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

Black individuals in the UK have higher rates of contact with psychiatric emergency services than their White counterparts. It is unknown whether this is also the case in other European countries. To compare the risk of contact with psychiatric emergency services and of compulsory admission between...

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Bibliographic Details
Published in:British journal of psychiatry 2006-04, Vol.188 (4), p.386-391
Main Authors: Mulder, Cornelis L., Koopmans, Gerrit T., Selten, Jean-Paul
Format: Article
Language:English
Subjects:
Adult
Commitment of Mentally Ill - statistics & numerical data
Comparative studies
Compulsory
Emergency medical care
Emergency services
Emergency Services, Psychiatric - statistics & numerical data
Emigration and Immigration - statistics & numerical data
Ethnic Groups - ethnology
Ethnic Groups - statistics & numerical data
Ethnicity
Female
Humans
Immigrants
Male
Mental disorders
Mental Disorders - ethnology
Mental health care
Motivation
Netherlands - epidemiology
Prospective Studies
Psychiatric services
Psychiatry
Psychosis
Risk assessment
Risk Factors
Social functioning
Social networks
Socioeconomic factors
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Summary:Black individuals in the UK have higher rates of contact with psychiatric emergency services than their White counterparts. It is unknown whether this is also the case in other European countries. To compare the risk of contact with psychiatric emergency services and of compulsory admission between immigrant groups to The Netherlands and Dutch natives, and to determine the unique contribution of ethnicity to compulsory admission. Study of 720 people referred to emergency psychiatric services in Greater Rotterdam, The Netherlands. The relative risks (RRs) for contacts with psychiatric emergency services, for having a psychotic disorder and for compulsory admission were significantly higher in most immigrant groups. Moroccans, Surinamese and Dutch Antilleans had the highest risks of compulsory admission. After controlling for symptom severity, danger, motivation for treatment and level of social functioning, non-Western origin was no longer associated with compulsory admission. Non-Western immigrant groups were overrepresented in psychiatric emergency care and were admitted compulsorily more frequently, possibly owing to a different clinical presentation.
ISSN:0007-1250
1472-1465
DOI:10.1192/bjp.188.4.386