期刊
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY
卷 44, 期 9, 页码 710-715出版社
SPRINGER HEIDELBERG
DOI: 10.1007/s00127-008-0490-2
关键词
drug-induced psychosis; first-episode psychosis; schizophrenia; hospitalisation; violence; engagement with services
类别
资金
- Lena Teague Bequest Fund
- NHS Trust
Little is known about first-episode drug-induced psychosis (F19.5). To examine the incidence, course, diagnostic stability, and outcomes of first-episode drug-induced psychosis (F19.5), and compare with first-episode schizophrenia (F20-21). An observational database was set up on all patients aged 16 and over with a first episode psychosis living in a county in Northern England between October 1998 and October 2005. Data were collected at presentation and annual follow-up. Information on patients with an ICD-10 diagnosis of either drug-induced psychosis (F19.5) or schizophrenia (F20) was compared. There was no significant difference between the two groups in levels of hospitalisation and violence. Patients with a drug-induced psychosis were more likely to lose contact with services, and a third developed a schizophrenia-spectrum disorder. Increased attention should be paid to maintaining engagement with this high-risk group who have a high rate of transition to schizophrenia.
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