Ethnic differences in admissions to secure forensic psychiatry services

被引:62
作者
Coid, J
Kahtan, N
Gault, S
Jarman, B
机构
[1] St Bartholomews & Royal London Sch Med & Dent, Sect Forens Psychiat, London, England
[2] Univ London Imperial Coll Sci Technol & Med, Sch Med, Dept Primary Hlth Care & Gen Practice, London, England
关键词
D O I
10.1192/bjp.177.3.241
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background Persons of African-Caribbean origin are more frequently imprisoned, and increasing evidence suggests they are detained more frequently in psychiatric hospitals, following offending behaviour. Aims To estimate population-based prevalence rates of treated mental disorder in different ethnic groups compulsorily admitted to secure forensic psychiatry services. Method A survey was recorded of 3155 first admissions, from 1988 to 1994, from half of England and Wales, with 1991 census data as the denominator adjusted for under-enumeration. Results Compulsory admissions for Black males were 5.6 (Cl 5.1-6.3) times as high as, and for Asian males were half, those for White males; for Black females, 2.9 (Cl 2.4-4.6) times as high and for Asian females one-third of those for White females. Admissions of non-Whites rose over the study period. Patterns of offending and diagnoses differed between ethnic groups. Conclusions Variations in compulsory hospitalisation cannot be entirely attributed to racial bias. Community-based services may be less effective in preventing escalating criminal and dangerous behaviour associated with mental illness in African-Caribbeans. Declaration of interest None. Funding was provided by the Department of Health.
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页码:241 / 247
页数:7
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