Psychosis with good prognosis in Afro-Caribbean people now living in the United Kingdom.
OBJECTIVE
To compare the course and outcome of psychotic illness in a group of Afro-Caribbean patients resident in the United Kingdom and a group of white British patients.


METHODS
Cohort study of consecutive admissions followed up for four years.


METHODS
113 patients with psychotic illness of recent onset admitted to two south London hospitals.


METHODS
Course of illness, history of self harm, social disability, treatment received, and hospital use adjusted for socioeconomic origin.


RESULTS
The Afro-Caribbean group spent more time in a recovered state during the follow up period (adjusted odds ratio 5.0; 95% confidence interval 1.7 to 14.5), were less likely to have had a continuous illness (0.3; 0.1 to 0.8), were less at risk of self harm (0.2; 0.1 to 0.8), and were less likely to have been prescribed antidepressant treatment (0.3; 0.1 to 0.9). There were no differences in hospital use, but the Afro-Caribbean group had more involuntary admissions (8.9; 2.1 to 35.6) and more imprisonments over the follow up period (9.2; 1.6 to 52.3).


CONCLUSIONS
Afro-Caribbean patients in the United Kingdom have a better outcome after psychiatric illness than do white people. The combination of high incidence and more benign course of illness of psychotic illness in this group may be due, at least in part, to a greater exposure to precipitants in the social environment.
D000293:Adolescent; D000328:Adult; D017668:Age of Onset; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008131:London; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011446:Prospective Studies; D011618:Psychotic Disorders / Q000208:ethnology*; D012923:Social Class; D012959:Socioeconomic Factors; D014900:West Indies / Q000208:ethnology