Risk of psychosis in Yorkshire African, Caribbean and Mixed Ethnic communities

2021 ◽  
Author(s):  
Prakash Hosalli ◽  
Alastair Cardno ◽  
Anita Brewin ◽  
Jamshid Nazari ◽  
Steven J Clapcote ◽  
...  
Keyword(s):  
Ethnic Groups ◽  
Minority Groups ◽  
Census Data ◽  
Elevated Risk ◽  
First Episode ◽  
Ethnic Communities ◽  
Episode Psychosis ◽  
African Caribbean ◽  
Icd 10 ◽  
Risk Ratios

Background: An elevated risk of psychosis in migrant and ethnic minority groups has been frequently reported. Previous UK studies have found an elevated risk in African-Caribbean, African and Mixed Ethnic groups, but risks for these groups in West Yorkshire are not known.Aim: To carry out a naturalistic study of the relative risk of psychosis in Yorkshire African, African-Caribbean and Mixed Ethnic groups as compared with the British White population.Method: We used data from Early Intervention for Psychosis services on 15–35 year-olds diagnosed with first episode psychosis (ICD-10, F20-29) in 2013–2015 and local census data to calculate risks.Results: Risk ratios (RR) are significantly increased in African (RR 3.23: 95% CI, 2.46, 4.25), African Caribbean (RR 3.15: 95% CI, 2.04, 4.85) and Mixed Ethnic group (RR 2.27: 95% CI, 1.77, 2.91).Conclusion: Risks are elevated but not as much as elsewhere in England. The reasons for this difference require further investigation.

scholarly journals Perceptions of disadvantage, ethnicity and psychosis

2008 ◽  
Vol 192 (3) ◽  
pp. 185-190 ◽  
Author(s):  
Claudia Cooper ◽  
Craig Morgan ◽  
Majella Byrne ◽  
Paola Dazzan ◽  
Kevin Morgan ◽  
...  
Keyword(s):  
Ethnic Groups ◽  
Black People ◽  
Religious Affiliation ◽  
Population Based ◽  
First Episode ◽  
Black African ◽  
Episode Psychosis ◽  
African Caribbean ◽  
The Uk ◽  
Control Study

BackgroundPeople from Black ethnic groups (African-Caribbean and Black African) are more prone to develop psychosis in Western countries. This excess might be explained by perceptions of disadvantage.AimsTo investigate whether the higher incidence of psychosis in Black people is mediated by perceptions of disadvantage.MethodA population-based incidence and case-control study of first-episode psychosis (Aetiology and Ethnicity in Schizophrenia and Other Psychoses (ÆSOP)). A total of 482 participants answered questions about perceived disadvantage.ResultsBlack ethnic groups had a higher incidence of psychosis (OR=4.7, 95% CI 3.1–7.2). After controlling for religious affiliation, social class and unemployment, the association of ethnicity with psychosis was attenuated (OR=3.0, 95% CI 1.6–5.4) by perceptions of disadvantage. Participants in the Black non-psychosis group often attributed their disadvantage to racism, whereas Black people in the psychosis group attributed it to their own situation.ConclusionsPerceived disadvantage is partly associated with the excess of psychosis among Black people living in the UK. This may have implications for primary prevention.

The changing interaction of ethnic and socio-economic segregation in England and Wales, 1991–2011

Ethnicities ◽  
2015 ◽  
Vol 17 (3) ◽  
pp. 320-349 ◽  
Author(s):  
Richard Harris ◽  
Ron Johnston ◽  
David Manley
Keyword(s):  
Ethnic Groups ◽  
Minority Groups ◽  
Census Data ◽  
Economic Disadvantage ◽  
Full Time ◽  
Ethnic Segregation ◽  
Contributing Factors ◽  
England And Wales ◽  
Ethnic Residential Segregation ◽  
The Uk

