The need for a public health approach of psychosis to include migrants and their children
Why is the risk to be found psychotic so much higher for migrants and their offspring than for the general population? The relative risk can easily be up to five times.
The hypothesis that social exclusion is at least an important part of the explanation is confirmed by a recent published meta-analysis of studies (Selten, Ven, & Termorshuizen, 2019). Another important review study found ethnic minorities (again) at an excess risk of all psychotic disorders (Jongsma, Turner, Kirkbride, & Jones, 2019). A public health approach is definitely needed (Anderson, 2019), consisting of psychological and social ways to deal with psychosis and especially adapted for migrants and their children. Just how to do this is to be a central question for the 2019 conference of the International Society for Psychological and Social Approaches to Psychosis: STRANGER IN THE CITY- On the circular relationship between alienation and psychosis and the healing power of human reconnection (https://www.ispsconference.nl/)
Open access references;
Selten, J., Ven, E. Van Der, & Termorshuizen, F. (2019). Migration and psychosis : a meta-analysis of incidence studies. Psychological Medicine. https://doi.org/10.1017/S0033291719000035. For direct open access: for direct open access: https://www.cambridge.org/core/services/aop-cambridge-core/content/view/6AAC0205167B28CC427B196C6BD7155C/S0033291719000035a.pdf/div-class-title-migration-and-psychosis-a-meta-analysis-of-incidence-studies-div.pdf
Jongsma, H. E., Turner, C., Kirkbride, J. B., & Jones, P. B. (2019). Articles International incidence of psychotic disorders , 2002 – 17 : a systematic review and meta-analysis. The Lancet Public Health, 4(5), e229–e244. https://doi.org/10.1016/S2468-2667(19)30056-8. For direct open access: https://www.sciencedirect.com/science/article/pii/S2468266719300568
Anderson, K. K. (2019). Comment Towards a public health approach to psychotic disorders. The Lancet Public Health, 4(5), e212–e213. https://doi.org/10.1016/S2468-2667(19)30054-4. For direct open access: ] https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(19)30054-4/fulltext
Dr. Victor Kouratovsky