Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Journal of Immigrant and Minority Health
Published in: Journal of Immigrant and Minority Health 6/2014

01-12-2014 | Original Paper

Characteristics of Immigrant and Non-Immigrant Patients in a Dual-Diagnosis Psychiatric Ward and Treatment Implications

Authors: Sophie D. Walsh, David Blass, Meital Bensimon-Braverman, Lee Topaz Barak, Yael Delayahu

Published in: Journal of Immigrant and Minority Health | Issue 6/2014

Login to get access

Abstract

Two studies were conducted among patients in a male dual diagnosis (severe mental illness [SMI] with substance use) ward. The research examined the following questions: (1) Do immigrant and non-immigrant dual diagnosis patients exhibit similar or different socio-demographic, clinical and criminological characteristics? (2) What are the implications for treatment of immigrant (and non-immigrant) patients? Study one analyzed computerized hospital records of 413 male patients; Study two examined patient files of a subgroup of 141 (70 immigrant) male patients. Alongside similarities, non-immigrant patients reported higher numbers of repeat and involuntary hospitalizations and more drug use while immigrants showed longer hospitalizations, more suicide attempts, more violent suicide attempts, more violent offenses and more alcohol use. Among non-immigrants significant relationships were found between severity of SMI and crime/violence while among immigrants a significant relationship was found between suicidality and crime/violence. Implications for treatment include need for awareness of suicide risk among immigrant dual-diagnosis patients and an understanding of the differential relationship with crime/violence for the two populations.
Footnotes
1
Violent suicide attempts included suicide by hanging, jumping from a high place, cutting of veins.
 
