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

Lorenzo Tarsitani, Bianca Della Rocca, Corinna Pancheri, Massimo Biondi, Massimo Pasquini, Stefano Ferracuti, Antonio Ventriglio and Gabriele Mandarelli

International Journal of Social Psychiatry, 2022, vol. 68, issue 2, 429-434

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  

Keywords: Migration; involuntary psychiatric treatment; asylum seekers; refugees; length of migration (search for similar items in EconPapers)
Date: 2022
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Citations: View citations in EconPapers (2)

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Persistent link: https://EconPapers.repec.org/RePEc:sae:socpsy:v:68:y:2022:i:2:p:429-434

DOI: 10.1177/00207640211001903

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