Kirkbride James B
Sir Henry Dale Fellow, Division of Psychiatry, University College London, UCL, 2nd Floor Charles Bell House, 67-73 Riding House Street, London W1W 7E, UK.
Health Place. 2014 Jul;28(100):150-2. doi: 10.1016/j.healthplace.2014.04.010. Epub 2014 May 20.
Recent research published in Health and Place (Ngamini Ngui et al., 2013b) found that one third of people with first episode psychosis [FEP] will have made a large-scale migration six years after initial diagnosis. Here, I extend this discussion around three important observations. Namely, at first presentation the most disadvantaged communities already shoulder the burden of psychotic morbidity; people with FEP in more rural communities migrate less often, and; people with FEP exhibit both upwards and downwards social mobility after onset. Understanding the reasons for (non-)migration before and after psychosis onset is now required for effective public mental health and service provision.
发表于《健康与场所》（恩加米尼·恩吉等人，2013年b期）的近期研究发现，三分之一的首发精神病患者在初次诊断六年后会进行大规模迁移。在此，我围绕三个重要观察结果展开这一讨论。具体而言，在首次就诊时，最弱势的社区已经承担了精神病发病率的负担；农村社区的首发精神病患者迁移的频率较低，以及；首发精神病患者在发病后表现出向上和向下的社会流动。为了有效地提供公共心理健康和服务，现在需要了解精神病发作前后（不）迁移的原因。
