Refugee migration and risk of schizophrenia and other non-affective psychoses: cohort study of 1.3 million people in Sweden
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OBJECTIVE: To determine whether refugees are at elevated risk of schizophrenia and other non-affective psychotic disorders, relative to non-refugee migrants from similar regions of origin and the Swedish-born population. DESIGN: Cohort study of people living in Sweden, born after 1 January 1984 and followed from their 14th birthday or arrival in Sweden, if later, until diagnosis of a non-affective psychotic disorder, emigration, death, or 31 December 2011. SETTING: Linked Swedish national register data. PARTICIPANTS: 1,347,790 people, including people born in Sweden to two Swedish-born parents (1,191,004; 88.4%), refugees (24,123; 1.8%), and non-refugee migrants (132,663; 9.8%) from four major refugee generating regions: the Middle East and north Africa, sub-Saharan Africa, Asia, and Eastern Europe and Russia. MAIN OUTCOME MEASURES: Cox regression analysis was used to estimate adjusted hazard ratios for non-affective psychotic disorders by refugee status and region of origin, controlling for age at risk, sex, disposable income, and population density. RESULTS: 3704 cases of non-affective psychotic disorder were identified during 8.9 million person years of follow-up. The crude incidence rate was 38.5 (95% confidence interval 37.2 to 39.9) per 100,000 person years in the Swedish-born population, 80.4 (72.7 to 88.9) per 100,000 person years in non-refugee migrants, and 126.4 (103.1 to 154.8) per 100,000 person years in refugees. Refugees were at increased risk of psychosis compared with both the Swedish-born population (adjusted hazard ratio 2.9, 95% confidence interval 2.3 to 3.6) and non-refugee migrants (1.7, 1.3 to 2.1) after adjustment for confounders. The increased rate in refugees compared with non-refugee migrants was more pronounced in men (likelihood ratio test for interaction χ(2) (df=2) z=13.5; P=0.001) and was present for refugees from all regions except sub-Saharan Africa. Both refugees and non-refugee migrants from sub-Saharan Africa had similarly high rates relative to the Swedish-born population. CONCLUSIONS: Refugees face an increased risk of schizophrenia and other non-affective psychotic disorders compared with non-refugee migrants from similar regions of origin and the native-born Swedish population. Clinicians and health service planners in refugee receiving countries should be aware of a raised risk of psychosis in addition to other mental and physical health inequalities experienced by refugees.
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The large number of potential stressors during the three stages may help to explain why forced migration can lead to traumatisation and why the refugee population is more vulnerable to mental illness such as depression, anxiety, and PTSD.
“The large number of potential stressors during the three stages may help to explain why forced migration can lead to traumatisation and why the refugee population is more vulnerable to mental illness such as depression, anxiety, and posttraumatic stress disorder (PTSD) (Heeren et al., 2014; Hollander et al., 2016).”
From Refugees versus persons family reunified to a refugee: A comparison of sociodemographic factors, trauma history, baseline psychopathology and treatment effectiveness (2023) · cites this paper as Hollander et al., 2016
The Discussion (Clinical and public health implications; page not specified) says ongoing adversity seems likely to increase refugees’ risk of PTSD and common mental disorders. It discusses adversities before and after migration, but does not describe stressors across three stages or specifically identify depression and anxiety. The paper’s own findings concern psychosis, not those conditions. (LLM, conf=0.86)
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Cites
Two new Later Stone Age sites from the Final Pleistocene in the Falémé Valley, eastern Senegal
Ndiaye, M., Lespez, L., Tribolo, C., Rassé, M., Hadjas, I., Davidoux, S., Huysecom, É., & Douze, K. (2024) · Monash University Research Portal (Monash University) · doi:10.3929/ethz-b-000667478 · Cited by 24,015 · see citing works
Correspondence - Tranexamic acid for traumatic brain injury
