Cougnard A, Parrot M, Grolleau S, Kalmi E, Desage A, Misdrahi D, Brun-Rousseau H, Verdoux H
University Victor Segalen Bordeaux2, Bordeaux, France.
Acta Psychiatr Scand. 2006 Apr;113(4):340-9. doi: 10.1111/j.1600-0447.2005.00694.x.
To explore the pattern of health service utilization over 2 years following a first admission for psychosis and the baseline characteristics predicting readmission.
Patients included in a cohort of first-admitted subjects with psychosis (n = 84) were assessed at the end of a 2-year follow-up using multiple sources of information.
At the end of the follow-up, one of three subjects had no contact with any mental health professional, and 38% of subjects had no contact with a psychiatrist. Half of the patients were readmitted over the 2-year follow-up. The baseline characteristics independently predicting psychiatric readmission were a high number of helping contacts before first admission and persistence of psychotic symptoms at discharge.
Decreasing the frequency of readmission in the early course of psychosis is a public health priority. Development of psychotherapeutic programs for subjects with early psychosis who have enduring psychotic symptoms at first discharge should be promoted.
探讨首次因精神病住院后2年的卫生服务利用模式以及预测再次入院的基线特征。
使用多种信息来源，在为期2年的随访结束时对首次因精神病入院的队列中的患者（n = 84）进行评估。
随访结束时，三分之一的患者未与任何心理健康专业人员接触，38%的患者未与精神科医生接触。在2年的随访期间，一半的患者再次入院。独立预测精神病再次入院的基线特征是首次入院前大量的求助接触以及出院时精神病症状的持续存在。
降低精神病早期病程中的再入院率是公共卫生的优先事项。应推动为首次出院时存在持续性精神病症状的早期精神病患者制定心理治疗方案。
