Evidence map›Paper›PMID 8595280›Full record

ArticleBMJ (Clinical research ed.)1996

Ethnic differences in risk of compulsory psychiatric admission among representative cases of psychosis in London.

S Davies, G Thornicroft, M Leese, A Higgingbotham, M Phelan

Open access · greenAbstract read
In one paragraph

Article in BMJ (Clinical research ed.), 1996. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
8.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 161 citations in OpenAlex.

  1. Pooled it
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  16. Ethnic differences in risk of acute compulsory admission in Amsterdam, 1996-2005.Social psychiatry and psychiatric epidemiology · 2012
    Article
  17. Article
  18. Disengagement from mental health services. A literature review.Social psychiatry and psychiatric epidemiology · 2009
    Review
  19. Institutional racism in mental health care.BMJ (Clinical research ed.) · 2007
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

S DaviesPRiSM (Psychiatric Research in Service Measurement), Institute of Psychiatry, London.
G Thornicroft
M Leese
A Higgingbotham
M Phelan
Institute of Psychiatry and Neurology · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the risk of detention under the Mental Health Act 1983 in a representative group of people with psychotic disorders from different ethnic groups.

settingTwo defined geographical areas in south London.

designAnnual period prevalent cases of psychosis were identified in 1993 in the study areas from hospital and community data. Standardised criteria were applied to case notes to establish diagnosis and detention under the act. SUBJECTS: 535 patients were identified, of whom 439 fulfilled ICD-10 criteria for psychosis.

main outcome measuresRisk of ever having been detained under the Mental Health Act 1983, risk of detention under specific sections of the act during the study year, and risk of contact with forensic services for the different ethnic groups.

results439 patients with a psychotic illness were identified. Nearly half of the white patients had been detained under the act compared with 70% and 69% of black Caribbean and black African patients, respectively. Black Caribbean and black African patients were more likely than white patients to have been involuntarily detained (adjusted odds ratio 3.67; 95% confidence interval 2.07 to 6.50 and 2.88; 1.04 to 7.95, respectively). Rates of use of sections 2, 3 and 136 in the study year were higher for black than for white patients, and black patients were more likely than white patients to have been admitted to a psychiatric intensive care facility or prison.

conclusionIndependent of psychiatric diagnosis and sociodemographic differences, black African and black Caribbean patients with psychosis in south London were more likely than white patients to have ever been detained under the Mental Health Act 1983.

Indexed as

AfricaCommitment of Persons with Psychiatric DisordersEthnicityFemaleHumansLogistic ModelsLondonMaleMiddle AgedPsychotic DisordersResidence CharacteristicsRisk FactorsWest Indies

Identifiers

PMID8595280
PMCPMC2350333
OpenAlexW1999934981

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.