Low incidence of psychosis in Italy: confirmation from the first epidemiological study in Sicily

Fabio Seminerio, Veronica Capuccio, Laura Ferraro, Giada Tripoli, Daniele La Barbera, Caterina La Cascia, Crocettarachele Sartorio, Marta Di Forti, Alice Mulè, Robin M. Murray, Tripoli, Kirkbride, La Barbera, James B. Kirkbride, Fearon, Alice Mulè, Lucia Sideli

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Purpose: The incidence of psychotic disorders varies in different geographical areas. As there have been no reports from Southern Italy, this study aimed to determine the incidence rate of first-episode psychosis in Palermo, Sicily. Methods: All patients, aged 18–65 years, presenting with a first episode of psychosis (FEP) (ICD-10 F20–29, F30–33) to mental health services in Palermo, were recorded over a 3-year period. Incidence rates of psychotic disorders and their 95% confidence intervals (95% CI) were estimated. Poisson regression was applied to estimate the differences in incidence rate ratio (IRR) by age, sex and migrant status. Results: Two hundred and four FEP participants were identified during the 3 years; 183 (89.7%, males n = 112) participants were native Italians and 21 were migrants (10.3%, males n = 14). The crude incidence of all psychoses was 15.9 (95% CI 13.7–18.1). As predicted, the risk of schizophrenia F20 was higher in males compared to females (adjusted IRR = 1.99, 95% CI 1.36–2.88) and in migrants compared to native Italians (adjusted IRR = 4.02, 95% CI 2.39–6.75). Conclusions: This study, the first from Sicily, confirms previous findings from Northern Italy that the risk of schizophrenia and other psychoses is much lower in Italian cities than those reported from cities in Northern Europe; the reasons for this disparity may provide important clues to the aetiology of psychosis.
Original languageEnglish
Pages (from-to)155-162
Number of pages8
JournalSocial Psychiatry and Psychiatric Epidemiology
Volume52
Publication statusPublished - 2017

All Science Journal Classification (ASJC) codes

  • Epidemiology
  • Health(social science)
  • Social Psychology
  • Psychiatry and Mental health

Fingerprint Dive into the research topics of 'Low incidence of psychosis in Italy: confirmation from the first epidemiological study in Sicily'. Together they form a unique fingerprint.

  • Cite this