(2005) · London School of Economics and Political Science Theses Online (London School of Economics and Political Science) · doi:10.1016/s0140-6736 · Cited by 11,894 · see citing works
External review and validation of the Swedish national inpatient register
Ludvigsson, J. F., Andersson, E., Ekbom, A., Feychting, M., Kim, J.-L., Reuterwall, C., Heurgren, M., & Olausson, P. O. (2011) · BMC Public Health · doi:10.1186/1471-2458-11-450 · Cited by 5,055 · see citing works
Fazel, M., Wheeler, J., & Danesh, J. (2005) · The Lancet · doi:10.1016/s0140-6736(05)61027-6 · Cited by 2,292 · see citing works
Steel, Z., Chey, T., Silove, D., Marnane, C., Bryant, R. A., & van Ommeren, M. (2009) · JAMA · doi:10.1001/jama.2009.1132 · Cited by 2,246 · see citing works
Porter, M., & Haslam, N. (2005) · JAMA · doi:10.1001/jama.294.5.602 · Cited by 1,793 · see citing works
Jablensky, A., Sartorius, N., Ernberg, G., Anker, M., Korten, A., Cooper, J. E., Day, R., & Bertelsen, A. (1992) · Psychological Medicine. Monograph Supplement · doi:10.1017/s0264180100000904 · Cited by 1,769 · see citing works
United Nations High Commissioner for Refugees
Petit, P. (2017) · Routledge eBooks · doi:10.4324/9781315129310-7 · Cited by 1,684 · see citing works
United Nations High Commissioner for Refugees (UNHCR)
Margesson, R., & Bockman, J. K. (2014) · International Year Book and Statesmen's Who's Who · doi:10.1163/1570-6664_iyb_sim_org_40277 · Cited by 1,491 · see citing works
Fazel, M. S., Reed, R. V., Panter‐Brick, C., & Stein, A. L. (2011) · The Lancet · doi:10.1016/s0140-6736(11)60051-2 · Cited by 1,447 · see citing works
Schizophrenia and migration: A meta-analysis and review
Cantor-Graae, E., & Selten, J.-P. (2005) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.1.12 · Cited by 1,237 · see citing works
Bhugra, D. (2004) · Acta Psychiatrica Scandinavica · doi:10.1046/j.0001-690x.2003.00246.x · Cited by 1,196 · see citing works
A meta-analysis of the risk for psychotic disorders among first- and second-generation immigrants
Bourque, F., van der Ven, E., & MALLA, A. K. (2010) · Psychological Medicine · doi:10.1017/s0033291710001406 · Cited by 565 · see citing works
Fearon, P., Kirkbride, J. B., Morgan, C., Dazzan, P., Morgan, K. D., Lloyd, T., Hutchinson, G. A., Tarrant, J., Fung, W. L. A., Holloway, J. D., et al. (2006) · Psychological Medicine · doi:10.1017/s0033291706008774 · Cited by 541 · see citing works
Self-citationKirkbride, J. B., Errázuriz, A., Croudace, T. J., Morgan, C., Jackson, D., Boydell, J. E., Murray, R. M., & Jones, P. B. (2012) · PLoS ONE · doi:10.1371/journal.pone.0031660 · Cited by 535 · see citing works
Self-citationHeterogeneity in Incidence Rates of Schizophrenia and Other Psychotic Syndromes
Kirkbride, J. B., Fearon, P., Morgan, C., Dazzan, P., Morgan, K. D., Tarrant, J., Lloyd, T., Holloway, J. D., Hutchinson, G. A., Leff, J., et al. (2006) · Archives of General Psychiatry · doi:10.1001/archpsyc.63.3.250 · Cited by 520 · see citing works
Self-citationLife expectancy and cardiovascular mortality in persons with schizophrenia
Laursen, T. M., Munk-Olsen, T., & Vestergaard, M. (2012) · Current Opinion in Psychiatry · doi:10.1097/yco.0b013e32835035ca · Cited by 518 · see citing works
Rai, D., Lee, B. K., Dalman, C., Golding, J., Lewis, G., & Magnusson, C. (2013) · BMJ · doi:10.1136/bmj.f2059 · Cited by 365 · see citing works
Self-citationDiscrimination and the incidence of psychotic disorders among ethnic minorities in The Netherlands
Veling, W., Selten, J., Susser, E., Laan, W., Mackenbach, J. P., & Hoek, H. W. (2007) · International Journal of Epidemiology · doi:10.1093/ije/dym085 · Cited by 273 · see citing works
Health literacy among refugees in Sweden – a cross-sectional study
Wångdahl, J. M., Lytsy, P., Mårtensson, L. I., & Westerling, R. (2014) · BMC Public Health · doi:10.1186/1471-2458-14-1030 · Cited by 232 · see citing works
Migration as a risk factor for schizophrenia: A Danish population-based cohort study
Cantor-Graae, E., Pedersen, C. B., Mcneil, T. F., & Mortensen, P. B. (2003) · British Journal of Psychiatry · doi:10.1192/bjp.182.2.117 · Cited by 195 · cited 1× · see citing works
“15 However, the risk in refugees was not compared with that in other non-refugee migrants (henceforth referred to as migrants), who are known to be at increased risk, 16 making attribution of this excess directly to a refugee effect impossible.”
