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The British Journal of Psychiatry (2002) 181: 481-487
© 2002 The Royal College of Psychiatrists

Ethnic differences in prisoners

2: Risk factors and psychiatric service use{dagger}

JEREMY COID, MD, FRCPsych and ANN PETRUCKEVITCH, MSc

Department of Psychological Medicine, St Bartholomew's Hospital, London

PAUL BEBBINGTON, PhD, FRCPsych

Department of Psychiatry and Behavioural Science, Royal Free and University College Medical School, London

TRAORACH BRUGHA, PhD, MRCPsych

Department of Psychiatry, University of Leicester, Leicester

DINESH BHUGRA, PhD, FRCPsych and RACHEL JENKINS, FRCPsych

Institute of Psychiatry, London

MIKE FARRELL, MRCPsych

South London and Maudsley NHS Trust Addiction Resource Centre, London

GLYN LEWIS, PhD

Division of Psychiatry, University of Bristol, Bristol

NICOLA SINGLETON, MSc

Office for National Statistics, London

Correspondence: Professor Jeremy Coid, Forensic Psychiatry Research Unit, St Bartholomew's Hospital, William Harvey House, 61 Bartholomew Close, London ECIA 7BE, UK. Tel: 020 7601 8138; fax: 020 7601 7969; e-mail: J.W.Coid{at}qmul.ac.uk

Declaration of interest None.

Funded by the Department of Health.

{dagger} See part 1, pp. 473–480, this issue.

Background The high rates of psychiatric morbidity in prisoners vary between ethnic groups.

Aims To compare early environmental risks, stressful daily living experiences and reported use of psychiatric services in prisoners from different ethnic groups.

Method Cross-sectional survey of 3142 prisoners in all penal establishments in England and Wales in 1997.

Results Fewer Black and South Asian male prisoners reported childhood traumas and conduct disorder, and fewer Black prisoners experienced stressful prison experiences, than White prisoners. Fewer Black women had received previous psychiatric treatment, and fewer Black men had their psychiatric problems identified in prison. Black prisoners were less likely to have received psychiatric treatment than Whites.

Conclusions The lower prevalence of psychiatric morbidity observed in Black prisoners corresponds with reduced exposure to risk factors. Higher rates of imprisonment might be explained by higher rates of conduct disorder, adolescent-onset criminality and disadvantage within the criminal justice system.


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ELIZABETH WALSH
BJP 2002 181: 0. [Full Text]  

Ethnic differences in prisoners: 1: Criminality and psychiatric morbidity
JEREMY COID, ANN PETRUCKEVITCH, PAUL BEBBINGTON, TRAOLACH BRUGHA, DINESH BHUGRA, RACHEL JENKINS, MIKE FARRELL, GLYN LEWIS, and NICOLA SINGLETON
BJP 2002 181: 473-480. [Abstract] [Full Text]  



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