TITLE

Patterns and predictors of hospitalisation in first-episode psychosis. Prospective cohort study

AUTHOR(S)
Sipos, Attila; Harrison, Glynn; Gunnell, David; Amin, Shazad; Singh, Swaran P.; Sipos, A; Harrison, G; Gunnell, D; Amin, S; Singh, S P
PUB. DATE
June 2001
SOURCE
British Journal of Psychiatry;Jun2001, Vol. 178, p518
SOURCE TYPE
Academic Journal
DOC. TYPE
journal article
ABSTRACT
Background: Little is known about predictors of hospitalisation in patients with first-episode psychosis.Aims: To identify the pattern and predictors of hospitalisation of patients with a first psychotic episode making their first contact with specialist services.Method: Three-year follow-up of a cohort of 166 patients with a first episode of psychosis making contact with psychiatric services in Nottingham between June 1992 and May 1994.Results: Eighty-eight (53.0%) patients were admitted within 1 week of presentation; 32 (19.3%) were never admitted during the 3 years of follow-up. Manic symptoms at presentation were associated with an increased risk of rapid admission and an increased overall risk of admission; negative symptoms and a longer duration of untreated illness had an increased risk of late admission.Conclusions: Community-oriented psychiatric services might only delay, rather than prevent, admission of patients with predominantly negative symptoms and a longer duration of untreated illness. First-episode studies based upon first admissions are likely to be subject to selection biases, which may limit their representativeness.
ACCESSION #
25204700

 

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