Unemployment, ethnicity and psychosis

摘要: Unemployment is common in people with psycho-sis (1). This clearly true once the illness hasbegun, where it mainly represents difficulty ofreturning to work context of persistentsymptoms, self-stigmatisation and employerprejudice. However, high rates unemploymentare also seen before identified onset (2). has usually been interpreted as aconsequence postulated prodromal symptoms orneurodevelopmental impairment (3, 4), but there isno a priori reason why unemployment should nothave aetiological effects. It acknowledged toBoydell J, Bebbington P, Bhavsar V, Kravariti E, van Os MurrayRM, Dutta R. Unemployment, ethnicity psychosis.Objective: study describes incidence psychosis inunemployed determines whether agreater impact on development amongst Blackminority groups than White groups.Method: Patients first diagnosis ofResearch Diagnostic Criteriapsychosis, defined area London from 1998 2004, wereidentified. Crude standardised psychosisamongst unemployed for each ethnic group were calculated.Poisson regression modelling tested interactions betweenunemployment ethnicity.Results: Hundred cases occurred employed 78cases people. When tothe population area, peoplehad ratio (SIR) 11.7 (95% CI 6.4–19.7),Black Caribbean had SIR 60.1(95% 39.3–88) BlackAfrican 40.7 25.8–61.1). There was nointeraction however between (Likelihoodratio test P =0.54).Conclusion: Rates are peoplein south extremely Black andBlack African no evidence howeverthat minority particularly sensitive stresses,limitations or meaning unemployment.