期刊
IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE
卷 40, 期 3, 页码 336-342出版社
CAMBRIDGE UNIV PRESS
DOI: 10.1017/ipm.2020.132
关键词
Delusions; hallucinations; migrant; psychosis; schizophrenia
This study explores the demographic and clinical characteristics of migrants with first episode of psychosis (FEP) compared to the native-born population in an Irish Early Intervention for Psychosis service. The findings show that migrants have similar characteristics to the native-born population, except for less insight in migrants from Africa and a higher proportion of involuntary admissions in the total migrant group.
Objectives: When presenting with a first episode of psychosis (FEP), migrants can have different demographic and clinical characteristics to the native-born population and this was examined in an Irish Early Intervention for Psychosis service. Methods: All cases of treated FEP from three local mental health services within a defined catchment area were included. Psychotic disorder diagnoses were determined using the SCID and symptom and functioning domains were measured using validated and reliable measures. Results: From a cohort of 612 people, 21.1% were first-generation migrants and there was no difference in the demographic characteristics, diagnoses, symptoms or functioning between migrants and those born in the Republic of Ireland, except that migrants from Africa presented with less insight. Of those admitted, 48.6% of admissions for migrants were involuntary compared to 37.7% for the native-born population (p = 0.09). Conclusions: First-generation migrants now make up a significant proportion of people presenting with a FEP to an Irish EI for psychosis service. Broadly the demographic and clinical characteristics of migrants and those born in the Republic of Ireland are similar, except for less insight in migrants from Africa and a trend for a higher proportion of involuntary admissions in the total migrant group.
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