Occupation and first episode psychosis in Northern Italy: Better outcomes for migrants

Aims: Many studies show that migrants have a higher incidence of psychosis compared to natives, but the influence of migration on psychosis outcomes is little investigated. We aimed to evaluate the occupational outcomes of a first episode psychosis (FEP) sample in Bologna (Northern Italy). Methods: An incidence cohort of FEP patients presenting at the Bologna West Community Mental Health Centers between 2002 and 2009 was assessed at the baseline and at 12th month follow-up. Return to school or work was used as occupational outcome. Results: Most of the patients (82.8%) were still in contact at 12months. Migrants showed significantly higher rate of return to work compared to natives (adjusted OR 4.45, 95% CI 1.55-12.76). Conclusions: First generation migrants had better occupational outcomes. Further cross-cultural studies are needed to further explain these findings.