Barans Sam, Saavedra Justine L, Lardier David T, Tohen Mauricio, Lenroot Rhoshel, Bustillo Juan, Halperin Dawn, Friedman Bess, Loewy Rachel, Murray-Krezan Cristina, McIver Stephanie, Crisanti Annette S
Department of Psychology, Drexel University, Philadelphia, PA, USA.
Health Sciences Center, Department of Psychiatry and Behavioral Sciences, University of New Mexico, Albuquerque, NM, USA.
Community Ment Health J. 2025 Jul;61(5):913-922. doi: 10.1007/s10597-024-01430-z. Epub 2025 Jan 5.
Using the Cascade of Care framework, we explored the demographic and clinical characteristics of students at six stages in an early psychosis detection program at a college counseling center, with a focus on the transition between stages with the highest disengagement. We detailed and compared the demographic and clinical characteristics of those who (1) completed the Prodromal Questionnaire-Brief (PQ-B, N = 1588); (2) met the PQ-B cutoff score (n = 486); (3) were referred for secondary phone screening (n = 404); (4) completed secondary phone screening (n = 198); (5) completed a Coordinated Specialty Care (CSC) eligibility assessment (n = 51); and (6) were enrolled in CSC (n = 21). Education level and gender identity were associated with engagement at multiple stages of the early detection cascade. Graduate education level, transgender or gender diverse gender identity, alcohol use, and depressive symptoms predicted student follow-through with referral to secondary phone screenings.
利用“连续护理”框架，我们在一所大学咨询中心的早期精神病检测项目中，探讨了六个阶段学生的人口统计学和临床特征，重点关注参与度下降最高的阶段之间的过渡。我们详细描述并比较了以下人群的人口统计学和临床特征：（1）完成简易前驱问卷（PQ-B，N = 1588）的学生；（2）达到PQ-B临界分数的学生（n = 486）；（3）被转介进行二次电话筛查的学生（n = 404）；（4）完成二次电话筛查的学生（n = 198）；（5）完成综合专科护理（CSC）资格评估的学生（n = 51）；以及（6）参加CSC的学生（n = 21）。教育水平和性别认同与早期检测连续过程中多个阶段的参与度相关。研究生教育水平、跨性别或性别多样化的性别认同、饮酒情况和抑郁症状可预测学生是否会继续接受转介进行二次电话筛查。
