Orygen, Melbourne, Australia.
Centre for Youth Mental Health, University of Melbourne, Melbourne, Australia.
Ir J Psychol Med. 2023 Sep;40(3):336-342. doi: 10.1017/ipm.2020.132. Epub 2021 Feb 26.
When presenting with a first episode of psychosis (FEP), migrants can have different demographic and clinical characteristics to the native-born population and this was examined in an Irish Early Intervention for Psychosis service.
All cases of treated FEP from three local mental health services within a defined catchment area were included. Psychotic disorder diagnoses were determined using the SCID and symptom and functioning domains were measured using validated and reliable measures.
From a cohort of 612 people, 21.1% were first-generation migrants and there was no difference in the demographic characteristics, diagnoses, symptoms or functioning between migrants and those born in the Republic of Ireland, except that migrants from Africa presented with less insight. Of those admitted, 48.6% of admissions for migrants were involuntary compared to 37.7% for the native-born population ( = 0.09).
First-generation migrants now make up a significant proportion of people presenting with a FEP to an Irish EI for psychosis service. Broadly the demographic and clinical characteristics of migrants and those born in the Republic of Ireland are similar, except for less insight in migrants from Africa and a trend for a higher proportion of involuntary admissions in the total migrant group.
当出现首次精神病发作 (FEP) 时，移民可能具有与本地出生人口不同的人口统计学和临床特征，本研究在爱尔兰早期精神病干预服务中对此进行了检查。
纳入了在一个特定范围内的三个当地心理健康服务机构中治疗的所有 FEP 病例。使用 SCID 确定精神障碍诊断，使用经过验证和可靠的措施测量症状和功能领域。
在 612 名患者中，有 21.1%是第一代移民，移民和在爱尔兰共和国出生的人群在人口统计学特征、诊断、症状或功能方面没有差异，除了来自非洲的移民的洞察力较差。在入院患者中，移民的入院率有 48.6%是强制性的，而本土出生人口的入院率为 37.7%（ = 0.09）。
第一代移民现在占爱尔兰早期精神病干预服务中出现 FEP 的患者的很大比例。总体而言，移民和在爱尔兰共和国出生的人群的人口统计学和临床特征相似，除了来自非洲的移民的洞察力较差，以及移民总群体中强制性入院比例较高的趋势。