ResultYoung cases of schizophrenia identified in a national inpatient register
Dalman, C., Broms, J., Cullberg, J., & Allebeck, P. (2002) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-002-0582-3 · Cited by 192 · see citing works
Self-citationPsychoses, ethnicity and socio-economic status
Kirkbride, J. B., Barker, D., Cowden, F., Stamps, R., Yang, M., Jones, P. B., & Coid, J. W. (2008) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.107.041566 · Cited by 175 · see citing works
Self-citationImpact of ethnic density on adult mental disorders: narrative review
Shaw, R. J., Atkin, K. M., Bécares, L., Albor, C., Stafford, M., KIERNAN, K. E., Nazroo, J. Y., Wilkinson, R. G., & Pickett, K. E. (2012) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.110.083675 · Cited by 170 · see citing works
Incidence of psychotic disorders among first-generation immigrants and refugees in Ontario
Anderson, K. K., Cheng, J. M., Susser, E., McKenzie, K. J., & Kurdyak, P. A. (2015) · Canadian Medical Association Journal · doi:10.1503/cmaj.141420 · Cited by 158 · see citing works
First-contact incidence rate of schizophrenia on Barbados
Mahy, G. E., Mallett, R., Leff, J., & Bhugra, D. (1999) · The British Journal of Psychiatry · doi:10.1192/bjp.175.1.28 · Cited by 138 · see citing works
HJERN, A., WICKS, S., & DALMAN, C. (2004) · Psychological Medicine · doi:10.1017/s003329170300148x · Cited by 133 · see citing works
Self-citationRisk of mental disorders in refugees and native Danes: a register-based retrospective cohort study
Nørredam, M. L., Garcia-Lopez, A., Keiding, N., & Krasnik, A. (2009) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-009-0024-6 · Cited by 101 · see citing works
Abel, K. M., Heuvelman, H., Jorgensen, L., Magnusson, C., Wicks, S., Susser, E., Hallkvist, J., & Dalman, C. (2014) · BMJ · doi:10.1136/bmj.f7679 · Cited by 82 · see citing works
Self-citationHollander, A. (2013) · Global Health Action · doi:10.3402/gha.v6i0.21059 · Cited by 81 · see citing works
Self-citationLeão, T., Sundquist, J., Frank, G., Johansson, L., Johansson, S., & Sundquist, K. (2006) · Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000195312.81334.81 · Cited by 79 · see citing works
Distinguishing schizophrenia from posttraumatic stress disorder with psychosis
O’Conghaile, A., & DeLisi, L. E. (2015) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000158 · Cited by 62 · see citing works
Domoney, J., Howard, L. M., Abas, M., Broadbent, M. T. M., & Oram, S. (2015) · BMC Psychiatry · doi:10.1186/s12888-015-0679-3 · Cited by 54 · see citing works
Update: Schizophrenia Across Cultures
Myers, N. L. (2011) · Current Psychiatry Reports · doi:10.1007/s11920-011-0208-0 · Cited by 50 · see citing works
The Association Between Immigrant Subgroup and Poor Mental Health
Hollander, A., Bruce, D., Burström, B., & Ekblad, S. (2013) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0b013e31829dbd64 · Cited by 37 · see citing works
Self-citationSelten, J., & Hoek, H. W. (2008) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-008-0390-5 · Cited by 35 · see citing works
van der Ven, E., Dalman, C., Wicks, S., Allebeck, P., Magnusson, C., van Os, J., & Selten, J. (2014) · Psychological Medicine · doi:10.1017/s0033291714001780 · Cited by 33 · see citing works
Self-citationJörgensen, L., Allebeck, P., & Dalman, C. (2013) · Nordic Journal of Psychiatry · doi:10.3109/08039488.2013.772234 · Cited by 18 · see citing works
Self-citation
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The social determinants of mental health and disorder: evidence, prevention and recommendations
Kirkbride, J. B., Anglin, D. M., Colman, I., Dykxhoorn, J. L., Jones, P. B., Patalay, P., Pitman, A., Soneson, E., Steare, T., Wright, T., et al. (2024) · World Psychiatry · doi:10.1002/wps.21160 · Cited by 1,410 · see citing works
Self-citationThe contemporary refugee crisis: an overview of mental health challenges
Silove, D., Ventevogel, P., & Rees, S. (2017) · World Psychiatry · doi:10.1002/wps.20438 · Cited by 775 · see citing works
Colizzi, M., Lasalvia, A., & Ruggeri, M. (2020) · International Journal of Mental Health Systems · doi:10.1186/s13033-020-00356-9 · Cited by 727 · see citing works
