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Letter to the editor : 'ethnicity as a predictor of detention under the mental health act’: a response to Singh et al. – a reply
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Singh, Swaran P., Burns, P. (Patrick), Tyler, P., Islam, Zoebia, Parsons, Helen and Crawford, M. J. (2014) Letter to the editor : 'ethnicity as a predictor of detention under the mental health act’: a response to Singh et al. – a reply. Psychological Medicine, 44 (4). pp. 893-896. doi:10.1017/S003329171300305X
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Official URL: http://dx.doi.org/10.1017/S003329171300305X
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 Item | ||||||
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Subjects: | K Law [Moys] > KN Common Law, Private Law R Medicine > RC Internal medicine |
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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): | Mentally ill -- Commitment and detention -- Great Britain, Blacks -- Mental health -- Great Britain, Psychoses -- Treatment, Mental health laws -- Great Britain, Racism -- Great Britain, Discrimination in medical care -- Great Britain | ||||||
Journal or Publication Title: | Psychological Medicine | ||||||
Publisher: | Cambridge University Press | ||||||
ISSN: | 0033-2917 | ||||||
Official Date: | March 2014 | ||||||
Dates: |
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Volume: | 44 | ||||||
Number: | 4 | ||||||
Page Range: | pp. 893-896 | ||||||
DOI: | 10.1017/S003329171300305X | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||
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