ArticleBMC psychiatry2014
Ethnic variations in compulsory detention and hospital admission for psychosis across four UK Early Intervention Services.
Article in BMC psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 48 citations in OpenAlex.
- The qualitative accounts of black informal carers of people with psychosis and their experiences accessing mental health services: a systematic review.Archives of public health = Archives belges de sante publique · 2025Pooled it
- Ethnic variations in compulsory detention under the Mental Health Act: a systematic review and meta-analysis of international data.The lancet. Psychiatry · 2019Pooled it
- Ethnic inequalities and pathways to care in psychosis in England: a systematic review and meta-analysis.BMC medicine · 2018Pooled it
- The association between continuity of care and readmission to hospital in patients with severe psychosis.Social psychiatry and psychiatric epidemiology · 2016Trial
- Who Gets FIp? Understanding Contextual Factors in EIP Provision.Early intervention in psychiatry · 2026Article
- Ethnic minority carers' experiences of in-patient mental healthcare: qualitative study.BJPsych open · 2026Article
- Primary care consultation modality and acute mental health service use in adults.Nature. Mental health · 2026Article
- Ethnicity and involuntary hospitalisation: a study of intersectional effects.Social psychiatry and psychiatric epidemiology · 2025Article
- Exploring Lay Understandings and Help-Seeking Pathways for Psychosis in the Sikh Community: A Qualitative Study in the UK.BMJ open · 2025Article
- Predictors of positive outcomes from 'Early Intervention in Psychosis': protocol for a national retrospective cohort study.Frontiers in psychiatry · 2023Article
- The Patient and Carer Race Equality Framework: a model to reduce mental health inequity in England and Wales.Frontiers in psychiatry · 2023Article
- Ethnic inequalities in involuntary admission under the Mental Health Act: an exploration of mediation effects of clinical care prior to the first admission.The British journal of psychiatry : the journal of mental science · 2023Article
- Effects of ethnic density on the risk of compulsory psychiatric admission for individuals attending secondary care mental health services: evidence from a large-scale study in England.Psychological medicine · 2023Article
- Migrant status and risk of compulsory admission at first diagnosis of psychotic disorder: a population-based cohort study in Sweden.Psychological medicine · 2022Article
- Article
- Structural Disadvantage and Culture, Race, and Ethnicity in Early Psychosis Services: International Provider Survey.Psychiatric services (Washington, D.C.) · 2021Article
- Article
- Risk of involuntary admission among first-generation ethnic minority groups with early psychosis: a retrospective cohort study using health administrative data.Epidemiology and psychiatric sciences · 2019Article
- Compulsory admission at first presentation to services for psychosis: does ethnicity still matter? Findings from two population-based studies of first episode psychosis.Social psychiatry and psychiatric epidemiology · 2019Article
- Psychiatric Emergencies of Asylum Seekers; Descriptive Analysis and Comparison with Immigrants of Warranted Residence.International journal of environmental research and public health · 2018Article
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
Abstract
BackgroundSubstantial ethnic variations have been found in incidence, pathways to care and outcomes in psychosis. It is unknown whether these remain as marked in the presence of specialist Early Intervention Services (EIS) for psychosis. We present the first UK study exploring ethnic differences in compulsory detention and hospitalization rates for EIS patients. We investigated whether the excess rates of compulsory admission for people from Black groups have persisted following nationwide introduction of EIS. We also explored variations in compulsory admission for other ethnic groups, and differences by gender and diagnosis.MethodsFour inner-city London EIS teams gathered data from first-presentation psychosis patients between 2004¿2009 using the MiData audit tool. Clinical, sociodemographic and pathways to care data were recorded regarding adult patients from eight different ethnic groups at entry to EIS and one year later.ResultsBlack African EIS service users had odds of being detained and of being hospitalised three times greater than White British patients, even after adjustment for confounders. This was most marked in Black African women (seven to eight times greater odds than White British women). A post-hoc analysis showed that pathways to care and help-seeking behaviour partially explained these differences.ConclusionThese findings suggest EIS input in its current form has little impact on higher admission and detention rates in certain Black and minority groups. There is a need to tackle these differences and engage patients earlier, focusing on the needs of men and women from the most persistently affected groups.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.