Mirza Tamoor, Taft William, He Vincent Yaofeng, Gooding Jade, Dingwall Kylie, Nagel Tricia
104539headspace Darwin, Royal Darwin Hospital, Charles Darwin University, NT, Australia.
8458Hutt Valley District Health Board, Wellington, New Zealand.
Australas Psychiatry. 2022 Aug;30(4):513-517. doi: 10.1177/10398562221075193. Epub 2022 Feb 23.
This study aims to estimate the incidence rate of first episode of psychosis (FEP) in the Top End of the Northern Territory (NT), exploring how rates vary by age, sex, Aboriginal status and remoteness.
Youths (ages 15-24) presenting with FEP to the two specialist mental health services in the Top End were identified through audit of the electronic health records between 2014-2018. Population demographic data were collected from the 2016 Australian National Census. Statistical analysis estimated variation in incidence rates by age, sex, Aboriginal status and remoteness.
A total of 236 youths with FEP were included in the study. The overall incidence rate was 174 per 100,000 person-years. Rates were very high in the Aboriginal (331 per 100,000 person-years) and remote populations (308 per 100,000 person-years), and lower in the non-Aboriginal population (85 per 100,000 person-years).
This study shows high rates of FEP in young people in the Top End, attributable to very high rates in the Aboriginal population, many of whom live in remote areas. Resources should be allocated to support this high-risk group.
本研究旨在估算北领地（NT）顶端地区首次发作精神病（FEP）的发病率，探讨发病率如何因年龄、性别、原住民身份和偏远程度而有所不同。
通过审核2014年至2018年的电子健康记录，确定在顶端地区两家专业心理健康服务机构就诊的患有FEP的青少年（年龄15 - 24岁）。人口统计数据取自2016年澳大利亚全国人口普查。统计分析估计了发病率在年龄、性别、原住民身份和偏远程度方面的差异。
共有236名患有FEP的青少年纳入本研究。总体发病率为每10万人年174例。原住民（每10万人年331例）和偏远地区人口（每10万人年308例）的发病率非常高，非原住民人口的发病率较低（每10万人年85例）。
本研究表明，顶端地区年轻人的FEP发病率很高，这归因于原住民人口的高发病率，其中许多人生活在偏远地区。应分配资源以支持这一高风险群体。
