Social indicators and the prediction of psychiatric admission in different diagnostic groups
- 1 November 1997
- journal article
- Published by Royal College of Psychiatrists in The British Journal of Psychiatry
- Vol. 171 (5), 457-462
- https://doi.org/10.1192/bjp.171.5.457
Abstract
Background: Recent findings indicate that the established association between social indicators of deprivation and psychiatric admission rates may not hold across all diagnoses.Method: Admission rates in individuals aged 16–64 years for 71 electoral wards in North Staffordshire were calculated for six diagnostic groups using data from the Korner Episode System for 1987–1993. These were correlated with selected individual census variables, Townsend and Jarman indices. The ability of regression models to predict admission rates was tested.Results: The strongest correlations were found for total admissions (r 0.44–0.79). Strong correlations were found for neurotic disorders/depression (r 0.29–0.62), schizophrenia (r 0.24–0.59), all non-psychotic disorders combined (r 0.41–0.71) and all psychotic disorders combined (r 0.33–0.67). Predicted admission rates for total admissions, psychotic and non-psychotic admissions using regression models showed strong positive correlations with observed admission rates.Conclusions: The strong correlations between social indicators of deprivation and total psychotic admission rates are consistent with the results of previous studies. The strong associations between social indicators and admissions for non-psychotic disorders is contrary to previous findings and may be partly explained by the relatively high admission rates for neurotic disorders.Keywords
This publication has 13 references indexed in Scilit:
- Social Deprivation and Psychiatric Admission Rates Among Different Diagnostic GroupsThe British Journal of Psychiatry, 1995
- Unemployment rate as predictor of rate of psychiatric admission.BMJ, 1993
- Predicting psychiatric admission rates.BMJ, 1992
- Unemployment rates: an alternative to the Jarman index?BMJ, 1991
- Social Deprivation and Rates of Treated Mental DisorderThe British Journal of Psychiatry, 1991
- Mental health needs assessment with social indicators: An empirical case studyAdministration and Policy in Mental Health and Mental Health Services Research, 1987
- Ecological correlates of psychiatric illness in the City of CalgarySocial Indicators Research, 1986
- Underprivileged areas: validation and distribution of scores.BMJ, 1984
- Identification of underprivileged areas.BMJ, 1983
- ON THE SUPPOSED INCREASE OF INSANITYAmerican Journal of Psychiatry, 1852