Author:
Bhui Kamaldeep,Ullrich Simone,Kallis Constantinos,Coid Jeremy W.
Abstract
BackgroundSome patients are at higher risk of contact with criminal justice
agencies when experiencing a first episode of psychosis.AimsTo investigate whether violence explains criminal justice pathways (CJPs)
for psychosis in general, and ethnic vulnerability to CJPs.MethodTwo-year population-based survey of people presenting with a
first-episode of psychosis. A total of 481 patients provided information
on pathways to psychiatric care. The main outcome was a CJP at first
contact compared with other services on the care pathway.ResultsCJPs were more common if there was violence at first presentation (odds
ratio (OR) = 4.23, 95% CI 2.74–6.54, P<0.001), drug
use in the previous year (OR = 2.28, 95% CI 1.50–3.48,
P<0.001) and for high psychopathy scores (OR = 2.54,
95% CI 1.43–4.53, P = 0.002). Compared with White
British, CJPs were more common among Black Caribbean (OR = 2.97, 95% CI
1.54–5.72, P<0.001) and Black African patients (OR =
1.95, 95% CI 1.02–3.72, P = 0.01). Violence mediated
30.2% of the association for Black Caribbeans, but was not a mediator for
Black African patients. These findings were sustained after adjustment
for age, marital status, gender and employment.ConclusionsCJPs were more common in violent presentations, for greater psychopathy
levels and drug use. Violence presentations did not fully explain ethnic
vulnerability to CJPs.
Publisher
Royal College of Psychiatrists
Subject
Psychiatry and Mental health
Cited by
20 articles.
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