Following the publication of the 2001 and 2011 Census data, considerable attention has been given to patterns of ethnic residential segregation within the UK. The evidence contributes to debates about integration; however, as Kapoor (2013) has argued, discussion about it also risks promoting the idea that what we measure is voluntary segregation, arising from the outcome of residential choices and a preference to live with one's ethno-cultural peers. In reality, ethnic and social segregation overlap and are easily confounded; it is important to pay attention to where they geographically coincide. In this paper we use an area typology to assess whether minority ethnic groups are disproportionately concentrated in neighbourhoods in England and Wales containing the lowest proportions of their adult populations in full-time employment, and evaluate how those concentrations have changed between 1991 and 2011. We consider the (residential) exposure of the ethnic groups to the White British and also to each other, and identify the groups affected by the persistence of economic disadvantage. The analysis shows that patterns of ethnic segregation intersect strongly with neighbourhoods of socio-economic disadvantage, with inequalities in the labour market and the increase of part-time working suggested as contributing factors. A decreased exposure to the White British is an increased characteristic of the disadvantaged neighbourhoods where minority groups live. However, exposure between those groups has increased.

Five-year stability of ICD-10 diagnoses among Chinese patients presented with first-episode psychosis in Hong Kong

2009 ◽  
Vol 115 (2-3) ◽  
pp. 351-357 ◽  
Author(s):  
Wing Chung Chang ◽  
Shirley Lai Kwan Pang ◽  
Dicky Wai Sau Chung ◽  
Sandra Sau Man Chan
Keyword(s):  
Hong Kong ◽  
First Episode Psychosis ◽  
Chinese Patients ◽  
First Episode ◽  
Episode Psychosis ◽  
Icd 10

scholarly journals Acute and transient psychotic disorders: precursors, epidemiology, course and outcome

2004 ◽  
Vol 185 (6) ◽  
pp. 452-459 ◽  
Author(s):  
Swaran P. Singh ◽  
Tom Burns ◽  
Shazad Amin ◽  
Peter B. Jones ◽  
Glynn Harrison
Keyword(s):  
Psychotic Disorders ◽  
First Episode Psychosis ◽  
Acute Onset ◽  
Favourable Outcome ◽  
First Episode ◽  
Affective Psychosis ◽  
Episode Psychosis ◽  
Icd 10 ◽  
Premorbid Functioning ◽  
Better Than

BackgroundICD–10 has introduced the diagnostic group acute and transient psychotic disorders (ATPDs; F23). Aims To validate the nosological distinctiveness of ICD–10 ATPDs by following up an inception cohort with first-episode psychosis. Method All patients with first-episode psychosis identified in Nottingham between 1992 and 1994 and diagnosed using ICD–10 criteria were reassessed 3 years later. ATPD outcomes were compared with schizophrenia and affective psychosis. Multivariate analyses were conducted to determine whether acute onset and early remission predicted favourable 3-year outcome in first-episode psychosis. Results Of 168 cases of first-episode psychosis, 32 (19%) received an intake diagnosis of ATPD. The diagnosis of ATPD was stable in women over 3 years, but not in men. Outcomes in ATPD were better than in schizophrenia and similar to affective psychosis. In non-affective psychoses, favourable outcomes were a function of gender and premorbid functioning rather than acute onset and early remission. Conclusions The ICD–10 criteria for ATPDs identify a diagnostically unstable group of disorders. Acute onset and early remission do not independently predict favourable outcome over 3 years in first-episode psychosis.

P01.137 Neurological abnormalities in African-Caribbean and white British first-episode psychosis patients

2000 ◽  
Vol 15 (S2) ◽  
pp. 356s-357s
Author(s):  
F. Fonseca ◽  
P. Dazzan ◽  
K.G.D. Orr ◽  
G. Hutchinson ◽  
K.D. Morgan ◽  
...  
Keyword(s):  
First Episode Psychosis ◽  
First Episode ◽  
Neurological Abnormalities ◽  
Episode Psychosis ◽  
African Caribbean

Satisfaction with inpatient treatment for first-episode psychosis among different ethnic groups: A report from the UK ÆSOP study

