was psychosis. This is similar to other studies that reported psychotic symptoms as most common among immigrants in emergency departments [17,20]. A systematic review by McGarth et al reported that psychotic episodes are more prevalent among ethnic minority groups [9].…”

Section: Discussionsupporting

confidence: 90%

“…As in other studies, we confirm that immigrants have a high rate of compulsory presentation to mental health emergency departments [17,26,27]. In psychiatry, the main clinical examination tool is language, a fact that sometimes raises barriers in care provision.…”

Section: Discussionsupporting

confidence: 88%

“…Alternatively, the underutilisation of health care by immigrants may be explained by just those factors that make immigrants vulnerable, such as the low acculturation level, poor social integration and low financial income [3]. However, several studies have demonstrated over utilisation of emergency hospital services by immigrants, while others did not [17][18][19].…”

Section: Discussionmentioning

confidence: 99%

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Acute Psychiatric Problems among Migrants Living in Switzerland- a Retrospective Study from a Swiss University Emergency Department

Chatzidiakou¹,

Schoretsanitis²,

Schruers³

2016

Emerg Med (Los Angel)

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Background: Switzerland is a traditional immigration country with immigrants from both neighbouring, and less developed countries. Since the early 1990s, the migration rate has continuously increased and in 2013 almost a quarter of Swiss residents had an immigration background. Immigrants in Switzerland had fewer psychiatric hospitalisations, but more emergency and compulsory admissions than the local population. Therefore it is important to study the characteristics of the immigrant population presenting at the emergency department for mental health problems.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

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Acute Psychiatric Problems among Migrants Living in Switzerland- a Retrospective Study from a Swiss University Emergency Department

Chatzidiakou¹,

Schoretsanitis²,

Schruers³

2016

Emerg Med (Los Angel)

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“…[28][29][30][31][32][33] Clinician biases about the types of disorders that immigrants experience and misinterpretation of cultural beliefs may lead to overdiagnosis of psychotic disorders and underdiagnosis of affective disorders in high immigrant areas. [25][26][27] While these biases are often discussed regarding ethnic minorities, 28,29,34,35 they may also explain admission patterns in immigrant populations.…”

mentioning

confidence: 99%

“…Individuallevel studies have reported that immigrants are more likely than the host population to be diagnosed with psychotic disorders when experiencing a mood disorder or expressing culturally appropriate emotional symptoms. [24][25][26][27][28] Clinicians may use different decision rules when diagnosing members of immigrant or ethnic groups, likely because of biases or stereotypes. [28][29][30][31][32][33] Clinician biases about the types of disorders that immigrants experience and misinterpretation of cultural beliefs may lead to overdiagnosis of psychotic disorders and underdiagnosis of affective disorders in high immigrant areas.…”

mentioning

confidence: 99%

First- Generation Immigrants and Hospital Admission Rates for Psychosis and Affective Disorders: An Ecological Study in Ontario

et al. 2011

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Objective: The immigrant population in Canada, and particularly in Ontario, is increasing. Our ecological study first assessed if there was an association between areas with proportions of first-generation immigrations and admissions rates for psychotic and affective disorders. Second, this study examined if area-level risks would persist after controlling for area socioeconomic factors in census-derived geographical areas-Forward Sortation Areas (FSAs)-in Ontario.Methods: Ontario's inpatient admission records from 1996 to 2005 and census data from 2001 were analyzed to derive FSA rates of first admissions for psychotic disorders and affective disorders per 100 000 person-years. Negative binomial regression models were adjusted, first, for FSA age and sex and, second, also for FSA population density and average income.Results: Using age-and sex-adjusted models, admission rates for psychotic disorders were higher in areas with greater proportions of immigrants. These areas were associated with lower admission rates for affective disorders. When FSA average income and population density were added to the models, the influence of immigrants was attenuated to nonsignificant levels in models predicting psychotic disorders admission rates. However, greater proportions of immigrants remained significantly protective when predicting rates of affective disorders. Discussion: Our study provides insight about the influence of area-level variables on risk of admission for psychotic and affective disorders in high immigrant areas. There is a dearth of current Canadian research on immigrant admission for psychotic disorders at the individual or area level. Future area-and individual-level studies may better identify groups at risk and possible explanations.Can J Psychiatry. 2011;56(7):418-426. Clinical Implications• Health care administrators may want to consider factors related to the immigrant experience, such as economic deprivation and high population density, when planning culturally sensitive services for affective and psychotic disorders.• There is a need to further investigate immigrant risk for psychotic and affective disorders in Canada, both in clinical and in research settings. Limitations• It is unknown if the observed area-level effects persist at the individual level.• Our study could not disentangle the impact of social and immigration factors on admission risk at the individual level.• Our study does not address pathways to care.

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Risk of readmission in compulsorily and voluntarily admitted patients

Valevski

Olfson

Weizman

et al. 2007

Soc Psychiat Epidemiol

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Emergency psychiatry, compulsory admissions and clinical presentation among immigrants to the Netherlands

Abstract: Non-Western immigrant groups were overrepresented in psychiatric emergency care and were admitted compulsorily more frequently, possibly owing to a different clinical presentation.

Cited by 82 publications

References 10 publications

Acute Psychiatric Problems among Migrants Living in Switzerland- a Retrospective Study from a Swiss University Emergency Department

Acute Psychiatric Problems among Migrants Living in Switzerland- a Retrospective Study from a Swiss University Emergency Department

First- Generation Immigrants and Hospital Admission Rates for Psychosis and Affective Disorders: An Ecological Study in Ontario

Risk of readmission in compulsorily and voluntarily admitted patients

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