Department of Psychiatry, Ajou University School of Medicine, Suwon, Korea.
Early Interv Psychiatry. 2010 May;4(2):119-23. doi: 10.1111/j.1751-7893.2010.00180.x.
To cut down on the time of untreated psychosis it is necessary to know the pathways to care of patients. We designed this study to examine patients' help seeking contacts. There have only been a few studies in developing countries examining the pathways to care, and this research is the first of its kind in Korea focusing on adolescents.
The sample consisted of 18 adolescents aged 15 to 18 years. We evaluated the Comprehensive Assessment of At-Risk Mental States and 'pathway to care' at the initial evaluation of the patient. 'Pathways to care' data was collected via an interview with the patient. In each interview, the prospective description of each participants' help contacts, from the initial suspected psychiatric illness until the first psychiatric help was noted.
In total, 14 contacts were made among the 18 patients. Of these, the most common contacts were either through a family member, teacher or the Internet. Thirty-three percent of high risk for psychosis adolescents sought help themselves.
Our findings showed that the Internet and family members were the key contacts in as many as 57% of high risk adolescents. In Korea, patients and caregivers both serve important roles in help seeking efforts. It is important for adolescents who are at high risk of psychosis in Korea to have easy access to information in recognizing mental health problems. Therefore, mass in-depth educating and public campaigning are important in recognizing the symptoms of early psychosis and in doing so can reduce the DUP.
为了缩短未经治疗的精神病发作时间，有必要了解患者的治疗途径。我们设计了这项研究来检查患者的求助接触点。在发展中国家，只有少数研究检查了治疗途径，而这项研究是韩国首例专门针对青少年的研究。
该样本由 18 名年龄在 15 至 18 岁的青少年组成。我们在患者的初始评估中评估了高危精神状态综合评估和“治疗途径”。通过与患者面谈收集了“治疗途径”数据。在每次面谈中，前瞻性地描述了每位参与者的求助接触点，从最初怀疑的精神疾病到首次寻求精神科帮助。
总共 18 名患者中有 14 名进行了接触。其中，最常见的接触者要么是通过家庭成员、教师，要么是通过互联网。33%的高风险精神病青少年自己寻求帮助。
我们的研究结果表明，在多达 57%的高风险青少年中，互联网和家庭成员是关键的接触点。在韩国，患者和照顾者在寻求帮助方面都发挥着重要作用。对于韩国高风险精神病的青少年来说，很重要的是能够轻松获得识别心理健康问题的信息。因此，大规模深入的教育和宣传活动对于识别早期精神病的症状很重要，并且可以减少 DUP。
