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

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Abstract

Purpose

The 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.

Methods

Two-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.

Results

We 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).

Conclusions

Our 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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Acknowledgments

We are grateful to Michel Caire and Tim Greacen from Maison Blanche Hospital for their support and advice. We are also thankful to Patrick Simon from INED (National Institute for Demographic Studies)—Unité Migrations Internationales et minorités, for sharing with us his knowledge of migration and ethnic minorities in France.

Conflict of interest

Craig Morgan and Robin Murray are supported by funding from the Medical Research Council (Ref: G0500817), Wellcome Trust (Grant Number: WT087417), European Union (European Community’s Seventh Framework Program (grant agreement No. HEALTH-F2-2009-241909) (Project EU-GEI)), and the Department of Health via the National Institute for Health Research (NIHR) Specialist Biomedical Research Centre for Mental Health award to South London and Maudsley NHS Foundation Trust (SLaM) and the Institute of Psychiatry at King’s College London.

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Authors and Affiliations

  1. EPS Maison Blanche, Paris, France

    Andrea Tortelli, Norbert Skurnik, Erik Monduit de Caussade, Edith Fain-Donabedian, Flora Fridja, Mehedi Henry & Ferdinand Ezembe

  2. Institute of Psychiatry, King’s College, London, UK

    Craig Morgan & Robin M. Murray

  3. Pôle de Psychiatrie, AP-HP, Groupe Hospitalier “Mondor”, Creteil, France

    Andrei Szoke

  4. Department of Social Medicine, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, Brazil

    Andreia Nascimento

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  1. Andrea Tortelli
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  2. Craig Morgan
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Correspondence to Andrea Tortelli.

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Tortelli, A., Morgan, C., Szoke, A. et al. Different rates of first admissions for psychosis in migrant groups in Paris. Soc Psychiatry Psychiatr Epidemiol 49, 1103–1109 (2014). https://doi.org/10.1007/s00127-013-0795-7

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  • DOI: https://doi.org/10.1007/s00127-013-0795-7

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