Berkshire Healthcare NHS Foundation Trust, UK.
Br J Psychiatry. 2013 Apr;202(4):277-83. doi: 10.1192/bjp.bp.111.097865. Epub 2012 Sep 6.
Ethnic variations have previously been identified in the duration of untreated psychosis (DUP) and pathways into psychiatric services. These have not been examined in the context of early intervention services, which may alter these trajectories.
To explore ethnic differences in the nature and duration of pathways into early intervention services.
In a naturalistic cohort study, data were collected for 1024 individuals with psychotic disorders accepted for case management by eight London early intervention services.
Duration of untreated psychosis was prolonged in the White British group compared with most other ethnic groups. White British individuals were more likely to make contact with their general practitioner and less likely to be seen within emergency medical services. All Black patient groups were more likely than their White British counterparts to experience involvement of criminal justice agencies.
Variations continue to exist in how and when individuals from different ethnic groups access early intervention services. These may account for disparities in DUP.
先前已经确定了未经治疗的精神病持续时间（DUP）和进入精神科服务的途径在种族上存在差异。这些在早期干预服务的背景下尚未得到检验，而早期干预服务可能会改变这些轨迹。
探讨进入早期干预服务的性质和持续时间方面的种族差异。
在一项自然队列研究中，为 1024 名接受伦敦 8 个早期干预服务进行病例管理的精神障碍患者收集了数据。
与大多数其他种族群体相比，白种英国人的未治疗精神病持续时间较长。白种英国人更有可能与他们的全科医生联系，而不太可能在紧急医疗服务中就诊。所有黑人患者群体比他们的白种英国同龄人更有可能经历刑事司法机构的介入。
不同种族群体如何以及何时获得早期干预服务的方式仍存在差异。这些可能解释了 DUP 的差异。