Byrow, Y., Pajak, R., Specker, P., & Nickerson, A. (2020) · Clinical Psychology Review · doi:10.1016/j.cpr.2019.101812 · Cited by 345 · see citing works
Non-Genetic Factors in Schizophrenia
Stilo, S. A., & Murray, R. M. (2019) · Current Psychiatry Reports · doi:10.1007/s11920-019-1091-3 · Cited by 322 · see citing works
Inflammation and the neural diathesis-stress hypothesis of schizophrenia: a reconceptualization
Howes, O. D., & McCutcheon, R. (2017) · Translational Psychiatry · doi:10.1038/tp.2016.278 · Cited by 288 · see citing works
The impact of immigration detention on mental health: a systematic review
von Werthern, M., Robjant, K., Chui, Z., Schon, R., Ottisova, L., Mason, C., & Katona, C. (2018) · BMC Psychiatry · doi:10.1186/s12888-018-1945-y · Cited by 263 · see citing works
Roman-Urrestarazu, A., van Kessel, R., Allison, C., Matthews, F. E., Brayne, C., & Baron-Cohen, S. (2021) · JAMA Pediatrics · doi:10.1001/jamapediatrics.2021.0054 · Cited by 242 · see citing works
Migration and psychosis: a meta-analysis of incidence studies
Selten, J., van der Ven, E., & Termorshuizen, F. (2019) · Psychological Medicine · doi:10.1017/s0033291719000035 · Cited by 210 · see citing works
Prevalence of and risk factors for mental disorders in refugees
Giacco, D., Laxhman, N., & Priebe, S. (2017) · Seminars in Cell and Developmental Biology · doi:10.1016/j.semcdb.2017.11.030 · Cited by 239 · see citing works
He, H., Liu, Q., Li, N., Guo, L., Gao, F., Bai, L., Gao, F., & Lyu, J. (2020) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796019000891 · Cited by 193 · see citing works
Stress, trauma, and posttraumatic stress disorder in migrants: a comprehensive review
Bustamante, L. H. U., Cerqueira, R. O., Leclerc, E., & Brietzke, E. M. (2017) · Brazilian Journal of Psychiatry · doi:10.1590/1516-4446-2017-2290 · Cited by 177 · see citing works
Thompson, C. T., Vidgen, A., & Roberts, N. P. (2018) · Clinical Psychology Review · doi:10.1016/j.cpr.2018.06.006 · Cited by 146 · see citing works
Migration, ethnicity and psychoses: evidence, models and future directions
Morgan, C., Knowles, G., & Hutchinson, G. A. (2019) · World Psychiatry · doi:10.1002/wps.20655 · Cited by 145 · see citing works
Pangas, J., Ogunsiji, O., Elmir, R., Raman, S., Liamputtong, P., Burns, E., Dahlen, H. G., & Schmied, V. A. (2018) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2018.10.005 · Cited by 120 · see citing works
Fox, V., Dalman, C., Dal, H., Hollander, A., Kirkbride, J. B., & Pitman, A. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.10.009 · Cited by 119 · see citing works
Self-citationButwicka, A., Olén, O., Larsson, H., Halfvarson, J., Almqvist, C., Lichtenstein, P., Serlachius, E., Frisén, L., & Ludvigsson, J. F. (2019) · JAMA Pediatrics · doi:10.1001/jamapediatrics.2019.2662 · Cited by 117 · see citing works
Xenophobia as a determinant of health: an integrative review
Suleman, S., Garber, K. D., & Rutkow, L. (2018) · Journal of Public Health Policy · doi:10.1057/s41271-018-0140-1 · Cited by 116 · see citing works
Risk of Psychosis Among Refugees
Brandt, L., Henssler, J. F., Müller, M., Wall, S., Gabel, D., & Heinz, A. (2019) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2019.1937 · Cited by 111 · see citing works
Practitioner Review: Mental health problems of refugee children and adolescents and their management
Hodes, M., & Vostanis, P. (2018) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13002 · Cited by 109 · see citing works
Migration and schizophrenia: meta-analysis and explanatory framework
Henssler, J., Brandt, L., Müller, M., Liu, S., Montag, C., Sterzer, P., & Heinz, A. (2019) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-019-01028-7 · Cited by 76 · see citing works
The mental health and wellbeing of Unaccompanied Refugee Minors (URMs)
von Werthern, M., Grigorakis, G., & Vizard, E. (2019) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2019.104146 · Cited by 90 · see citing works
The mental-health crisis among migrants
Abbott, A. (2016) · Nature · doi:10.1038/538158a · Cited by 82 · see citing works
