Andreou Christina, Bailey Barbara, Armando Marco, Micali Nadia, Huber Christian, Herbrecht Evelyn, Curtis Logos, Genoud Davina, Borgwardt Stefan, Plessen Kerstin Jessica, Conus Philippe, Solida Alessandra
Cliniques psychiatriques universitaires de Bâle, Université de Bâle, 4002 Bâle.
Service de psychiatrie de l'enfant et de l'adolescent, Département de psychiatrie, CHUV et Université de Lausanne, 1011 Lausanne.
Rev Med Suisse. 2021 Sep 22;17(751):1597-1601.
Approximately 2% of adolescents and young adults display symptoms indicating a high risk for psychotic disorders. Apart from a risk of 20-35% of developing a psychotic disorder, these individuals show high rates of persisting mental health problems and functional impairment, even in the absence of a psychotic transition. Treatment in specialized centers can improve outcomes in these patients, but the need to provide timely access to care needs to be balanced against the risks of premature psychiatrization, stigmatization and unnecessary medication treatment. The transcantonal project PsyYoung aims to optimize early detection in young people, while at the same time minimizing unnecessary psychiatrization. This will be achieved through improved networking across the entire care chain and a stepped-care intervention approach.
约2%的青少年和青年表现出表明有患精神障碍高风险的症状。除了有20%-35%发展为精神障碍的风险外，这些个体即使在没有精神状态转变的情况下，也表现出持续存在心理健康问题和功能损害的高发生率。在专门中心进行治疗可以改善这些患者的治疗效果，但在提供及时护理的需求与过早精神疾病化、污名化和不必要药物治疗的风险之间需要取得平衡。跨州项目“PsyYoung”旨在优化对年轻人的早期检测，同时尽量减少不必要的精神疾病化。这将通过改善整个护理链中的网络连接以及采用分级护理干预方法来实现。