Literature
1.
Soyka M, Albus M, Kathmann N, et al. Prevalence of alcohol and drug abuse in schizophrenic inpatients. Eur Arch Psychiatry Clin Neurosci. 1993;242(6):362–72.PubMedCrossRef
2.
Swendsen J, Conway KP, Degenhardt L, et al. Mental disorders as risk factors for substance use, abuse and dependence: results from the 10-year follow-up of the National Comorbidity Survey. Addiction. 2010;105(6):1117–28.PubMedCrossRefPubMedCentral
3.
Kessler RC, McGonagle KA, Zhao S, et al. Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: results from the National Comorbidity Survey. Arch Gen Psychiatry. 1994;51(1):8.PubMedCrossRef
4.
Regier DA, Farmer ME, Rae DS, et al. Comorbidity of mental disorders with alcohol and other drug abuse. JAMA. 1990;264(19):2511–8.PubMedCrossRef
5.
Hasin DS, Stinson FS, Ogburn E, et al. Prevalence, correlates, disability, and comorbidity of DSM-IV alcohol abuse and dependence in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Arch Gen Psychiatry. 2007;64(7):830.PubMedCrossRef
6.
Soyka M. Substance misuse, psychiatric disorder and violent and disturbed behaviour. Br J Psychiatry. 2000;176(4):345–50.PubMedCrossRef
7.
Blanchard JJ, Brown SA, Horan WP, et al. Substance use disorders in schizophrenia: review, integration, and a proposed model. Clin Psychol Rev. 2000;20(2):207–34.PubMedCrossRef
8.
Drake RE, Wallach MA, Teague GB, et al. Housing instability and homelessness among rural schizophrenic patients. Am J Psychiatry. 1991;148(3):330–6.PubMed
9.
Mueser KT, Yarnold PR, Levinson DF, et al. Prevalence of substance abuse in schizophrenia. Schizophr Bull. 1990;16(1):31–56.PubMedCrossRef
10.
Scheller-Gilkey G, Lewine RRJ, Caudle J, et al. Schizophrenia, substance use, and brain morphology. Schizophr Res. 1999;35(2):113–20.PubMedCrossRef
11.
Mueser KT, Yarnold PR, Rosenberg SD, et al. Substance use disorder in hospitalized severely mentally ill psychiatric patients. Schizophr Bull. 2000;26(1):179–92.PubMedCrossRef
12.
Kessler RC, Nelson CB, McGonagle KA, et al. The epidemiology of co-occurring addictive and mental disorders: implications for prevention and service utilization. Am J Orthopsychiatry. 1996;66(1):17–31.PubMedCrossRef
13.
Minkoff K. Best practices: developing standards of care for individuals with co-occurring psychiatric and substance use disorders. Psychiatric Serv. 2001;52(5):597–9.CrossRef
14.
Odegaard O. Emigration and insanity: a study of mental disease among the Norwegian-born population of Minnesota. Acta Psychiatr Scand. 1932;7(suppl 4):1–206.
15.
Werbeloff N, Levine SZ, Rabinowitz J. Elaboration on the association between immigration and schizophrenia: a population-based national study disaggregating annual trends, country of origin and sex over 15 years. Soc Psychiatry Psychiatr Epidemiol. 2012;47(2):303–11.PubMedCrossRef
16.
Corcoran C, Perrin M, Harlap S, et al. Incidence of schizophrenia among second-generation immigrants in the Jerusalem Perinatal Cohort. Schizophr Bull. 2009;35(3):596–602.PubMedCrossRefPubMedCentral
17.
Cooper B. Immigration and schizophrenia: the social causation hypothesis revisited. Br J Psychiatry. 2005;186(5):361–3.PubMedCrossRef
18.
Cantor-Graae E, Selten J-P. Schizophrenia and migration: a meta-analysis and review. Am J Psychiatry. 2005;162(1):12–24.PubMedCrossRef
19.
Selton JP, Slaets JPJ, Khan RS. Schizophrenia in Surinamese and Dutch Antillean immigrants to the Netherlands: evidence of an increased incidence. Psychol Med. 1997;27(4):807–11.CrossRef
20.
Bhugra D, Jones P. Migration and mental illness. Adv Psychiatr Treat. 2001;7(3):216–22.CrossRef
21.
Grove W, Clayton PJ, Endicott J, et al. Immigration and major affective disorder. Acta Psychiatr Scand. 1986;74(6):548–52.PubMedCrossRef
22.
Swinnen SGHA, Selten J-P. Mood disorders and migration meta-analysis. Br J Psychiatry. 2007;190(1):6–10.PubMedCrossRef
23.
Ritsner M, Ponizovsky A, Kurs R, et al. Somatization in an immigrant population in Israel: a community survey of prevalence, risk factors, and help-seeking behavior. Am J Psychiatry. 2000;157(3):385–92.PubMedCrossRef
24.
Veen D, Selten JP, Hoek HW, et al. Use of ilicit substances in a psychosis incidence cohort: a comparison among different ethnic groups in the Netherlands. Acta Psychiatr Scand. 2002;105(6):440–3.PubMedCrossRef
25.
26.
Grant BF, Stinson FS, Hasin DS, et al. Immigration and lifetime prevalence of DSM-IV psychiatric disorders among Mexican Americans and non-Hispanic whites in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Arch Gen Psychiatry. 2004;61(12):1226.PubMedCrossRef
27.
Oberg K. Culture shock: adjustment to new cultural environments. Pract Anthropol. 1960;7(2):177–82.
28.
Akhtar S. Immigration and identity: turmoil, treatment, and transformation. Northvale: Jason Aronson; 1999.
29.
Garza-Guerrero AC. Culture shock: its mourning and the vicissitudes of identity. J Am Psychoanal Assoc. 1974;22:408–29.PubMedCrossRef
30.
Berry JW. Immigration, acculturation, and adaptation. Appl Psychol. 1997;46(1):5–34.
31.
Berry JW, Kim U. Acculturation and mental health. In: Dasen RP, Berry JW, Sartorius N, editors. Health and cross-cultural psychology: toward applications cross-cultural research and methodology series. Thousand Oaks: Sage Publications; 1988. p. 207–36.
