Social Psychiatry and Psychiatric Epidemiology
Volume 49, Issue 7, 2014, Pages 1103-1109

Different rates of first admissions for psychosis in migrant groups in Paris (Article)

Tortelli A.* , Morgan C. , Szoke A. , Nascimento A. , Skurnik N. , De Caussade E.M. , Fain-Donabedian E. , Fridja F. , Henry M. , Ezembe F. , Murray R.M.
  • a EPS Maison Blanche, Paris, France
  • b Institute of Psychiatry, King's College, London, United Kingdom
  • c Pôle de Psychiatrie, AP-HP, Groupe Hospitalier Mondor, Creteil, France
  • d Department of Social Medicine, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, Brazil
  • e EPS Maison Blanche, Paris, France
  • f EPS Maison Blanche, Paris, France
  • g EPS Maison Blanche, Paris, France
  • h EPS Maison Blanche, Paris, France
  • i EPS Maison Blanche, Paris, France
  • j EPS Maison Blanche, Paris, France
  • k Institute of Psychiatry, King's College, London, United Kingdom

Abstract

Purpose: The association between migration and psychosis has been reported in the past decades in many European countries. Despite large-scale migration into France, epidemiological data on the incidence of psychosis in this population are lacking. In this study, we compare the incidence rates of first admission for psychosis among natives and first generation migrants. Methods: Two-hundred and fifty-eight patients aged 15+ with first admission for psychosis were identified in the catchment area of the 20th district of Paris between 2005 and 2009. Standardised incidence rates and incidence rate ratios were calculated for migrant and native groups. Results: We found higher rates of admissions for psychosis in the migrant group (IRR 2.9, 95 % CI 0.9-9.8) compared to individuals born in France. Among migrants, incidence was higher in individuals from Sub-Saharan Africa compared to natives (IRR 7.1, CI 95 % 2.3-21.8), whereas the incidence was similar for those from Europe (IRR 1.2, CI 95 % 0.3-5.1) and from North Africa (IRR 1.4, CI 95 % 0.4-5.6). Conclusions: Our findings suggest that Sub-Saharan migrants were identified as the most vulnerable migrant group for developing psychosis in France, but additional work is warranted to confirm these trends. © 2013 Springer-Verlag Berlin Heidelberg.

Author Keywords

Migrants First episode psychosis Social risk factors Psychosis risk factors Incidence

Index Keywords

hospital admission psychological aspect France human middle aged statistics psychosis ethnology Young Adult Humans migrant Adolescent male Emigrants and Immigrants female Psychotic Disorders Incidence Article adult migration Patient Admission Transients and Migrants
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84903769228&doi=10.1007%2fs00127-013-0795-7&partnerID=40&md5=50920e53f2548f110d94857da0333778
DOI: 10.1007/s00127-013-0795-7
ISSN: 09337954
Cited by: 16
Original Language: English