Hodes, M., Vasquez, M. M., Anagnostopoulos, D., Triantafyllou, K., Abdelhady, D., Weiß, K., Koposov, R. A., Çetin, F. Ç., Hebebrand, J., & Skokauskas, N. (2017) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-017-1094-8 · Cited by 79 · see citing works
Markkula, N., Lehti, V., Gissler, M., & Suvisaari, J. (2017) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-017-1432-7 · Cited by 75 · see citing works
Harris, S., Dykxhoorn, J. L., Hollander, A., Dalman, C., & Kirkbride, J. B. (2019) · PLoS Medicine · doi:10.1371/journal.pmed.1002944 · Cited by 73 · see citing works
Self-citationKillikelly, C., Bauer, S., & Maercker, A. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.01957 · Cited by 71 · see citing works
Understanding the excess psychosis risk in ethnic minorities: the impact of structure and identity
Jongsma, H. E., Karlsen, S., Kirkbride, J. B., & Jones, P. B. (2021) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-021-02042-8 · Cited by 72 · see citing works
Self-citationHayes, J., Lundin, A., Wicks, S., Lewis, G., Wong, I. C. K., Osborn, D., & Dalman, C. (2019) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2018.3907 · Cited by 63 · see citing works
Self-citationHolmes, E. A., Ghaderi, A., Eriksson, E., Lauri, K. O., Kukacka, O. M., Mamish, M., James, E. L., & Visser, R. M. (2017) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s135246581600062x · Cited by 60 · see citing works
Risk of psychosis in refugees: a literature review
Dapunt, J., Kluge, U., & Heinz, A. (2017) · Translational Psychiatry · doi:10.1038/tp.2017.119 · Cited by 65 · see citing works
Hvidtfeldt, C., Petersen, J. H., & Norredam, M. (2020) · International Journal of Epidemiology · doi:10.1093/ije/dyz091 · Cited by 64 · see citing works
Lindegaard, T., Seaton, F., Halaj, A., Berg, M., Kashoush, F., Barchini, R., Ludvigsson, M., Sarkohi, A., & Andersson, G. (2021) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2020.1771414 · Cited by 62 · see citing works
Dykxhoorn, J. L., Hollander, A., Lewis, G., Magnusson, C., Dalman, C., & Kirkbride, J. B. (2018) · Psychological Medicine · doi:10.1017/s0033291718003227 · Cited by 62 · see citing works
Self-citationTrauma and Resilience Among Displaced Populations
Theisen-Womersley, G. (2021) · Springer eBooks · doi:10.1007/978-3-030-67712-1 · Cited by 75 · see citing works
Mental Health, Pre-migratory Trauma and Post-migratory Stressors Among Adult Refugees
Carlsson, J. M., & Sonne, C. (2018) · Springer eBooks · doi:10.1007/978-3-319-97046-2_2 · Cited by 58 · see citing works
Hollander, A., Pitman, A., Sjöqvist, H., Lewis, G., Magnusson, C., Kirkbride, J. B., & Dalman, C. (2019) · The British Journal of Psychiatry · doi:10.1192/bjp.2019.220 · Cited by 59 · see citing works
Self-citationMigration history and risk of psychosis: results from the multinational EU-GEI study
Tarricone, I., D’Andrea, G., Jongsma, H. E., Tosato, S., Gayer-Anderson, C. E., Stilo, S. A., Suprani, F., Iyegbe, C. O., van der Ven, E., Quattrone, D., et al. (2021) · Psychological Medicine · doi:10.1017/s003329172000495x · Cited by 59 · see citing works
Self-citationPsychological distress by age at migration and duration of residence in Sweden
Honkaniemi, H., Juárez, S., Katikireddi, S. V., & Rostila, M. (2020) · Social Science & Medicine · doi:10.1016/j.socscimed.2020.112869 · Cited by 56 · see citing works
Varchmin, L., Montag, C., Treusch, Y., Kaminski, J. A., & Heinz, A. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.665957 · Cited by 53 · see citing works
Manhica, H., Almquist, Y. B., Rostila, M., & Hjern, A. (2016) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796016000445 · Cited by 51 · see citing works
Juárez, S., Drefahl, S., Dunlavy, A. C., & Rostila, M. (2018) · SSM - Population Health · doi:10.1016/j.ssmph.2018.07.007 · Cited by 46 · see citing works
Price, C., Dalman, C., Zammit, S., & Kirkbride, J. B. (2018) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2018.2233 · Cited by 45 · see citing works
Self-citationBjörkenstam, E., Helgesson, M., Nørredam, M. L., Sijbrandij, M., de Montgomery, C. J., & Mittendorfer‐Rutz, E. (2020) · Psychological Medicine · doi:10.1017/s0033291720003190 · Cited by 45 · see citing works
