The DOI matches its Crossref record.
Ethnoracial Differences in Coercive Referral and Intervention Among Patients With First-Episode Psychosis
Abstract
OBJECTIVE: Using a retrospective sample, the authors sought to determine whether Black patients with first-episode psychosis (FEP) in Canada were at a higher risk for coercive referral and coercive intervention than non-Black patients with FEP. METHODS: Retrospective data from patients referred to an FEP program in 2008-2018 were collected via chart review (N=208). The authors used chi-square and logistic regression analyses to explore the relationships among race-ethnicity, diagnosis of psychosis, and coercive referral and intervention. RESULTS: =9.21, df=2, p=0.010) than were non-Black individuals with FEP. Age and violent or threatening behavior were predictors of coercive referral. Ethnoracial status, age, and violent or threatening behavior were predictors of coercive intervention. CONCLUSIONS: This study contributes to the dearth of research on Black Canadians and offers insight into factors that may place patients with FEP at risk for coercive treatment. More research is needed to explore the role that ethnoracial status may play in hospital admissions and to uncover the role of racial prejudices in the assessment of danger.
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Well-documented evidence shows that Black individuals, in particular, are disproportionately subjected to coercive practices in psychiatric settings.
“especially in light of well-documented evidence that Black individuals, in particular, are disproportionately subjected to coercive practices in psychiatric settings [196,197].”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [197]
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Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review
Lessard-Deschênes, C., Pariseau-Legault, P., Billé, V., Sergerie-Richard, S., Hudson, E., Silva, B., Drouin, J.-S., Désilets, M., & Goulet, M.-H. (2025) · Healthcare · doi:10.3390/healthcare13151868 · Cited by 10
Metadata
- Authors
- Knight, S., Jarvis, G. E., Ryder, A. G., Lashley, M., & Rousseau, C.
- Affiliations
- Jewish General Hospital (CA)
- Venue
- Psychiatric Services
- Published
- 2022-01-01
- Volume
- 73
- Issue
- 1
- Pages
- 2-8
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- OpenAlex
- W3178559488
- Cited by
- 41
- References
- 0
- Citations by year
- 2026: 9 · 2025: 10 · 2024: 5 · 2023: 7 · 2022: 7
- FWCI
- 3.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatric Services (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- first-episode psychosis, coercive measures, racial and ethnic disparities, Black patients, hospitalization
- MeSH terms
- Canada, Humans, Psychotic Disorders, Referral and Consultation, Retrospective Studies, Black People
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