Emory University School of Medicine, Department of Psychiatry and Behavioral Sciences, 49 Jesse Hill Jr. Drive, S.E., Room #333, Atlanta, GA 30303, USA.
Schizophr Res. 2010 Feb;116(2-3):228-33. doi: 10.1016/j.schres.2009.09.006. Epub 2009 Sep 24.
Because dropping out of high school (i.e., secondary education) contributes prominently to numerous social, economic, and health conditions, formal public health initiatives promoting population health and social justice, especially in at-risk populations, are increasingly encouraged to address high school drop-out. The relative dearth of research attention on school drop-out prior to first treatment contact in young adults with psychotic disorders indicates a need for investigation of the associations between school drop-out and illness-related variables so that interventions may be tailored appropriately to this unique population.
This study provides a descriptive characterization of the prevalence and correlates of high school drop-out in a sample of 109 patients hospitalized for the evaluation and treatment of a first episode of nonaffective psychosis.
Findings from this urban, socially disadvantaged, predominantly African American sample indicate that school drop-out is a marker of diverse detrimental social problems in first-episode psychosis, and that further research is required to fully characterize the most appropriate interventions for such individuals.
Future research might seek to intervene through an integrated treatment approach that incorporates supported education, symptom reduction and management, and comorbid substance use treatment in first-episode patients.
由于高中辍学（即中等教育）对许多社会、经济和健康状况有显著影响，因此，越来越鼓励正式的公共卫生举措来促进人口健康和社会正义，特别是针对高危人群。在患有精神病的年轻人首次接受治疗之前，辍学问题在学校的研究关注度相对较低，这表明需要调查辍学与与疾病相关的变量之间的关联，以便可以针对这一独特人群进行适当的干预。
本研究对 109 名因首次发作非情感性精神病而住院评估和治疗的患者样本中高中辍学的发生率和相关因素进行了描述性特征描述。
这项来自城市、社会劣势、以非裔美国人为主的样本的研究结果表明，辍学是首次精神病发作中多种有害社会问题的标志，需要进一步研究以充分描述针对此类人群的最合适干预措施。
未来的研究可能会寻求通过一种综合治疗方法进行干预，该方法将支持教育、症状减轻和管理以及共病物质使用治疗纳入首次发作的患者中。