Sidorchuk, A., Engström, K., Johnson-Singh, C. M., Leeoza, N. K., & Möller, J. (2017) · BMJ Open · doi:10.1136/bmjopen-2016-014698 · Cited by 44 · see citing works
Thinking about young refugees’ mental health following the Russian invasion of Ukraine in 2022
Hodes, M. (2022) · Clinical Child Psychology and Psychiatry · doi:10.1177/13591045221125639 · Cited by 43 · see citing works
Hollander, A., Mackay, E., Sjöqvist, H., Kirkbride, J. B., Bäärnhielm, S., & Dalman, C. (2020) · BMJ Global Health · doi:10.1136/bmjgh-2020-002471 · Cited by 41 · see citing works
Self-citationSijbrandij, M. (2017) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796017000713 · Cited by 39 · see citing works
Dykxhoorn, J. L., Lewis, G., Hollander, A., Kirkbride, J. B., & Dalman, C. (2020) · The Lancet Psychiatry · doi:10.1016/s2215-0366(20)30059-6 · Cited by 39 · see citing works
Self-citationStafford, J., Howard, R. J., Dalman, C., & Kirkbride, J. B. (2018) · Schizophrenia Bulletin · doi:10.1093/schbul/sby147 · Cited by 39 · see citing works
Self-citationGender differences in the association between environment and psychosis
Yay-Pence, A., Pries, L.-K., Ferrara, M., Rutten, B. P. F., van Os, J., & Gülöksüz, S. (2022) · Schizophrenia Research · doi:10.1016/j.schres.2022.02.039 · Cited by 39 · see citing works
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Oduola, S., Das‐Munshi, J., Bourque, F., Gayer-Anderson, C. E., Tsang, J., Murray, R. M., Craig, T., & Morgan, C. (2019) · Psychological Medicine · doi:10.1017/s0033291719003234 · Cited by 37 · see citing works
Manhica, H., Berg, L., Almquist, Y. B., Rostila, M., & Hjern, A. (2018) · Journal of Youth Studies · doi:10.1080/13676261.2018.1521952 · Cited by 35 · see citing works
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O'Donoghue, B. N., Downey, L., Eaton, S., Mifsud, N. G., Kirkbride, J. B., & McGorry, P. D. (2020) · Psychological Medicine · doi:10.1017/s0033291719004100 · Cited by 35 · see citing works
Self-citationHollander, A., Askegård, K., Iddon-Escalante, C., Holmes, E. A., Wicks, S., & Dalman, C. (2019) · BMJ Open · doi:10.1136/bmjopen-2019-031964 · Cited by 33 · see citing works
Self-citationThe “Ulysses syndrome”: an eponym identifies a psychosomatic disorder in modern migrants.
Bianucci, R., Charlier, P., Perciaccante, A., Lippi, D., & Appenzeller, O. (2017) · European Journal of Internal Medicine · doi:10.1016/j.ejim.2017.03.020 · Cited by 30 · see citing works
Rowley, L., Morant, N. J., & Katona, C. (2019) · Journal of Immigrant & Refugee Studies · doi:10.1080/15562948.2019.1677974 · Cited by 32 · see citing works
Dykxhoorn, J., & Kirkbride, J. (2018) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796018000501 · Cited by 26 · see citing works
Self-citationBjörkenstam, E., Helgesson, M., Amin, R., & Mittendorfer‐Rutz, E. (2019) · The British Journal of Psychiatry · doi:10.1192/bjp.2019.215 · Cited by 30 · see citing works
Farahani, H., Joubert, N., Anand, J. C., Toikko, T., & Tavakol, M. H. (2021) · Social Sciences · doi:10.3390/socsci10090334 · Cited by 30 · see citing works
Veronese, G., Pepe, A., & Giordano, F. (2021) · Journal of Child and Family Studies · doi:10.1007/s10826-021-02067-2 · Cited by 29 · see citing works
Social Networks and Health Inequalities
Klärner, A., Gamper, M., Keim-Klärner, S., Moor, I., von der Lippe, H., & Vonneilich, N. (2022) · Springer eBooks · doi:10.1007/978-3-030-97722-1 · Cited by 33 · see citing works
Urbanicity and psychotic disorders: Facts and hypotheses
Pignon, B., Szöke, A., Ku, B. S., Melchior, M., & Schürhoff, F. (2023) · Dialogues in Clinical Neuroscience · doi:10.1080/19585969.2023.2272824 · Cited by 29 · see citing works
van Heemstra, H. E., Scholte, W. F., Haagen, J. F. G., & Boelen, P. A. (2019) · European Journal of Psychotraumatology · doi:10.1080/20008198.2019.1673062 · Cited by 28 · see citing works
Harris, S., Binder, P., & Sandal, G. M. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.00412 · Cited by 28 · see citing works
