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Perceived ethnicity and the risk of compulsory admission
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Singh, Swaran P., Croudace, Tim, Beck, A. and Harrison, Glynn (1998) Perceived ethnicity and the risk of compulsory admission. Social Psychiatry and Psychiatric Epidemiology, Volume 33 (Number 1). pp. 39-44. doi:10.1007/s001270050020 ISSN 0933-7954.
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Official URL: http://dx.doi.org/10.1007/s001270050020
Abstract
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 had 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.
| Item Type: | Journal Article | ||||
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| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine | ||||
| 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 |
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| Library of Congress Subject Headings (LCSH): | Minorities -- Medical care -- Great Britain, Mental health services -- Great Britain, Psychiatric hospital patients -- Great Britain, Mentally ill -- Commitment and detention -- Great Britain | ||||
| Journal or Publication Title: | Social Psychiatry and Psychiatric Epidemiology | ||||
| Publisher: | Dr. Dietrich Steinkopff Verlag | ||||
| ISSN: | 0933-7954 | ||||
| Official Date: | January 1998 | ||||
| Dates: |
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| Volume: | Volume 33 | ||||
| Number: | Number 1 | ||||
| Page Range: | pp. 39-44 | ||||
| DOI: | 10.1007/s001270050020 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access |
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