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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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Published in: | British journal of psychiatry 2006-04, Vol.188 (4), p.386-391 |
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container_title | British journal of psychiatry |
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creator | Mulder, Cornelis L. Koopmans, Gerrit T. Selten, Jean-Paul |
description | 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. |
doi_str_mv | 10.1192/bjp.188.4.386 |
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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.</description><identifier>ISSN: 0007-1250</identifier><identifier>EISSN: 1472-1465</identifier><identifier>DOI: 10.1192/bjp.188.4.386</identifier><identifier>PMID: 16582067</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>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</subject><ispartof>British journal of psychiatry, 2006-04, Vol.188 (4), p.386-391</ispartof><rights>Copyright © 2006 The Royal College of Psychiatrists</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c424t-7ee9d6f1caf85012c52c6dc6e6d192636f83f86f287dc102d5738a5adca7bceb3</citedby><cites>FETCH-LOGICAL-c424t-7ee9d6f1caf85012c52c6dc6e6d192636f83f86f287dc102d5738a5adca7bceb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2315629394/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2315629394?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,786,790,12873,21422,21423,27957,27958,31034,33646,33647,34565,34566,43768,44150,73317,74578,74996</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16582067$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mulder, Cornelis L.</creatorcontrib><creatorcontrib>Koopmans, Gerrit T.</creatorcontrib><creatorcontrib>Selten, Jean-Paul</creatorcontrib><title>Emergency psychiatry, compulsory admissions and clinical presentation among immigrants to the Netherlands</title><title>British journal of psychiatry</title><addtitle>Br J Psychiatry</addtitle><description>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.</description><subject>Adult</subject><subject>Commitment of Mentally Ill - statistics & numerical data</subject><subject>Comparative studies</subject><subject>Compulsory</subject><subject>Emergency medical care</subject><subject>Emergency services</subject><subject>Emergency Services, Psychiatric - statistics & numerical data</subject><subject>Emigration and Immigration - statistics & numerical data</subject><subject>Ethnic Groups - ethnology</subject><subject>Ethnic Groups - statistics & numerical data</subject><subject>Ethnicity</subject><subject>Female</subject><subject>Humans</subject><subject>Immigrants</subject><subject>Male</subject><subject>Mental disorders</subject><subject>Mental Disorders - ethnology</subject><subject>Mental health care</subject><subject>Motivation</subject><subject>Netherlands - epidemiology</subject><subject>Prospective Studies</subject><subject>Psychiatric services</subject><subject>Psychiatry</subject><subject>Psychosis</subject><subject>Risk assessment</subject><subject>Risk Factors</subject><subject>Social functioning</subject><subject>Social networks</subject><subject>Socioeconomic factors</subject><issn>0007-1250</issn><issn>1472-1465</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>ALSLI</sourceid><sourceid>HEHIP</sourceid><sourceid>M2R</sourceid><recordid>eNptkc1r3DAQxUVJabbbHnstCoWe6o0-bEl7DCH9gNBe0rOQpbFXi2W5kk3xfx81uxBaetEg9Js3T_MQekfJjtI9u26P044qtat3XIkXaENrySpai-YCbQghsqKsIZfodc7HcuU1k6_QJRWNYkTIDfJ3AVIPo13xlFd78GZO6ydsY5iWIce0YuOCz9nHMWMzOmwHP3prBjwlyDDOZi5P2IQ49tiH4PtkxjnjOeL5APg7lDMNpTG_QS87M2R4e65b9PPz3cPt1-r-x5dvtzf3la1ZPVcSYO9ER63pVEMosw2zwlkBwpXvCi46xTslOqaks5Qw10iuTGOcNbK10PIt-njSnVL8tUCedfFvYSgmIC5ZC6mo4EwW8MM_4DEuaSzeNOO0EWzP93WhqhNlU8w5Qaen5INJq6ZE_0lAlwR0SUDXuiRQ-Pdn1aUN4J7p88oLcHUCDr4__PYJdLJPq_9L5Po81IQ2edfDs7f_j30E1hqe8A</recordid><startdate>20060401</startdate><enddate>20060401</enddate><creator>Mulder, Cornelis L.</creator><creator>Koopmans, Gerrit T.</creator><creator>Selten, Jean-Paul</creator><general>Cambridge University Press</general><general>RCP</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7TK</scope><scope>7XB</scope><scope>88G</scope><scope>88J</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20060401</creationdate><title>Emergency psychiatry, compulsory admissions and clinical presentation among immigrants to the Netherlands</title><author>Mulder, Cornelis L. ; Koopmans, Gerrit T. ; Selten, Jean-Paul</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c424t-7ee9d6f1caf85012c52c6dc6e6d192636f83f86f287dc102d5738a5adca7bceb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Commitment of Mentally Ill - statistics & numerical data</topic><topic>Comparative studies</topic><topic>Compulsory</topic><topic>Emergency medical care</topic><topic>Emergency services</topic><topic>Emergency Services, Psychiatric - statistics & numerical data</topic><topic>Emigration and Immigration - statistics & numerical data</topic><topic>Ethnic Groups - ethnology</topic><topic>Ethnic Groups - statistics & numerical data</topic><topic>Ethnicity</topic><topic>Female</topic><topic>Humans</topic><topic>Immigrants</topic><topic>Male</topic><topic>Mental disorders</topic><topic>Mental Disorders - ethnology</topic><topic>Mental health care</topic><topic>Motivation</topic><topic>Netherlands - epidemiology</topic><topic>Prospective Studies</topic><topic>Psychiatric services</topic><topic>Psychiatry</topic><topic>Psychosis</topic><topic>Risk assessment</topic><topic>Risk Factors</topic><topic>Social functioning</topic><topic>Social networks</topic><topic>Socioeconomic factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mulder, Cornelis L.</creatorcontrib><creatorcontrib>Koopmans, Gerrit T.</creatorcontrib><creatorcontrib>Selten, Jean-Paul</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mulder, Cornelis L.</au><au>Koopmans, Gerrit T.</au><au>Selten, Jean-Paul</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Emergency psychiatry, compulsory admissions and clinical presentation among immigrants to the Netherlands</atitle><jtitle>British journal of psychiatry</jtitle><addtitle>Br J Psychiatry</addtitle><date>2006-04-01</date><risdate>2006</risdate><volume>188</volume><issue>4</issue><spage>386</spage><epage>391</epage><pages>386-391</pages><issn>0007-1250</issn><eissn>1472-1465</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>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.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>16582067</pmid><doi>10.1192/bjp.188.4.386</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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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 |
title | Emergency psychiatry, compulsory admissions and clinical presentation among immigrants to the Netherlands |
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