Wallin, M. I., Dahlin, M., Nevonen, L., & Bäärnhielm, S. (2020) · Transcultural Psychiatry · doi:10.1177/1363461520938917 · Cited by 28 · see citing works
Finn, S. W., Lundin, A., Sjöqvist, H., & Danielsson, A. (2021) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2021.108964 · Cited by 28 · see citing works
Preeclampsia by maternal reasons for immigration: a population-based study
Nilsen, R. M., Vik, E. S., Rasmussen, S., Small, R. E., Moster, D., Schytt, E., & Aasheim, V. (2018) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-018-2034-4 · Cited by 26 · see citing works
Arwidson, C. V. E., Holmgren, J., Gottberg, K., Tinghög, P., & Eriksson, H. (2022) · Conflict and Health · doi:10.1186/s13031-022-00480-y · Cited by 25 · see citing works
Dykxhoorn, J. L., Hollander, A., Lewis, G., Dalman, C., & Kirkbride, J. B. (2019) · Schizophrenia Research · doi:10.1016/j.schres.2019.01.044 · Cited by 25 · see citing works
Self-citationCognitive–behavioural therapy for clozapine-resistant schizophrenia: the FOCUS RCT
Morrison, A. P., Pyle, M., Gumley, A. I., Schwannauer, M., Turkington, D., MacLennan, G., Norrie, J. D., Hudson, J., Bowe, S. E., French, P., et al. (2019) · Health Technology Assessment · doi:10.3310/hta23070 · Cited by 24 · see citing works
Bäärnhielm, S., & Schouler‐Ocak, M. (2022) · Transcultural Psychiatry · doi:10.1177/13634615221089384 · Cited by 24 · see citing works
Review of Major Social Determinants of Health in Schizophrenia-Spectrum Disorders: II. Assessments
Sturm, E. T., Thomas, M. L., Sares, A. G., Dave, S., Baron, D. A., Compton, M. T., Palmer, B. W., Jester, D. J., & Jeste, D. V. (2023) · Schizophrenia Bulletin · doi:10.1093/schbul/sbad024 · Cited by 24 · see citing works
Migrant and ethnic minority status as risk indicators for schizophrenia
van der Ven, E., & Selten, J. (2018) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000405 · Cited by 24 · see citing works
Ortiz‐Orendain, J., Gardea‐Resendez, M., Obeso, S. C.-D., Golebiowski, R., Coombes, B. J., Gruhlke, P. M., Michel, I. M., Bostwick, J. M., Morgan, R. J., Özerdem, A., et al. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.07.106 · Cited by 23 · see citing works
Thoma, S., & Fuchs, T. A. E. (2018) · Studies in brain and mind · doi:10.1007/978-3-319-73993-9_2 · Cited by 24 · see citing works
Bemak, F., & Chung, R. C. (2021) · The Counseling Psychologist · doi:10.1177/0011000020972182 · Cited by 23 · see citing works
Akdeniz, C., Schäfer, A., Streit, F., Haller, L., Wüst, S., Kirsch, P., Tost, H., & Meyer‐Lindenberg, A. (2016) · Schizophrenia Bulletin · doi:10.1093/schbul/sbw138 · Cited by 22 · see citing works
Trilesnik, B., Altunöz, U., Wesolowski, J., Eckhoff, L., Özkan, İ., Loos, K., Penteker, G., & Graef-Calliess, I. T. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00688 · Cited by 22 · see citing works
Todorova, L., Johansson, A., & Ivarsson, B. (2020) · Nursing Open · doi:10.1002/nop2.703 · Cited by 22 · see citing works
Patterson, J. E., Abu-Hassan, H. H., Vakili, S., & King, A. T. (2017) · Journal of Marital and Family Therapy · doi:10.1111/jmft.12295 · Cited by 20 · see citing works
Mutiso, V., Warsame, A. H., Bosire, E. N., Musyimi, C. W., Musau, A., Isse, M. M., & Ndetei, D. M. (2018) · Journal of Immigrant & Refugee Studies · doi:10.1080/15562948.2018.1433904 · Cited by 19 · see citing works
Schofield, P. (2017) · BJPsych Bulletin · doi:10.1192/pb.bp.116.055053 · Cited by 19 · see citing works
Collaborative care for refugees and torture survivors: Key findings from the literature.
Esala, J. J., Vukovich, M. M., Hanbury, A., Kashyap, S., & Joscelyne, A. (2018) · Traumatology An International Journal · doi:10.1037/trm0000143 · Cited by 19 · see citing works
Medical Approach to Refugees: Importance of the Caring Physician
Deps, P. D., & Charlier, P. (2020) · Annals of Global Health · doi:10.5334/aogh.2779 · Cited by 19 · see citing works
The exposome from neurodevelopment to neurodegeneration: A narrative review
Dallere, S., Rasà, D. M., Pavarino, G., Schellino, R., Vercelli, A., & Boido, M. (2025) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2025.106247 · Cited by 19 · see citing works
Migration and psychosis: our smoking lung?
