ArticleThe British journal of psychiatry : the journal of mental science2015
Criminal justice pathways to psychiatric care for psychosis.
Article in The British journal of psychiatry : the journal of mental science, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- Ethnic inequalities and pathways to care in psychosis in England: a systematic review and meta-analysis.BMC medicine · 2018Pooled it
- Knowledge is power: understandings of accessibility from mental health service providers in ethnically diverse communities.Cogent mental health · 2025Article
- Positive and negative syndrome scale in forensic patients with schizophrenia spectrum disorders: a systematic review and meta-analysis.Annals of general psychiatry · 2022Review
- Experience-based investigation and codesign of approaches to prevent and reduce Mental Health Act use (CO-PACT): a protocol.BMJ open · 2022Article
- Article
- Cultural Consultation in Context: A Comparison of the Framing of Identity During Intake at Services in Montreal, London, and Paris.Culture, medicine and psychiatry · 2020Article
- Where next for understanding race/ethnic inequalities in severe mental illness? Structural, interpersonal and institutional racism.Sociology of health & illness · 2020Article
- Patients' experiences of assessment and detention under mental health legislation: systematic review and qualitative meta-synthesis.BJPsych open · 2019Article
- Mental Health Screening and Differences in Access to Care among Prisoners.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2018Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundSome patients are at higher risk of contact with criminal justice agencies when experiencing a first episode of psychosis.
aimsTo investigate whether violence explains criminal justice pathways (CJPs) for psychosis in general, and ethnic vulnerability to CJPs.
methodTwo-year population-based survey of people presenting with a first-episode of psychosis. A total of 481 patients provided information on pathways to psychiatric care. The main outcome was a CJP at first contact compared with other services on the care pathway.
resultsCJPs were more common if there was violence at first presentation (odds ratio (OR) = 4.23, 95% CI 2.74-6.54, P<0.001), drug use in the previous year (OR = 2.28, 95% CI 1.50-3.48, P<0.001) and for high psychopathy scores (OR = 2.54, 95% CI 1.43-4.53, P = 0.002). Compared with White British, CJPs were more common among Black Caribbean (OR = 2.97, 95% CI 1.54-5.72, P<0.001) and Black African patients (OR = 1.95, 95% CI 1.02-3.72, P = 0.01). Violence mediated 30.2% of the association for Black Caribbeans, but was not a mediator for Black African patients. These findings were sustained after adjustment for age, marital status, gender and employment.
conclusionsCJPs were more common in violent presentations, for greater psychopathy levels and drug use. Violence presentations did not fully explain ethnic vulnerability to CJPs.
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