The Psychiatrist (2009) 33: 288-290. doi: 10.1192/pb.bp.108.021360
© 2009 The Royal College of Psychiatrists
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Ethnicity and outcome of appeal after detention under the Mental Health Act 1983

Ramin Nilforooshan, Specialist Registrar Psychiatry

Scutari Clinic, Adamson Centre, St Thomas’ Hospital, London SE1 7EH, email: ramin.nilforooshan{at}slam.nhs.uk

Rizkar Amin, Consultant Psychiatrist

Park Royal Centre for Mental Health, London

James Warner, Consultant and Honorary Senior Lecturer in Older Adult Psychiatry

St Charles Hospital, London

Declaration of interest

None.

AIMS AND METHOD

There is insufficient research into the relationship between ethnicity and appeals against detention under mental health legislation. We sought to identify rates and success of appeals in different ethnic groups through a retrospective analysis of all detentions under the Mental Health Act 1983 over 1 year.

RESULTS

We found high rates of appeals overall, with substantial differences between ethnic groups (36 (39%) White British compared with 71 (63%) Black Caribbean (P = 0.0001) and 21 (68%) White Irish (P = 0.01) individuals (Yates corrected chi-squared)). Success rates on appeal were very low in all groups.

CLINICAL IMPLICATIONS

There are significant ethnic differences in appeals against detention under the Mental Health Act.




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