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Ethnicity as a predictor of detention under the Mental Health Act

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Singh, Swaran P., Burns, T., Tyrer, P., Islam, Z., Parsons, Helen and Crawford, M. J. (2013) Ethnicity as a predictor of detention under the Mental Health Act. Psychological Medicine . pp. 1-8. doi:10.1017/S003329171300086X ISSN 0033-2917.

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Official URL: http://dx.doi.org/10.1017/S003329171300086X

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Abstract

Background There has been major concern about the ‘over-representation’ of Black and ethnic minority groups amongst people detained under the Mental Health Act (MHA). We explored the effect of patient ethnicity on detention following an MHA assessment, once confounding variables were controlled for.
Method Prospective data were collected for all MHA assessments over 4-month periods in the years 2008, 2009, 2010 and 2011 each in three regions in England: Birmingham, West London and Oxfordshire. Logistic regression modelling was conducted to predict the outcome of MHA assessments – either resulting in ‘detention’ or ‘no detention’.
Results Of the 4423 MHA assessments, 2841 (66%) resulted in a detention. A diagnosis of psychosis, the presence of risk, female gender, level of social support and London as the site of assessment predicted detention under the MHA. Ethnicity was not an independent predictor of detention.
Conclusions There is no evidence for that amongst those assessed under the MHA, ethnicity has an independent effect on the odds of being detained.

Item Type: Journal Article
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: Psychological Medicine
Publisher: Cambridge University Press
ISSN: 0033-2917
Official Date: 2013
Dates:
DateEvent
2013Published
Page Range: pp. 1-8
DOI: 10.1017/S003329171300086X
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Description:

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