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Patterns and predictors of hospitalisation in first-episode psychosis : prospective cohort study
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Sipos, Attila, Harrison, Glynn, Gunnell, David, Amin, Shazad and Singh, Swaran P. (2001) Patterns and predictors of hospitalisation in first-episode psychosis : prospective cohort study. British Journal of Psychiatry, Volume 178 . pp. 518-523. doi:10.1192/bjp.178.6.518 ISSN 0007-1250.
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Official URL: http://dx.doi.org/10.1192/bjp.178.6.518
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.
| Item Type: | Journal Article | ||||
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| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Psychoses, Cohort analysis, Crisis intervention (Mental health services), Psychiatric hospital patients, Mental health services, Hospital utilization -- Forecasting | ||||
| Journal or Publication Title: | British Journal of Psychiatry | ||||
| Publisher: | Royal College of Psychiatrists | ||||
| ISSN: | 0007-1250 | ||||
| Official Date: | 2001 | ||||
| Dates: |
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| Volume: | Volume 178 | ||||
| Page Range: | pp. 518-523 | ||||
| DOI: | 10.1192/bjp.178.6.518 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access | ||||
| Version or Related Resource: | Response: Sipos, A., Harrison, G., Gunnell, D., Amin, S. and Singh, Swaran P. (2002) [Authors' reply] to Hospitalisation in first-episode psychosis by B. Sridharan, P. Arshad and M. Marcos. The British Journal of Psychiatry, Volume 180 (Number 1). pp. 84-85. http://wrap.warwick.ac.uk/id/eprint/58798 | ||||
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