The role of Afro-Canadian status in police or ambulance referral to emergency psychiatric services

被引:46
作者
Jarvis, GE
Kirmayer, LJ
Jarvis, GK
Whitley, R
机构
[1] Jewish Gen Hosp, Culture & Mental Hlth Res Unit, Montreal, PQ H3T 1E4, Canada
[2] McGill Univ, Div Social & Transcultural Psychiat, Montreal, PQ, Canada
[3] Univ Hawaii, Dept Sociol, Honolulu, HI 96822 USA
关键词
D O I
10.1176/appi.ps.56.6.705
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objective: This study tested the hypothesis that among patients admitted to a hospital with psychosis, Afro- Canadian patients would be more likely than Euro-Canadian or Asian-Canadian patients to be brought to emergency services by police or ambulance. Methods: Data on psychotic patients admitted to the psychiatry ward in 1999 were extracted from records of a general hospital in Montreal. Logistic regression models examined the relationship between being Afro- Canadian and being brought to the emergency service by police or ambulance, while controlling for age, gender, marital status, and number of psychotic symptoms. Results: Of the 351 patients with psychosis, 59 percent were Euro-Canadian, 11 percent were Afro- Canadian, and 18 percent were Asian Canadian. Most Afro- Canadian patients in the study were immigrants from the Caribbean and Africa. Being Afro- Canadian was independently and positively associated with police or ambulance referral to emergency services. Conclusions: Afro- Canadians admitted to the hospital with psychosis are overrepresented in police and ambulance referrals to emergency psychiatric services.
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页码:705 / 710
页数:6
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