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Involuntary psychiatric hospitalization among migrants in Italy: A matched sample study

Author

Listed:
  • Lorenzo Tarsitani
  • Bianca Della Rocca
  • Corinna Pancheri
  • Massimo Biondi
  • Massimo Pasquini
  • Stefano Ferracuti
  • Antonio Ventriglio
  • Gabriele Mandarelli

Abstract

Background: Immigrants in Europe appear to be at higher risk of psychiatric coercive interventions. Involuntary psychiatric hospitalization poses significant ethical and clinical challenges. Nonetheless, reasons for migration and other risk factors for involuntary treatment were rarely addressed in previous studies. The aims of this study are to clarify whether immigrant patients with acute mental disorders are at higher risk to be involuntarily admitted to hospital and to explore clinical and migratory factors associated with involuntary treatment. Methods: In this cross-sectional matched sample study, we compared the rates of involuntary treatment in a sample of first-generation immigrants admitted in a Psychiatric Intensive Care Unit of a large metropolitan academic hospital to their age-, gender-, and psychiatric diagnosis-matched native counterparts. Clinical, sociodemographic, and migratory variables were collected. The Brief Psychiatric Rating Scale-expanded (BPRS-E) and the Clinical Global Impression-Severity (CGI-S) scale were administered. McNemar test was used for paired categorical variables and a binary logistic regression analysis was performed. Results: A total of 234 patients were included in the analysis. Involuntary treatment rates were significantly higher in immigrants as compared to their matched natives (32% vs. 24% respectively; p  

Suggested Citation

  • Lorenzo Tarsitani & Bianca Della Rocca & Corinna Pancheri & Massimo Biondi & Massimo Pasquini & Stefano Ferracuti & Antonio Ventriglio & Gabriele Mandarelli, 2022. "Involuntary psychiatric hospitalization among migrants in Italy: A matched sample study," International Journal of Social Psychiatry, , vol. 68(2), pages 429-434, March.
    • Handle: RePEc:sae:socpsy:v:68:y:2022:i:2:p:429-434
    DOI: 10.1177/00207640211001903
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    References listed on IDEAS

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    1. Satinsky, Emily & Fuhr, Daniela C. & Woodward, Aniek & Sondorp, Egbert & Roberts, Bayard, 2019. "Mental health care utilisation and access among refugees and asylum seekers in Europe: A systematic review," Health Policy, Elsevier, vol. 123(9), pages 851-863.
    2. Miller, Kenneth E. & Rasmussen, Andrew, 2010. "War exposure, daily stressors, and mental health in conflict and post-conflict settings: Bridging the divide between trauma-focused and psychosocial frameworks," Social Science & Medicine, Elsevier, vol. 70(1), pages 7-16, January.
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    1. Brian O’Donoghue & Eric Roche & John Lyne & Laoise Renwick & Mary Clarke, 2023. "Outcomes 1 year after a first episode of psychosis in migrants to the Republic of Ireland," International Journal of Social Psychiatry, , vol. 69(7), pages 1617-1625, November.

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