32.
Walsh SD, Edelstein A, Vota D. Suicidal ideation and alcohol use among Ethiopian adolescents in Israel: the relationship with ethnic identity and parental support. Eur Psychol. 2012;17:131–42.CrossRef
33.
Kposowa AJ, McElvain JP, Breault KD. Immigration and suicide: the role of marital status, duration of residence, and social integration. Arch Suicide Res. 2008;12(1):82–92.PubMedCrossRef
34.
Isralowitz RE, Reznik A. Former Soviet Union immigrant and native-born adolescents in Israel: substance use and related problem behavior. J Ethn Subst Abuse. 2007;6(1):8.CrossRef
35.
Rumbaut RG. Assimilation and its discontents: Between rhetoric and reality. Int Migr Rev 1997:923–960.
36.
Garcia-Coll C, Marks AK. The immigrant paradox in children and adolescents: Is becoming American a developmental risk?. Washington, DC: American Psychological Association; 2012.CrossRef
37.
Turner RJ, Gil AG. Psychiatric and substance use disorders in South Florida: racial/ethnic and gender contrasts in a young adult cohort. Arch Gen Psychiatry. 2002;59(1):43.PubMedCrossRef
38.
Blake SM, Ledsky R, Goodenow C, et al. Recency of immigration, substance use, and sexual behavior among Massachusetts adolescents. Am J Public Health. 2001;91(5):794.PubMedCrossRefPubMedCentral
39.
Gfroerer JC, Tan LL. Substance use among foreign-born youths in the United States: does the length of residence matter? Am J Public Health. 2003;93(11):1892.PubMedCrossRefPubMedCentral
40.
Kwak K. Adolescents and their parents: a review of intergenerational family relations for immigrant and non-immigrant families. Hum Dev. 2003;46:115–36.CrossRef
41.
Jimenez-Castro L, Hare E, Medina R, et al. Substance use disorder comorbidity with schizophrenia in families of Mexican and Central American Ancestry. Schizophr Res. 2010;120(1):87–94.PubMedCrossRefPubMedCentral
42.
Vega WA, Sribney WM, Achara-Abrahams I. Co-occurring alcohol, drug, and other psychiatric disorders among Mexican-origin people in the United States. Journal Information 2003;93(7).
43.
44.
Stueve A, Link BG. Violence and psychiatric disorders: results from an epidemiological study of young adults in Israel. Psychiatr Q. 1997;68(4):327–42.PubMedCrossRef
45.
Swanson JW, Holzer CE, Ganju VK, et al. Violence and psychiatric disorder in the community: evidence from the epidemiologic catchment area surveys. Hosp Community Psychiatry. 1990;41(7):761–70.PubMed
46.
Wallace C, Mullen P, Burgess P, et al. Serious criminal offending and mental disorder. Case linkage study. Br J Psychiatry. 1998;172(6):477–84.PubMedCrossRef
47.
Walsh E, Buchanan A, Fahy T. Violence and schizophrenia: examining the evidence. Br J Psychiatry. 2002;180(6):490–5.PubMedCrossRef
48.
Link BG, Stueve A, Phelan J. Psychotic symptoms and violent behaviors: probing the components of “threat/control-override” symptoms. Soc Psychiatry Psychiatr Epidemiol. 1998;33(1):S55–60.PubMedCrossRef
49.
Lindqvist P, Allebeck P. Schizophrenia and assaultive behaviour: the role of alcohol and drug abuse. Acta Psychiatr Scand. 1990;82(3):191–5.PubMedCrossRef
50.
Rasanen P, Tiihonen J, Isohanni M, et al. Schizophrenia, alcohol abuse, and violent behavior: a 26-year followup study of an unselected birth cohort. Schizophr Bull. 1998;24(3):437–41.PubMedCrossRef
51.
Vinokur D, Levine SZ, Roe D, et al. Age of onset group characteristics in forensic patients with schizophrenia. European Psychiatry in press.
52.
Levine S. Population-based examination of the relationship between type of first admission for schizophrenia and outcomes. Psychiatric Ser. 2008;59(12):1470–3.CrossRef
53.
Volavka J, Laska E, Baker S, et al. History of violent behaviour and schizophrenia in different cultures. Analyses based on the WHO study on determinants of outcome of severe mental disorders. Br J Psychiatry. 1997;171(1):9–14.PubMedCrossRef
54.
Mullen PE. A reassessment of the link between mental disorder and violent behaviour, and its implications for clinical practice. Aust N Z J Psychiatry. 1997;31(1):3–11.PubMedCrossRef
55.
Hodgins S. Epidemiological investigations of the associations between major mental disorders and crime: methodological limitations and validity of the conclusions. Soc Psychiatry Psychiatr Epidemiol. 1998;33(13):S29–37.PubMedCrossRef
56.
Levav I, Lipshitz I, Novikov I, et al. Cancer risk among parents and siblings of patients with schizophrenia. Br J Psychiatry. 2007;190(2):156–61.PubMedCrossRef
57.
Weiser M, Kanyas K, Malaspina D, et al. Sensitivity of ICD-10 diagnosis of psychotic disorders in the Israeli National Hospitalization Registry compared with RDC diagnoses based on SADS-L. Compr Psychiatry. 2005;46(1):38–42.PubMedCrossRefPubMedCentral
58.
Rabinowitz J, Slyuzberg M, Ritsner M, et al. Changes in diagnosis in a 9-year national longitudinal sample. Compr Psychiatry. 1994;35(5):361–5.PubMedCrossRef
59.
Weiser M, Werbeloff N, Dohrenwend BP, et al. Do psychiatric registries include all persons with schizophrenia in the general population? A population-based longitudinal study. Schizophrenia Res. 2012;135(1):187–91.CrossRef
60.
