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Socio-demographic and clinical characteristics of migrants to Ireland presenting with a first episode of psychosis

Published online by Cambridge University Press:  26 February 2021

B. O’Donoghue*
Affiliation:
Orygen, Melbourne, Australia Centre for Youth Mental Health, University of Melbourne, Melbourne, Australia
S. Sexton
Affiliation:
Linndara, Child and Adolescent Mental Health Services, Health Service Executive, Kildare, Ireland
J. P. Lyne
Affiliation:
Wicklow Mental Health Services, Newcastle Hospital, Greystones, Co. Wicklow, Ireland Royal College of Surgeons in Ireland, 123 St Stephens Green, Dublin 2, Ireland
E. Roche
Affiliation:
Cluain Mhuire Mental Health Services, Newtownpark Avenue, Blackrock, Co Dublin, Ireland
N. Mifsud
Affiliation:
Orygen, Melbourne, Australia Centre for Youth Mental Health, University of Melbourne, Melbourne, Australia
E. Brown
Affiliation:
Orygen, Melbourne, Australia Centre for Youth Mental Health, University of Melbourne, Melbourne, Australia
L. Renwick
Affiliation:
Division of Nursing, Midwifery and Social Work, Faculty of Biology, Medicine and Health, University of Manchester, England, UK
C. Behan
Affiliation:
DETECT Early Intervention for Psychosis Service, Blackrock, Co Dublin, Ireland
M. Clarke
Affiliation:
DETECT Early Intervention for Psychosis Service, Blackrock, Co Dublin, Ireland Department of Psychiatry, University College Dublin, Dublin, Ireland
*
*Address for correspondence: Dr B. O’Donoghue, Orygen, Melbourne, Australia. (Email: brian.odonoghue@orygen.org.au)

Abstract

Objectives:

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.

Methods:

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.

Results:

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 (p = 0.09).

Conclusions:

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.

Type
Original Research
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The College of Psychiatrists of Ireland

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