The recent decade has been characterized by a resurging interest for socio-environmental determinants of psychotic disorders, largely as a result of findings from studies of migration and psychotic disorders. This contribution reviews recent meta-analytic findings which confirm higher incidence rates of schizophrenia and related disorders among first- and second-generation immigrants than in nonimmigrant populations, as well as substantial risk variation according to both ethnic minority groups and host society contexts. The relevance of social contexts in the onset of psychosis is also suggested by incidence variation according to the neighbourhood level ethnic density. While limited, an emerging literature suggests potential variations in psychotic-like experiences and at-risk mental states according to ethnic minority status. We then discuss the meaning of findings from migrant studies, as well as integrative models that attempt to account for ethnic variations in the incidence of psychosis and psychotic-like phenomena. In conclusion, there remain numerous gaps in our understanding of the relation between migration, ethnicity, social contexts and the onset of psychosis and we propose future research avenues to address these. In particular, there is a need for multilevel approaches integrating disciplines and methodologies across the psychosis continuum. © 2012 Bentham Science Publishers.

Migration Social context psychotic disorders First- and second-generation immigrants Incidence ethnic minorities Prodromal psychosis

immigrant social capital schizophrenia mental health human immigration psychosis Ethnic Groups ethnic group priority journal Humans ethnic difference Emigrants and Immigrants Psychotic Disorders risk factor Risk Factors Review genetic predisposition genotype environment interaction Social Environment migration Emigration and Immigration epigenetics ethnicity social discrimination