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The Prevalence of Schizophrenia in Ireland-Reply

Dermot Walsh, MB, FRCPI; Kenneth S. Kendler, MD
Arch Gen Psychiatry. 1994;51(7):513-515. doi:10.1001/archpsyc.1994.03950070005002.
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In reply  Dr Torrey disagrees with one of the ancillary conclusions drawn from our analyses of the Roscommon Family Study.1 We argued that our results are not consistent with earlier claims of an elevated rate of schizophrenia in Ireland generally or, more specifically, in the West of Ireland.The question of high rates of schizophrenia in Ireland is an old issue that originated with reported high admission rates of Irish emigrants to New York State hospitals at the turn of the century.2 These results were complemented both by early hospital data from Ireland, which also suggested increased rates of mental illness in general and schizophrenia in particular,3 and more recently, by studies on the incidence of first hospitalization from the National Psychiatric In-Patient Reporting System, a nationwide register of admissions to and discharges from all Irish public and private psychiatric hospitals and units.4 However, the use of these firstadmission

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