Hospitalization trends among immigrants and natives in an acute psychiatric service: a descriptive study from Italy.

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Title: Hospitalization trends among immigrants and natives in an acute psychiatric service: a descriptive study from Italy.
Authors: Ventriglio, Antonio, Gaggiano, Costanza, Ricci, Fabiana, Giallanella, Daniela, Luciano, Mario, Sampogna, Gaia, Della Rocca, Bianca, Di Vincenzo, Matteo, Fiorillo, Andrea, Bellomo, Antonello
Source: International Review of Psychiatry. May/Jun2025, Vol. 37 Issue 3/4, p203-210. 8p.
Subjects: Mental illness treatment, Immigrants, Health services accessibility, Substance abuse, Medical care use, Psychiatric treatment, Academic medical centers, Hospital care, Mental illness, Cultural competence, Evaluation of medical care, Hospital emergency services, Affective disorders, Retrospective studies, Italians, Suicidal behavior, Research methodology, Medical records, Acquisition of data, Comparative studies, Psychoses, Health equity, Pathological psychology, Psychiatric drugs, Evaluation
Geographic Terms: Italy
Abstract: Acute psychiatric services are crucial for immigrants who face barriers in accessing outpatient mental healthcare due to socio-economic, cultural, and linguistic challenges. This study compared psychiatric hospitalization characteristics between immigrants and native Italians at the University of Foggia from 2004 to 2019. A total of 536 inpatients, equally divided between immigrants and natives, were analysed for sociodemographic and clinical variables. Findings revealed that immigrants were hospitalized through emergency departments for severe psychiatric disorders such as psychosis, while natives were more often admitted for mood disorders. Immigrants showed a higher incidence of substance abuse and suicidal attempts and a lower number of prior hospitalizations compared to natives, with higher incidence of first episodes of mental illness. Despite presenting with severe psychopathology, natives exhibited better clinical outcomes, longer hospitalizations and higher functioning improvements. We also found that natives received more psychotropic medications but experienced fewer adverse effects compared to immigrants. Differences in pharmacological treatments and hospital outcomes suggested that culturally tailored interventions could improve the effectiveness of psychiatric care for migrants. These findings emphasized the necessity for systemic changes in mental health services to address disparities and improve care for migrant populations. [ABSTRACT FROM AUTHOR]
Copyright of International Review of Psychiatry is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Hospitalization trends among immigrants and natives in an acute psychiatric service: a descriptive study from Italy.
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  Data: <searchLink fieldCode="AR" term="%22Ventriglio%2C+Antonio%22">Ventriglio, Antonio</searchLink><br /><searchLink fieldCode="AR" term="%22Gaggiano%2C+Costanza%22">Gaggiano, Costanza</searchLink><br /><searchLink fieldCode="AR" term="%22Ricci%2C+Fabiana%22">Ricci, Fabiana</searchLink><br /><searchLink fieldCode="AR" term="%22Giallanella%2C+Daniela%22">Giallanella, Daniela</searchLink><br /><searchLink fieldCode="AR" term="%22Luciano%2C+Mario%22">Luciano, Mario</searchLink><br /><searchLink fieldCode="AR" term="%22Sampogna%2C+Gaia%22">Sampogna, Gaia</searchLink><br /><searchLink fieldCode="AR" term="%22Della+Rocca%2C+Bianca%22">Della Rocca, Bianca</searchLink><br /><searchLink fieldCode="AR" term="%22Di+Vincenzo%2C+Matteo%22">Di Vincenzo, Matteo</searchLink><br /><searchLink fieldCode="AR" term="%22Fiorillo%2C+Andrea%22">Fiorillo, Andrea</searchLink><br /><searchLink fieldCode="AR" term="%22Bellomo%2C+Antonello%22">Bellomo, Antonello</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22International+Review+of+Psychiatry%22">International Review of Psychiatry</searchLink>. May/Jun2025, Vol. 37 Issue 3/4, p203-210. 8p.
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  Data: <searchLink fieldCode="DE" term="%22Italy%22">Italy</searchLink>
– Name: Abstract
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  Data: Acute psychiatric services are crucial for immigrants who face barriers in accessing outpatient mental healthcare due to socio-economic, cultural, and linguistic challenges. This study compared psychiatric hospitalization characteristics between immigrants and native Italians at the University of Foggia from 2004 to 2019. A total of 536 inpatients, equally divided between immigrants and natives, were analysed for sociodemographic and clinical variables. Findings revealed that immigrants were hospitalized through emergency departments for severe psychiatric disorders such as psychosis, while natives were more often admitted for mood disorders. Immigrants showed a higher incidence of substance abuse and suicidal attempts and a lower number of prior hospitalizations compared to natives, with higher incidence of first episodes of mental illness. Despite presenting with severe psychopathology, natives exhibited better clinical outcomes, longer hospitalizations and higher functioning improvements. We also found that natives received more psychotropic medications but experienced fewer adverse effects compared to immigrants. Differences in pharmacological treatments and hospital outcomes suggested that culturally tailored interventions could improve the effectiveness of psychiatric care for migrants. These findings emphasized the necessity for systemic changes in mental health services to address disparities and improve care for migrant populations. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of International Review of Psychiatry is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540261.2024.2410836
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      – Code: eng
        Text: English
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        PageCount: 8
        StartPage: 203
    Subjects:
      – SubjectFull: Mental illness treatment
        Type: general
      – SubjectFull: Immigrants
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Medical care use
        Type: general
      – SubjectFull: Psychiatric treatment
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      – SubjectFull: Academic medical centers
        Type: general
      – SubjectFull: Hospital care
        Type: general
      – SubjectFull: Mental illness
        Type: general
      – SubjectFull: Cultural competence
        Type: general
      – SubjectFull: Evaluation of medical care
        Type: general
      – SubjectFull: Hospital emergency services
        Type: general
      – SubjectFull: Affective disorders
        Type: general
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Italians
        Type: general
      – SubjectFull: Suicidal behavior
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Medical records
        Type: general
      – SubjectFull: Acquisition of data
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      – SubjectFull: Comparative studies
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      – SubjectFull: Psychoses
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      – SubjectFull: Health equity
        Type: general
      – SubjectFull: Pathological psychology
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      – SubjectFull: Psychiatric drugs
        Type: general
      – SubjectFull: Evaluation
        Type: general
      – SubjectFull: Italy
        Type: general
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      – TitleFull: Hospitalization trends among immigrants and natives in an acute psychiatric service: a descriptive study from Italy.
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              M: 05
              Text: May/Jun2025
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