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Published in: Social Psychiatry and Psychiatric Epidemiology 1/2012

01-01-2012 | Original Paper

Ethnic differences in risk of acute compulsory admission in Amsterdam, 1996–2005

Authors: Matty A. S. de Wit, Wilco C. Tuinebreijer, Giel H. A. van Brussel, Jean-Paul Selten

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 1/2012

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Abstract

Purpose

Several European studies have shown that migrants from non-western countries are at increased risk of psychotic disorders. This study examines how this is reflected in the risk of acute compulsory admission (ACA).

Methods

Information on all patients with an ACA in Amsterdam from 1996 to 2005 was linked to the Amsterdam municipal register.

Results

The incidence of first ACA in Amsterdam was 4.5 per 10,000 person years. The incidence risk of ACA for any psychiatric disorders and for psychotic disorders in particular showed a 2- to 3-fold increase in almost all migrant groups from non-western countries, and especially for second-generation migrants. In addition, all non-western migrant groups were at increased risk of being assessed as posing a danger to others.

Conclusions

The relative risk of ACA for psychotic disorders was similar to that for the incidence of psychotic disorders in most ethnic groups from other studies, suggesting that the increased risk of ACA in non-western migrants can mainly be explained by the increased incidence of psychotic disorders in these groups. However, the relative risk of ACA for psychotic disorders among Moroccan migrants was lower than expected on the basis of incidence studies, which suggests that additional factors are relevant, such as illness-related expression and access to and quality of care.
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Metadata
Title
Ethnic differences in risk of acute compulsory admission in Amsterdam, 1996–2005
Authors
Matty A. S. de Wit
Wilco C. Tuinebreijer
Giel H. A. van Brussel
Jean-Paul Selten
Publication date
01-01-2012
Publisher
Springer-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 1/2012
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-010-0312-1

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