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Published Online: 13 July 2021

Ethnoracial Differences in Coercive Referral and Intervention Among Patients With First-Episode Psychosis

Sommer Knight, M.Sc. https://orcid.org/0000-0002-5192-1737 [email protected], G. Eric Jarvis, M.D., M.Sc., Andrew G. Ryder, Ph.D., Myrna Lashley, Ph.D., and Cécile Rousseau, M.D., M.Sc.Authors Info & Affiliations
Publication: Psychiatric Services
Volume 73, Number 1
https://doi.org/10.1176/appi.ps.202000715
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Abstract

Objective:

Using a retrospective sample, the authors sought to determine whether Black patients with first-episode psychosis (FEP) in Canada were at a higher risk for coercive referral and coercive intervention than non-Black patients with FEP.

Methods:

Retrospective data from patients referred to an FEP program in 2008–2018 were collected via chart review (N=208). The authors used chi-square and logistic regression analyses to explore the relationships among race-ethnicity, diagnosis of psychosis, and coercive referral and intervention.

Results:

Results showed that Black persons of Caribbean or African descent with FEP were significantly more likely to be coercively referred (χ2=9.24, df=2, p=0.010) and coercively treated (χ2=9.21, df=2, p=0.010) than were non-Black individuals with FEP. Age and violent or threatening behavior were predictors of coercive referral. Ethnoracial status, age, and violent or threatening behavior were predictors of coercive intervention.

Conclusions:

This study contributes to the dearth of research on Black Canadians and offers insight into factors that may place patients with FEP at risk for coercive treatment. More research is needed to explore the role that ethnoracial status may play in hospital admissions and to uncover the role of racial prejudices in the assessment of danger.

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Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Psychiatric Services
Volume 73 • Number 1 • January 01, 2022
Pages: 2 - 8
PubMed: 34253035

History

Received: 28 September 2020
Revision received: 14 February 2021
Accepted: 5 April 2021
Published online: 13 July 2021
Published in print: January 01, 2022

Keywords

  1. Psychoses
  2. Racial-ethnic disparities
  3. Coercion
  4. Retrospective studies
  5. Schizophrenia
  6. Involuntary treatment

Authors

Details

Sommer Knight, M.Sc. https://orcid.org/0000-0002-5192-1737 [email protected]
Department of Social and Transcultural Psychiatry, Faculty of Medicine, McGill University, Montreal (all authors); First Episode Psychosis Program (FEPP), Institute of Community and Family Psychiatry, Jewish General Hospital, Montreal (Jarvis); Department of Psychology, Faculty of Arts and Science, Concordia University, Montreal (Ryder).
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G. Eric Jarvis, M.D., M.Sc.
Department of Social and Transcultural Psychiatry, Faculty of Medicine, McGill University, Montreal (all authors); First Episode Psychosis Program (FEPP), Institute of Community and Family Psychiatry, Jewish General Hospital, Montreal (Jarvis); Department of Psychology, Faculty of Arts and Science, Concordia University, Montreal (Ryder).
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Andrew G. Ryder, Ph.D.
Department of Social and Transcultural Psychiatry, Faculty of Medicine, McGill University, Montreal (all authors); First Episode Psychosis Program (FEPP), Institute of Community and Family Psychiatry, Jewish General Hospital, Montreal (Jarvis); Department of Psychology, Faculty of Arts and Science, Concordia University, Montreal (Ryder).
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Myrna Lashley, Ph.D.
Department of Social and Transcultural Psychiatry, Faculty of Medicine, McGill University, Montreal (all authors); First Episode Psychosis Program (FEPP), Institute of Community and Family Psychiatry, Jewish General Hospital, Montreal (Jarvis); Department of Psychology, Faculty of Arts and Science, Concordia University, Montreal (Ryder).
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Cécile Rousseau, M.D., M.Sc.
Department of Social and Transcultural Psychiatry, Faculty of Medicine, McGill University, Montreal (all authors); First Episode Psychosis Program (FEPP), Institute of Community and Family Psychiatry, Jewish General Hospital, Montreal (Jarvis); Department of Psychology, Faculty of Arts and Science, Concordia University, Montreal (Ryder).
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Notes

Send correspondence to Ms. Knight ([email protected]).

Competing Interests

The authors report no financial relationships with commercial interests.

Funding Information

This study was supported by the FEPP, Institute of Community and Family Psychiatry, Jewish General Hospital, Montreal.

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