First-episode Psychosis and Migration in Italy: Results from a Study in the Italian Mental Health Services (Pep-Ita Study)

Ilaria Tarricone*, Giuseppe D’Andrea, Viviana Storbini, Mauro Braca, Silvia Ferrari, Corinna Reggianini, Marco Rigatelli, Carla Gramaglia, Patrizia Zeppegno, Eleonora Gambaro, Mario Luciano, Alessio Ceregato, Mario Altamura, Giuseppe Barrasso, Diego Primavera, Bernardo Carpiniello, Orlando Todarello, Vanna Berlincioni, Francesca Podavini, Craig MorganRobin M. Murray, Marta Di Forti, Roberto Muratori, Domenico Berardi

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Background: Migrants present high rates of psychosis. A better understanding of this phenomenon is needed. Methods: We conducted a multicentre First-Episode Psychosis (FEP) prospective study over two years (January 2012–December 2013) to evaluate first-generation migrants presenting with FEP at the participating Community Mental Health Centers (CMHCs). Results: 109 FEP migrants were identified. Almost half of them were highly educated, employed and in a stable affective relationship. The average age was 32.8 (± 9.8) years, and the average length of stay in Italy was 8.6 (± 8.8) years. About 2/3 of patients were referred to CMHCs following Emergency Department access or psychiatric admission. Conclusions: Our finding of a “high functioning portrait” of FEP migrants allow us to hypothesize that a high burden of negative psychosocial factors is likely to be needed for the FEP onset. Furtherly, mental health services should implement more appropriate resources and organizational methods to respond to migrants’ health needs.

Original languageEnglish
Pages (from-to)519-527
Number of pages9
JournalJournal of immigrant and minority health
Volume23
Issue number3
DOIs
Publication statusPublished - Jun 2021

Keywords

  • First-episode psychosis
  • Migrants
  • Pathway to care

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