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. 2021 Jul 29;80(1):1946324. doi: 10.1080/22423982.2021.1946324
PSYCHIATRIC DISEASES (n = 8)
Author (year, journal) Setting Topic Populations’ characteristics Outcomes Main results STROBE
Carriere (2018, Statistics Canada) (82)
  • All provinces excluding Ontario and Quebec

  • Retrospective

Mental disorders
Hospitalisation
  • First Nations people on-reserve (Gr 1)

  • First Nations people off-reserve (Gr 2)

  • Non-Indigenous people (Gr 3)

  • All ages

  • F/M

Rate ratios for age-standardised hospitalisation rates/100,000 (95% CI) Total: Gr 1: 2.4 (2.3-2.5); Gr 2: 2.0 (1.9-2.1)
Substance-related: Gr 1: 7.0 (6.6-7.4); Gr 2: 4.3 (3.8-4.8)
Mood: Gr 1: 1.2 (1.1-1.3); Gr 2: 1.6 (1.4-1.8)
Schizophrenic/Psychotic: Gr 1: 1.8 (1.6-2.0); Gr 2: 1.9 (1.6-2.2)
Anxiety: Gr 1: 2.3 (2.0-2.7); Gr 2: 1.7 (1.3-2.3)
Organic: Gr 1: 1.1 (0.9-1.3); Gr 2: 1.0 (0.7-1.3)
Personality: Gr 1: 1.2 (0.9-1.5); Gr 2: 1.3 (0.9-2.1)
Other: Gr 1: 1.7 (1.6-1.9); Gr 2: 1.5 (1.3-1.8)
15/22
D’Arcy (1979, Can J Psychiat) (83)
  • Saskatchewan

  • Descriptive

Mental illnesses
Hospitalisation
  • Indigenous people (Gr 1)

  • Non-Indigenous people (Gr 2)

  • All ages

  • F/M

Admissions per 10,000 population
Gr 1/Gr 2
Total: 41/36; Psychoses: 16/19; Psychoneuroses: 12/7; Personality/Behaviour: 9/6; Mental Retardation: 1/0; Other/Unknown: 3/4 6/22
Dalrymple (1995, Can J Psychiat) (14)
  • Ontario

  • Retrospective

Mental illnesses
Hospitalisation
  • Indigenous people (Gr 1)

  • Non-Indigenous people (Gr 2)

  • All ages

  • F/M

Consumer satisfaction survey (% Gr 1/% Gr 2)
Length of stay in 1991-1992 (days)
Schizophrenia and other psychoses: 31.5%/37.8%;
Mood disorders: 15.7%/21.3%; Substance abuse disorders: 0%/3.8%; Anxiety, Adjustment, Conduct and personality disorders: 0%/2.9%; Other disorders: 42.1%/33.9%
Gr 1: 69.5; Gr 2: 32.8
14/22
Lavoie (2018, Int J Equity Health) (84)
  • British Columbia

  • Retrospective

Mental health related-ambulatory care sensitive conditions
Hospitalisation
  • First Nations people (Gr 1)

  • British Columbia people (Gr 2)

  • All ages

  • F/M

Access to care
Hospitalisation rate for mental health conditions
Length of stay
First Nation communities served by nursing station have the lowest rate of hospitalisation. Communities served by health centres have highest rate of hospitalisation (poorer access to care).
First Nations living off-reserve had significantly higher hospitalisation rates
People in Gr 2 stay 4-6 days longer than Gr 1 in the hospital.
17/22
Lavoie (2020, Can J of Pub Health) (32)
  • Manitoba

  • Retrospective

Mental illnesses
Hospitalisation
  • First Nations people (Gr 1)

  • Manitoba’s population (Gr 2)

  • All ages

  • F/M

Hospitalisation rates/1000
(95% CI; p)
Adjusted rate of length of stay
Gr 1: 26.00 (17.59-38.42; p < 0.0001)
Gr 2: 12.55 (12.34-12.75; p = 0.8596)
Gr 1: 9.79 (7.08-13.52; p = 0.0466)
Gr 2: 23.68 (23.60-23.76; p=0.5596)
17/22
Newton (2012, CMAJ) (103)
  • Alberta

  • Retrospective

Mental health crisis
ED visits
  • First Nations people (Gr 1)

  • Alberta’s population (Gr 2)

  • <18 y.o.

  • F/M

Median length of stay in hours (95% CI)
Age and sex-adjusted standardised visit rate/100,000 for Gr 1 (p = 0.004)
Age and sex-adjusted standardised visit rate/ 100,000 for Gr 1 of 15-17 y.o.
Hazard ratio for time to physician follow-up visit for Gr 1 (95% CI)
Gr 1: 2h27 (1h05-5h40); Gr 2: 3h (1h30-5h21)
2002-2003: 1368.0
2007-2008: 1664.0
Females: 7047.6
Males: 5787.3
Psychiatrist: 0.47 (0.32-0.70)
16/22
Newton (2016, Pediatr emerg care) (107)
  • Alberta

  • Retrospective

Anxiety and stress disorders
ED visits
  • First Nations people (Gr 1)

  • Alberta’s population (Gr 2)

  • < 18 y.o.

  • F/M

ED visit rates/100,000 (95% CI)
Follow-up visits
2002-2003: Gr 1: 263.49 (218.43-308.55);
Gr 2: 126.87 (119.16-134.57)
2010-2011: Gr 1: 345.59 (294.18-397.00);
Gr 2: 168.95 (160.51-177.39)
Gr 1 children had less follow-up visits after discharge. Median time to follow-up visits = 32 days.
17/22
Soleimani (2016, BMC Psychiatry) (85)
  • Alberta

  • Retrospective

Psychotic symptoms
Hospitalisation
  • First Nations people (Gr 1)

  • Alberta’s general population (Gr 2)

  • 13-17 y.o.

  • F/M

Hazard ratio for inpatient hospitalisation within 90 days of first ED visit (95% CI) Gr 1 females: 4.18 (1.24-14.06)
Gr 1 males: 0.57 (0.13-2.49)
17/22