Reichenberg A, Weiser M, Rapp MA, et al. Premorbid intra-individual variability in intellectual performance and risk for schizophrenia: a population-based study. Schizophr Res. 2006;85(1):49–57.PubMedCrossRef
61.
Davidson M, Reichenberg A, Rabinowitz J, et al. Behavioral and intellectual markers for schizophrenia in apparently healthy male adolescents. Am J Psychiatry. 1999;156(9):1328–35.PubMed
62.
Levine SZ, Bakst S, Rabinowitz J. Suicide attempts at the time of first admission and during early course schizophrenia: a population based study. Psychiatry Res. 2010;177(1):55–9.PubMedCrossRef
63.
Levine SZ, Lurie I, Kohn R, et al. Trajectories of the course of schizophrenia: from progressive deterioration to amelioration over three decades. Schizophr Res. 2011;126(1):184–91.PubMedCrossRef
64.
Weiser M, Reichenberg A, Rabinowitz J, et al. Gender differences in premorbid cognitive performance in a national cohort of schizophrenic patients. Schizophr Res. 2000;45(3):185–90.PubMedCrossRef
65.
Azfar O, Murrell P. Identifying reticent respondents: assessing the quality of survey data on corruption and values. Econ Dev Cult Change. 2009;57(2):387–412.CrossRef
66.
Remennick L. Identity quest among Russian Jews of the 1990’2: before and after emigration. In: Krausz E, Tulea G, editors. Jewish survival: the identity problem at the close of the twentieth century. New Brunswikck: Transaction Publishers; 1998.
67.
Oppedal B, Roysamb E, Sam DL. The effect of acculturation and social support on change in mental health among young immigrants. Int J Behav Dev. 2004;28(6):481–94.CrossRef
68.
Finch BK, Vega WA. Acculturation stress, social support, and self-rated health among Latinos in California. J Immigr Health. 2003;5(3):109–17.PubMedCrossRef
69.
Appleby L, Desai PN, Luchins DJ, et al. Length of stay and recidivism in schizophrenia: a study of public psychiatric hospital patients. Am J Psychiatry. 1993;150:72.PubMed
70.
Foster RP. When immigration is trauma: guidelines for the individual and family clinician. Am J Orthopsychiatry. 2001;71(2):153–70.PubMedCrossRef
71.
Danielson KK, Moffitt TE, Caspi A, et al. Comorbidity between abuse of an adult and DSM-III-R mental disorders: evidence from an epidemiological study. Am J Psychiatry. 1998;155(1):131–3.PubMedPubMedCentral
72.
Sorenson SB, Golding JM. Prevalence of suicide attempts in a Mexican-American population: prevention implications of immigration and cultural issues. Suicide Life Threat Behav. 1988;18(4):322–33.PubMed
73.
74.
Ponizovsky AM, Ritsner MS. Suicide ideation among recent immigrants to Israel from the former Soviet Union: an epidemiological survey of prevalence and risk factors. Suicide Life Threat Behav. 1999;29(4):376–92.PubMed
75.
Shoval G, Schoen G, Vardi N, et al. Suicide in Ethiopian immigrants in Israel: a case for study of the genetic-environmental relation in suicide. Arch Suicide Res. 2007;11(3):247–53.PubMedCrossRef
76.
Wadsworth T, Kubrin CE. Hispanic suicide in US metropolitan areas: examining the effects of immigration, assimilation, affluence, and disadvantage. Am J Sociol. 2007;112(6):1848–85.CrossRef
77.
Hovey JD. Acculturative stress, depression, and suicidal ideation in Mexican immigrants. Cultur Divers Ethnic Minor Psychol. 2000;6(2):134.PubMedCrossRef
78.
Hasin D, Rahav G, Meydan J, et al. The drinking of earlier and more recent Russian immigrants to Israel: comparison to other Israelis. J Subst Abuse. 1998;10(4):341–53.PubMedCrossRef
79.
Rahav G, Hasin D, Paykin A. Drinking patterns of recent Russian immigrants and other Israelis: 1995 national survey results. Am J Public Health. 1999;89(8):1212–6.PubMedCrossRefPubMedCentral
80.
Lecrubier Y, Sheehan DV, Weiller E, et al. The Mini International Neuropsychiatric Interview (MINI). A short diagnostic structured interview: reliability and validity according to the CIDI. Eur Psychiatry. 1997;12(5):224–31.CrossRef
Metadata
Title
Characteristics of Immigrant and Non-Immigrant Patients in a Dual-Diagnosis Psychiatric Ward and Treatment Implications
Authors
Sophie D. Walsh
David Blass
Meital Bensimon-Braverman
Lee Topaz Barak
Yael Delayahu
Publication date
01-12-2014
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 6/2014
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-014-9982-1

Other articles of this Issue 6/2014

Journal of Immigrant and Minority Health 6/2014 Go to the issue

Original Paper

Acculturation and Associated Effects on Abused Immigrant Women’s Safety and Mental Functioning: Results of Entry Data for a 7-year Prospective Study

Review Paper

Mixed Methods Immigrant Mental Health Research in Canada: A Systematic Review

Original Paper

Employing a Community Based Participatory Research Approach to Bear Witness: Psycho–Social Impact of the 2010 Earthquake on Haitians in Somerville, MA

Original Paper

Discrimination and Psychiatric Disorder Among Asian American Immigrants: A National Analysis by Subgroups

Original Paper

Evaluating Patient Acceptability of a Culturally Focused Psychiatric Consultation Intervention for Latino Americans with Depression

Original Paper

Acculturation Differences in Communicating Information About Child Mental Health Between Latino Parents and Primary Care Providers