Ethnic differences in risk of acute compulsory admission in Amsterdam, 1996–2005

Wit, Matty A. S. de; Tuinebreijer, Wilco C.; Brussel, G. H. A. Van; Selten, Jean‐Paul

doi:10.1007/s00127-010-0312-1

Cited by 22 publications

(17 citation statements)

References 31 publications

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“…The ethnic composition of the district had a significant, but not the strongest, association with AIPA density in the current study for males, but not for females. On the one hand, male non-Western migrants may have a higher risk of developing psychotic disorders, and higher AIPA rates have been described in the largest Dutch cities: Rotterdam and Amsterdam (20)(21)(22). On the other hand, this risk may be attenuated by living in a district with a relatively high number of immigrants, also in the city of Utrecht (23,24).…”

Section: Discussionmentioning

confidence: 99%

Local Geographical Distribution of Acute Involuntary Psychiatric Admissions in Subdistricts In and Around Utrecht, the Netherlands

Braam

Ommeren

Buuren

et al. 2016

The Journal of Emergency Medicine

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Section: Discussionmentioning

confidence: 99%

Local Geographical Distribution of Acute Involuntary Psychiatric Admissions in Subdistricts In and Around Utrecht, the Netherlands

Braam

Ommeren

Buuren

et al. 2016

The Journal of Emergency Medicine

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“…According to some studies, ethnic minority patients appear to be at higher risk of compulsory admission [7]. In the Netherlands, this association was mediated through increased rates of psychosis among hospitalized migrants [8] and illness-related expression [9]. Having a diagnosis of psychotic disorder is a risk factor for compulsory admission [10].…”

Section: Introductionmentioning

confidence: 99%

Impact of Psychiatrists’ Qualifications on the Rate of Compulsory Admissions

et al. 2012

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Despite efforts to reduce coercion in psychiatry, involuntary hospitalizations remain frequent, representing more than half of all admissions in some European regions. Since October 2006, only certified psychiatrists are authorized to require a compulsory admission to our facility, while before all physicians were, including residents. The aim of the present study is to assess the impact of this change of procedure on the proportion compulsory admissions. All medical records of patients admitted respectively 4 months before and 4 month after the implementation of the procedure were retrospectively analyzed. This search retrieved a total of 2,227 hospitalizations for 1,584 patients. The overall proportions of compulsory and voluntary admissions were 63.9 % and 36.1 % respectively. The average length of stay was 32 days (SD ± 64.4). During the study period, 25 % of patients experienced two hospitalizations or more. The most frequent patients' diagnoses were affective disorders (30 %), psychotic disorders (18.4 %) and substance abuse disorders (15.7 %). Compared with the period before October 2006, patients hospitalized from October 2006 up were less likely to be hospitalized on a compulsory basis (OR = 0.745, 95 % CI: 0.596-0.930). Factors associated with involuntary admission were young age (20 years or less), female gender, a diagnosis of psychotic disorder and being hospitalized for the first time. Our results strongly suggest that limiting the right to require compulsory admissions to fully certified psychiatrists can reduce the rate of compulsory versus voluntary admissions.

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“… 1 , 4 , 18 – 23 BME patients are more often admitted compulsorily into mental healthcare and have more police involvement during the process of admittance compared with non-minority patients. 1 , 4 , 18 – 23 …”

mentioning

confidence: 99%

Ethnic variations regarding clinical profiles and symptom representation in prisoners with psychotic disorders

et al. 2018

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BackgroundBlack and minority ethnic (BME) groups are known to have higher prevalences of psychotic disorders and are over-represented in western penitentiaries and forensic psychiatric institutions. Research from regular mental healthcare settings suggests that they could show different and more severe psychotic symptoms.AimsTo explore ethnic variations in severity of symptomatology of BME and non-BME detainees with psychotic disorders.MethodIn this study, 824 patients with psychotic disorders from seven different ethnic groups, imprisoned in a penitentiary psychiatric centre in the Netherlands, were compared on symptom severity and symptom representation using the BPRS-E clinical interview. Data were analysed by means of a multilevel analysis.ResultsBME patients with psychotic disorders are over-represented in forensic psychiatry, and symptom profiles of prisoners with psychotic disorders vary by ethnicity. Additionally, severity levels of overall psychopathology differ between ethnic groups: patients with an ethnic majority status show more severe levels of psychopathology compared with BME patients.ConclusionsThere are differences in symptom severity and symptom profiles between BME patients and non-BME patients. Disregarding these differences could have an adverse effect on the outcome of the treatment. Possible explanations and clinical impact are discussed.Declaration of interestNone.

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Ethnic differences in risk of acute compulsory admission in Amsterdam, 1996–2005

Cited by 22 publications

References 31 publications

Local Geographical Distribution of Acute Involuntary Psychiatric Admissions in Subdistricts In and Around Utrecht, the Netherlands

Local Geographical Distribution of Acute Involuntary Psychiatric Admissions in Subdistricts In and Around Utrecht, the Netherlands

Impact of Psychiatrists’ Qualifications on the Rate of Compulsory Admissions

Ethnic variations regarding clinical profiles and symptom representation in prisoners with psychotic disorders

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