Services for people at high risk improve outcomes in patients with first episode psychosis.
Acta Psychiatr Scand
; 133(1): 76-85, 2016 Jan.
Article
em En
| MEDLINE
| ID: mdl-26358300
ABSTRACT
OBJECTIVE:
About one-third of patients referred to services for people at high risk for psychosis may have already developed a first episode of psychosis (FEP). We compared clinical outcomes in FEP patients who presented to either high risk or conventional mental health services.METHOD:
Retrospective study comparing duration of hospital admission, referral-to-diagnosis time, need for compulsory hospital admission and frequency of admission in patients with FEP who initially presented to a high-risk service (n = 164) to patients with FEP who initially presented to conventional mental health services (n = 2779). Regression models were performed, controlling for several confounders.RESULTS:
FEP patients who had presented to a high-risk service spent 17 fewer days in hospital [95% CI -33.7 to (-0.3)], had a shorter referral-to-diagnosis time [B coefficient -74.5 days, 95% CI -101.9 to -(47.1)], a lower frequency of admission [IRR 0.49 (95% CI 0.39-0.61)] and a lower likelihood of compulsory admission [OR 0.52 (95% CI 0.34-0.81)] in the 24 months following referral, as compared to FEP patients who were first diagnosed at conventional services.CONCLUSION:
Services for people at high risk for psychosis are associated with better clinical outcomes in patients who are already psychotic.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Transtornos Psicóticos
/
Cuidado Periódico
/
Avaliação de Resultados da Assistência ao Paciente
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Limite:
Adolescent
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Adult
/
Female
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Humans
/
Male
Idioma:
En
Revista:
Acta Psychiatr Scand
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Reino Unido