Black-Caribbean patients are more often admitted compulsorily to psychiatric wards than patients from other ethnic groups.
We tested the hypothesis that perceived ethnicity of a patient has no independent effect on the risk of compulsory admission.
For all consecutive admissions over a 6-month period to acute psychiatric wards in Nottingham. medical officers responsible for the decision to admit completed a questionnaire recording clinical details of the patients and reasons for admission.
The results showed that 43.2% of Black-Caribbean patients and 18.8% of White patients were admitted compulsorily (unadjusted odds ratio 3.29. 95% CI 1.71-6.33) Perceived ethnicity (Black-Caribbean) was significantly associated with being young. receiving a diagnosis of psychosis, and being perceived to be at a risk of violent acting out.
A forced entry logistic regression model was used to adjust for hypothesised confounding variables such as age, sex, diagnosis. risk, socio-economic status and level of social support.
A diagnosis of psychosis, risk of committing violence and being Black-Caribbean had independent effects on the risk of being compulsorily detained.
The odds ratio for compulsory detention of Black-Caribbean patients was 2.16 (95% CI 1.03-4.52) after adjusting for the hypothesised confounding variables.
Mots-clés Pascal : Trouble psychiatrique, Hospitalisation imposée, Internement, Ethnie, Race, Négroïde, Epidémiologie, Royaume Uni, Europe, Santé mentale, Homme, Antillais
Mots-clés Pascal anglais : Mental disorder, Forced hospitalization, Mentally ill commitment, Ethnic group, Race, Negroid, Epidemiology, United Kingdom, Europe, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0070137
Code Inist : 002B18I09. Création : 14/05/1998.