2010 ◽  
Vol 58 (1) ◽  
pp. 98-105 ◽  
Author(s):  
Jane Boydell ◽  
Craig Morgan ◽  
Rina Dutta ◽  
Barry Jones ◽  
Fana Alemseged ◽  
...  
Keyword(s):  
Ethnic Groups ◽  
Inpatient Treatment ◽  
First Episode Psychosis ◽  
First Episode ◽  
Episode Psychosis ◽  
The Uk

Incidence of schizophrenia in Nottingham

1997 ◽  
Vol 171 (2) ◽  
pp. 140-144 ◽  
Author(s):  
J. Brewin ◽  
R. Cantwell ◽  
T. Dalkin ◽  
R. Fox ◽  
I. Medley ◽  
...  
Keyword(s):  
Psychotic Disorders ◽  
Diagnostic Category ◽  
Incidence Rates ◽  
World Health ◽  
First Episode ◽  
Episode Psychosis ◽  
Real Change ◽  
Icd 10 ◽  
Health Organization ◽  
Methodological Considerations

BackgroundSeveral studies have reported a decline of up to 50% in the incidence of schizophrenia over recent decades. We aimed to measure changes in the incidence and diagnostic patterns of first-episode psychosis by comparing two Nottingham cohorts, identified in two equal periods separated by 14 years.MethodTwo prospectively ascertained cohorts of first-episode psychotic disorder were identified over the time periods 1978–80 and 1992–94. The earlier cohort was of the World Health Organization Determinants of Outcome of Severe Mental Disorder (DOSMD) ten-country study. The later cohort was obtained using similar methodology. Both groups were diagnosed using ICD-10 diagnostic criteria and age-standardised incidence rates were compared.ResultsThe standardised incidence rate for all psychotic disorders rose slightly from 2.49 to 2.87 per 10 000 population per year, but the F20 classification fell significantly by over a third (1.41 to 0.87 per 10 000 per year). The second study group (1992–1994) included a greater diversity of psychotic diagnoses compared with the first, in particular an increased proportion of acute and drug-related psychoses.ConclusionsMethodological considerations call for caution in interpreting such data, but we conclude that the significant fall in the narrowly defined diagnostic category of schizophrenia reflects a real change in the syndromal presentation of psychotic disorders.

scholarly journals Patterns of Health Care Utilization Before First Episode Psychosis in Racial and Ethnic Groups

2019 ◽  
Vol 29 (4) ◽  
pp. 609-616
Author(s):  
Karen J. Coleman ◽  
Bobbi Jo Yarborough ◽  
Anne Beck ◽  
Frances L. Lynch ◽  
Christine Stewart ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Utilization ◽  
Ethnic Groups ◽  
First Episode Psychosis ◽  
Research Network ◽  
Care Utilization ◽  
First Episode ◽  
Asian Patients ◽  
Episode Psychosis

Objective: To compare patterns of health care utilization associated with first presen­tation of psychosis among different racial and ethnic groups of patients.Design: The study was a retrospective observational design.Settings: The study was conducted in five health care systems in the western United States. All sites were also part of the Nation­al Institute of Mental Health-funded Mental Health Research Network (MHRN).Participants: Patients (n = 852) were aged 15 – 59 years (average 26.9 ± 12.2 years), 45% women, and primarily non-Hispanic White (53%), with 16% Hispanic, 10% non-Hispanic Black, 6% Asian, 1% Native Hawaiian/Pacific Islander, 1% Native Ameri­can/ Alaskan Native, and 12% unknown race/ethnicity.Methods: Data abstracted from electronic medical records and insurance claims data were organized into a research virtual data warehouse (VDW) and used for analysis.Main Outcome Measures: Variables exam­ined were patterns of health care utilization, type of comorbid mental health condition, and type of treatment received in the three years before first presentation of psychosis.Results: Compared with non-Hispanic Whites, Asian patients (16% vs 34%; P=.007) and non-Hispanic Black patients (20% vs 34%; P=.009) were less likely to have a visit with specialty mental health care before their first presentation of psychosis.Conclusions: Early detection of first episode psychosis should start with wider screening for symptoms outside of any indicators for mental health conditions for non-Hispanic Black and Asian patients. Ethn Dis. 2019;29(4):609-616; doi:10.18865/ ed.29.4.609

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