Second generation Afro-Caribbeans and young whites with a first admission diagnosis of schizophrenia

A study of young Afro-Caribbeans and whites diagnosed as suffering from schizophrenia on a first admission suggests that the over-representation of Afro-Caribbeans with this diagnosis is not explained by mis-diagnosis. The Afro-Caribbeans were more likely to live alone and to be in contact with the police or prison services before admission. They were also more likely to be admitted compulsorily, especially on forensic orders. They were less likely to make and maintain voluntary contact with the services. There was little difference in the physical treatment given to both groups but the Afro-Caribbeans were more likely to be re-admitted in subsequent years and one third of the Afro-Caribbean males were treated at some time in forensic units. Results are discussed with reference to previous literature and some recommendations made.