Asian inpatients in a district psychiatric unit: an examination of presenting features and routes into care.
The case notes of one hundred consecutive Asian admissions at first presentation to a distric psychiatric unit were examined. Asian admissions to Greenwich Hospital comprise a young, well educated group of predominantly Punjabi Sikhs. They present mostly through crisis services often following a domiciliary visit. General practitioners (GPs) were involved in only 34% of referrals although 54% of patients had Asian GPs. They are less likely to be compulsorily admitted than has previously been reported and very infrequently came into contact with police services. Alcoholism was found mostly in male married Sikhs. Psychotic illness accounted for 51% of presentations and neurotic depression for 18%, the latter being the largest single diagnostic category. This study raises questions regarding preferred routes into care for Asians and has service implications when considering establishment of accessible community services.
Bhui
K
K
Department of Psychiatry, United Medical School, Guy's Hospital, London.
Strathdee
G
G
Sufraz
R
R
D000069:Acculturation; D000293:Adolescent; D000328:Adult; D000368:Aged; D004641:Emigration and Immigration; D004739:England; D005006:Ethnicity / Q000523:psychology*; D005260:Female; D006801:Humans; D007194:India / Q000208:ethnology; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D008875:Middle Aged; D010154:Pakistan / Q000208:ethnology; D010343:Patient Admission; D012189:Retrospective Studies