• Soc Psychiatry Psychiatr Epidemiol · Jul 2014

    Different rates of first admissions for psychosis in migrant groups in Paris.

    • Andrea Tortelli, Craig Morgan, Andrei Szoke, Andreia Nascimento, Norbert Skurnik, Erik Monduit de Caussade, Edith Fain-Donabedian, Flora Fridja, Mehedi Henry, Ferdinand Ezembe, and Robin M Murray.
    • EPS Maison Blanche, Paris, France, atortelli@wanadoo.fr.
    • Soc Psychiatry Psychiatr Epidemiol. 2014 Jul 1;49(7):1103-9.

    PurposeThe association between migration and psychosis has been reported in the past decades in many European countries. Despite large-scale migration into France, epidemiological data on the incidence of psychosis in this population are lacking. In this study, we compare the incidence rates of first admission for psychosis among natives and first generation migrants.MethodsTwo-hundred and fifty-eight patients aged 15+ with first admission for psychosis were identified in the catchment area of the 20th district of Paris between 2005 and 2009. Standardised incidence rates and incidence rate ratios were calculated for migrant and native groups.ResultsWe found higher rates of admissions for psychosis in the migrant group (IRR 2.9, 95 % CI 0.9-9.8) compared to individuals born in France. Among migrants, incidence was higher in individuals from Sub-Saharan Africa compared to natives (IRR 7.1, CI 95 % 2.3-21.8), whereas the incidence was similar for those from Europe (IRR 1.2, CI 95 % 0.3-5.1) and from North Africa (IRR 1.4, CI 95 % 0.4-5.6).ConclusionsOur findings suggest that Sub-Saharan migrants were identified as the most vulnerable migrant group for developing psychosis in France, but additional work is warranted to confirm these trends.

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