[Involuntary hospitalization in the first psychotic episodes: associated factors].

INTRODUCTION

The great majority of involuntary admissions at acute hospital units are related to severe psychiatric diseases. The aim of this study is to determine which are the characteristics and associated factors in first psychotic episodes not due to medical illness.

METHOD

It had been evaluated, 61 first psychotic episodes hospitalised in a General Hospital Psychiatric Unit. It was used a protocol with the SCID, SCID-PANSS, DSM-IV criteria, unified clinical history, and PANSS, and Philips scales.

RESULTS

67.2% of the patients were committed to the hospital. Only the PANNS positive subscale was significantly associated with the involuntary admission.

CONCLUSIONS

There is a high admission rate of involuntary inpatients with first psychotic episode. The involuntary admission is highly related to psychotic positive symptoms.