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Acute psychiatric treatment and the use of physical restraint in first-generation immigrants in Italy: A prospective concurrent study

Author

Listed:
  • Lorenzo Tarsitani
  • Massimo Pasquini
  • Annalisa Maraone
  • Maria Paola Zerella
  • Isabella Berardelli
  • Roberta Giordani
  • Gian Marco Polselli
  • Massimo Biondi

Abstract

Background and Aims: Immigrants in Europe appear at higher risk of psychiatric coercive interventions. No studies have investigated this issue in Italy. The aim of this study is to investigate whether the use of physical restraint, compulsory admission and other treatment characteristics differ in immigrated and Italian-born patients admitted to a psychiatric intensive care unit. Methods: One hundred first-generation immigrant patients were compared to 100 age-, gender- and diagnosis-matched Italian-born patients. Subjects were diagnosed according to DSM-IV-TR and rated on the Clinical Global Impression – Severity Scale and the Global Assessment of Functioning. Clinical data and treatment characteristics were collected. Results: Immigrant patients were more likely to be physically restrained as compared to Italian-born patients (11% vs 3%; χ 2 = 4.92; p = 0.027; RR = 3.67; 95% CI = 1.05–12.7). No differences in the proportion of involuntary treatment were found. Immigrant patients did not receive higher doses of antipsychotics or benzodiazepines, but they had a longer stay in the hospital. Conclusions: The higher rate of physical restraint among migrants may reflect cultural, ethnic and language differences leading to communication problems between immigrant patients and mental health professionals. Since coercive interventions can be harmful, specific strategies to prevent this phenomenon in immigrants are needed.

Suggested Citation

  • Lorenzo Tarsitani & Massimo Pasquini & Annalisa Maraone & Maria Paola Zerella & Isabella Berardelli & Roberta Giordani & Gian Marco Polselli & Massimo Biondi, 2013. "Acute psychiatric treatment and the use of physical restraint in first-generation immigrants in Italy: A prospective concurrent study," International Journal of Social Psychiatry, , vol. 59(6), pages 613-618, September.
    • Handle: RePEc:sae:socpsy:v:59:y:2013:i:6:p:613-618
    DOI: 10.1177/0020764012450985
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    References listed on IDEAS

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    1. 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.
    2. Dean, Jennifer Asanin & Wilson, Kathi, 2010. ""My health has improved because I always have everything I need here...": A qualitative exploration of health improvement and decline among immigrants," Social Science & Medicine, Elsevier, vol. 70(8), pages 1219-1228, April.
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    Cited by:

    1. Nicola Mucci & Veronica Traversini & Gabriele Giorgi & Eleonora Tommasi & Simone De Sio & Giulio Arcangeli, 2019. "Migrant Workers and Psychological Health: A Systematic Review," Sustainability, MDPI, vol. 12(1), pages 1-28, December.

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