The effects of race on diagnosis and disposition from a psychiatric emergency service.
Previous studies have reported that racial differences exist in patterns of clinical psychiatric diagnoses as well as the distribution of mental health services resources.
The psychiatric emergency service serves as an entry point into the mental health system, so it plays a potentially important role in addressing racial disparities in diagnosis and disposition.
To address this disparity, the authors studied two specific questions : (1) are there racial differences in diagnosis and (2) are there racial differences in disposition of patients visiting a psychiatric emergency service ?
Demographic and clinical data were obtained by retrospective chart review of 490 patients randomly selected from 9500 visits to a large psychiatric emergency service during a 1-year period.
All clinical information had been recorded by the primary treaters who had no knowledge of this study.
Black patients were significantly more likely to be diagnosed with schizophrenia and substance abuse than similar white patients, although less likely to be diagnosed with a personality disorder.
Black patients were significantly more likely to be hospitalized, particularly at a public hospital, although there were no significant differences in insurance coverage or measures of suicidal or homicidal ideation.
Mots-clés Pascal : Trouble psychiatrique, Urgence psychiatrique, Service hospitalier, Diagnostic, Race, Etude comparative, Caucasoïde, Négroïde, Noir américain, Hospitalisation, Santé mentale, Homme
Mots-clés Pascal anglais : Mental disorder, Psychiatric emergency, Hospital ward, Diagnosis, Race, Comparative study, Caucasoid, Negroid, Black American, Hospitalization, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0251132
Code Inist : 002B18H05B. Création : 01/03/1996.