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Socioeconomic disadvantage and schizophrenia in migrants under mental health detention orders

Author

Listed:
  • Jan Bulla
  • Klaus Hoffmann
  • Jan Querengässer
  • Thomas Ross

Abstract

Background: Migrants with mental hospital orders according to section 63 of the German criminal code are overrepresented in relation to their numbers in the general population. Subgroups originating from certain world regions are diagnosed with schizophrenia at a much higher rate than others. In the present literature, there is a strong evidence for a substantial correlation between migration, social disadvantage and the prevalence of schizophrenia. Aims: This study investigates the relationship between countries of origin, the risk of becoming a forensic patient and the proportion of schizophrenia spectrum disorders. Method: Data from a comprehensive evaluation tool of forensic inpatients in the German federal state of Baden-Württemberg (FoDoBa) were compared with population statistics and correlated with the Human Development Index (HDI) and Multidimensional Poverty Index (MPI). Results: For residents with migration background, the risk ratio to receive a mental hospital order is 1.3 in comparison to non-migrants. There was a highly significant correlation between the HDI of the country of origin and the risk ratio for detention in a forensic psychiatric hospital. The proportion of schizophrenia diagnoses also correlated significantly with the HDI. In contrast, the MPI country rankings were not associated with schizophrenia diagnoses. Conclusion: Two lines of explanations are discussed: first, higher prevalence of schizophrenia in migrants originating from low-income countries, and second, a specific bias in court rulings with regard to involuntary forensic treatment orders for these migrant groups.

Suggested Citation

  • Jan Bulla & Klaus Hoffmann & Jan Querengässer & Thomas Ross, 2017. "Socioeconomic disadvantage and schizophrenia in migrants under mental health detention orders," International Journal of Social Psychiatry, , vol. 63(6), pages 550-558, September.
    • Handle: RePEc:sae:socpsy:v:63:y:2017:i:6:p:550-558
    DOI: 10.1177/0020764017716696
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    References listed on IDEAS

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    1. Viet Nguyen, Cuong, 2016. "Does parental migration really benefit left-behind children? Comparative evidence from Ethiopia, India, Peru and Vietnam," Social Science & Medicine, Elsevier, vol. 153(C), pages 230-239.
    2. Bicego, George & Rutstein, Shea & Johnson, Kiersten, 2003. "Dimensions of the emerging orphan crisis in sub-Saharan Africa," Social Science & Medicine, Elsevier, vol. 56(6), pages 1235-1247, March.
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