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Asian Inpatients in a District Psychiatric Unit: an Examination of Presenting Features and Routes Into Care

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  • Kamaldeep Bhui

    (Department of Psychiatry, United Medical and Dental Schools, Guy's Hospital, London SE1 9RT)

  • Geraldine Strathdee

    (Bethlem Royal and Maudsley Hospitals)

  • Reshad Sufraz

    (United Medical and Dental Schools)

Abstract

The case notes of one hundred consecutive Asian admissions at first presentation to a district 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.

Suggested Citation

  • Kamaldeep Bhui & Geraldine Strathdee & Reshad Sufraz, 1993. "Asian Inpatients in a District Psychiatric Unit: an Examination of Presenting Features and Routes Into Care," International Journal of Social Psychiatry, , vol. 39(3), pages 208-220, September.
    • Handle: RePEc:sae:socpsy:v:39:y:1993:i:3:p:208-220
    DOI: 10.1177/002076409303900307
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    References listed on IDEAS

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    1. Adityanjee & D. Mohan & N.N. Wig, 1988. "Determinants of Emergency Room Visits for Psychological Problems in a General Hospital," International Journal of Social Psychiatry, , vol. 34(1), pages 25-30, March.
    2. Bhopal, Rajinder Singh, 1986. "Bhye Bhaddi: A food and health concept of Punjabi Asians," Social Science & Medicine, Elsevier, vol. 23(7), pages 687-688, January.
    3. Amanullah Shaikh, 1985. "Cross-Cultural Comparison: Psychiatric Admission of Asian and Indigenous Patients in Leicestershire," International Journal of Social Psychiatry, , vol. 31(1), pages 3-11, March.
    4. Krause, Inga-Britt, 1989. "Sinking heart: A Punjabi communication of distress," Social Science & Medicine, Elsevier, vol. 29(4), pages 563-575, January.
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