Kirkbride, J. B. (2017) · World Psychiatry · doi:10.1002/wps.20406 · Cited by 17 · see citing works
Self-citationThe health-related quality of life of Syrian refugee women in their reproductive age
Nabolsi, M., Safadi, R., Sun, C., Ahmad, M. M., Al-Maharma, D. Y., Halasa, S., Saleh, M., & Dohrn, J. (2020) · PeerJ · doi:10.7717/peerj.9990 · Cited by 16 · see citing works
Rethinking Schizophrenia in the Context of the Person and Their Circumstances: Seven Reasons
Álvarez, M. P., García‐Montes, J. M., Vallina-Fernández, Ó., & Garcelán, S. P. (2016) · Frontiers in Psychology · doi:10.3389/fpsyg.2016.01650 · Cited by 16 · see citing works
Juárez, S., Mussino, E., & Hjern, A. (2018) · Scandinavian Journal of Public Health · doi:10.1177/1403494818777432 · Cited by 15 · see citing works
Migration in patients with early psychosis: A 3-year prospective follow-up study
Golay, P., Baumann, P., Jaton, L., Restellini, R., Solida, A., Mebdouhi, N., & Conus, P. (2019) · Psychiatry Research · doi:10.1016/j.psychres.2019.03.021 · Cited by 15 · see citing works
Mülteci, Sığınmacı ve Göçmen Kadınların Ruh Sağlığı
Başterzi, A. D. (2017) · Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry · doi:10.18863/pgy.280392 · Cited by 14 · see citing works
Trauma, Post-Traumatic Stress Disorder, and Mental Health Care of Asylum Seekers
Youngmann, R., Bachner‐Melman, R., Ari, L. L., Tzur, H., Hileli, R., & Lurie, I. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182010661 · Cited by 13 · see citing works
Who is responsible for the health care of refugees?
Syed, Q., & Mobayed, T. (2017) · The Lancet · doi:10.1016/s0140-6736(17)31159-5 · Cited by 13 · see citing works
Two Tell-tale Perspectives of PTSD
Shahid, F., Rahman, W., Islam, A., Paul, N., Khan, N. S., Rahman, M. S., Haque, M. M., & Islam, A. B. M. A. A. (2019) · Proceedings of the ACM on Interactive Mobile Wearable and Ubiquitous Technologies · doi:10.1145/3351259 · Cited by 13 · see citing works
Designing and assessing of an art-based intervention for undocumented migrants
Mateos-Fernández, R., & Saavedra, J. (2020) · Arts & Health · doi:10.1080/17533015.2020.1866623 · Cited by 12 · see citing works
Opaas, M., & Hartmann, E. (2021) · PubMed Central · doi:10.1097/nmd.0000000000001396 · Cited by 3 · see citing works
Duggal, A. K., Kirkbride, J. B., Dalman, C., & Hollander, A. (2019) · Journal of Epidemiology & Community Health · doi:10.1136/jech-2019-212798 · Cited by 11 · see citing works
Self-citationMoore, T., Burgess, R. A., & Katona, C. (2022) · Transcultural Psychiatry · doi:10.1177/13634615221107202 · Cited by 11 · see citing works
- Authors
- Hollander, A.-C., Dal, H., Lewis, G., Magnusson, C., Kirkbride, J. B., & Dalman, C.
- Affiliations
- Karolinska Institutet (SE)
- Region Stockholm (SE)
- University College London (GB)
- Corresponding author
- Hollander, Anna-Clara
- ORCID
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2016-03-15
- Volume
- 352
- Pages
- i1030
- ISSN
- 1756-1833 (ISSN-L)
- PMC
- PMC4793153
- OpenAlex
- W2298599425
- Cited by
- 240
- References
- 38
- Citations by year
- 2026: 5 · 2025: 12 · 2024: 16 · 2023: 16 · 2022: 21 · 2021: 32 · 2020: 34 · 2019: 41 · 2018: 31 · 2017: 26 · 2016: 6
- FWCI
- 46.41
- Type
- journal article
- Language
- en
- Update notices
- correction (2016-05-27)
- Open access
- hybrid
- doi.org
- Locations
- BMJ (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- Wellcome Trust (101272, 101272/Z/13/Z)
- Vetenskapsrådet
- Forskningsrådet om Hälsa, Arbetsliv och Välfärd
- Topics
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- refugees, schizophrenia, non-affective psychosis, psychosis risk, immigrant mental health, region of origin, sex differences, psychosis incidence, migration and mental health, Sweden, Middle East and North Africa, sub-Saharan Africa, Asia, population density, disposable income
- MeSH terms
- Adolescent, Adult, Aged, Europe, Eastern, Female, Humans, Male, Middle Aged, Psychotic Disorders, Refugees, Russia, Schizophrenia, Socioeconomic Factors, Sweden, Transients and Migrants, Proportional Hazards Models, Age Distribution, Sex Distribution, Africa South of the Sahara
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