Press Release

Caribbeans at No Greater Risk of Severe Mental Illness


Caribbean men are at no greater risk than white men of suffering from schizophrenia or psychosis, according to new research, despite the fact that they are up to five times more likely to be hospitalised for these conditions.

At the same time, other aspects of mental illness among Britain's ethnic minorities may be higher than previously suspected - and going untreated. For example, not one of the Caribbeans suffering from depression in the Policy Studies Institute survey was receiving medication for it.

Ethnicity and Mental Health, by Dr. James Nazroo, is based on the first systematic study of depression and psychosis among a representative sample of ethnic minority groups in Britain. The exhaustive study included interviews with 5,196 Caribbeans and Asians, plus 2,867 whites, followed by detailed clinical examinations. The research, also published today in an article in the international journal New Community, clarifies several important questions about the level of mental ill-health in Britain's minority communities.

Among the key findings:
  • The rate of psychosis was no greater among Caribbean men than among white men (about 1 per cent). However, other research has shown that Caribbeans, particularly young Caribbean men, are far more likely than whites to be receiving hospital treatment for psychosis;

  • Caribbeans were 60 per cent more likely to suffer depression than whites and Caribbean men were twice as likely to be depressed as white men. However, single people and lone parents experienced lower rates of depression than those who were married or co-habiting;

  • Overall, Caribbeans had the highest rates of mental illness, but Irish and other minority whites (those born outside Britain) seemed to suffer similar rates. The author suggests that 'ethnic minority status might increase the risk of mental illness, regardless of skin colour.' Chinese suffered the lowest rates of mental illness;

  • Contrary to research on deaths from suicide, South Asian women were no more likely to harbour suicidal thoughts than white women. Caribbeans, Irish and other minority whites were most likely to have thoughts of suicide. Indeed, as many as 7.2 per cent of young Caribbeans (aged 16 - 24) thought life not worth living, compared to 2.5 per cent of their white peers;

  • Indians, Pakistanis and Bangladeshis appeared less likely to suffer mental health problems than whites. However, this apparent shortfall occurred mainly in people who had recently arrived in Britain, who may not have been able to report their feelings of stress in terms which western diagnostic techniques recognized. These findings suggest that western psychiatric medicine may be failing to identify mental illness among South Asians;

  • Marriage or cohabitation increased the risk of mental illness for Caribbean women, although it reduced the risk for whites and South Asians. By contrast, class was inversely related to mental illness for all ethnic groups.

'These findings are crucial to our understanding of the relationship between mental illness and ethnicity' said James Nazroo. 'Differences in the rates of mental illness are not necessarily a direct consequence of ethnic background: differences in the social position of ethnic groups are important.

'The research presents us with three main challenges. First, care practitioners must be sensitive to the ways in which culture can affect the presentation of mental illness. Second, the high levels of depression among Caribbeans should be recognized and treated. Third, urgent investigation is needed into any possible differences in the ways in which white and Caribbean people suffering from spychosis are treated by psychiatric services. Caribbean men are far more likely to be admitted to hospital, compulsorily treated and treated in secure wards.'

A Briefing Paper is also available.


Notes for Editors:
  1. Ethnicity and Mental Health is available from Grantham Books on 01476 541080, priced £ 14.95.

  2. Rates of mental illness:

  3. Anxiety: whites (16%); Irish and other minority whites (28%); Caribbeans (12%); Pakistanis (10%); Indians and African Asians (9%); Chinese (8%) and Bangladeshis (5%).

  4. Depression: whites (3.8%); Irish and other minority whites (5.9%); Caribbeans (5.9%); Indians and African Asians (2.8%); Pakistanis (3.4%); Bangladeshis (1.7%); Chinese (1.6%).

  5. Suicidal thoughts: whites (2.5%); Caribbeans (3.8%); Irish and other minority whites (3.2%); Pakistanis (2.9%); Indians and African Asians (2.5%); Bangladeshis (0.7%); Chinese (0).

  6. Psychosis (rates per 1000): whites (8); Irish and other minority whites (11); Caribbeans (14); Indians and African Asians (6); Pakistanis (6); Bangladeshis (4); Chinese (2).

  7. The research was sponsored by the Department of Health.


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