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Reducing the duration of untreated psychosis and changing help-seeking behaviour in Singapore

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Abstract

Aim

This study was conducted to examine the impact of early detection strategies of an early psychosis intervention programme on the duration of untreated psychosis (DUP) and the pattern of help-seeking behaviour.

Method

Patients with first-episode psychosis were compared before and after the initiation of a programme of public education and networking with primary health care providers. These two groups were compared on the DUP and the change in the pattern of help-seeking.

Results

The DUP was significantly reduced from a median of 12 to median of 4 months (p=0.002, Mann–Whitney U-test). There was an increase in the proportion of self and family referrals, and a fall in the proportion of police referrals.

Conclusion

Awareness campaigns which target multiple groups and use various modes of communication are effective in influencing the DUP and patterns of help-seeking.

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References

  1. Burnett R et al (1999) The first contact of patients with schizophrenia with psychiatric services: social factors and pathways to care in a multi-ethnic population. Psychol Med 29:475–483

    Article  PubMed  Google Scholar 

  2. Chong SA et al (in press) Determinants of duration of untreated psychosis and the pathway in Singapore. Int J Soc Psychiatry

  3. Johnstone EC et al (1986) The Northwick Park study of first episodes of schizophrenia. I. Presentation of the illness and problems relating to admission. Br J Psychiatry 148:115–120

    PubMed  Google Scholar 

  4. Larsen TK et al (1998) First-episode schizophrenia with long duration of untreated psychosis: pathways to care. Br J Psychiatry 172(suppl. 33):45–52

    Google Scholar 

  5. Larsen TK et al (2001) Shortened duration of untreated first episode of psychosis: changes in patient characteristics at treatment. Am J Psychiatry 158:1917–1919

    Article  PubMed  Google Scholar 

  6. Lieberman JA, Fenton WS (2000) Delayed detection of psychosis: causes, consequences, and effect on public health. Am J Psychiatry 157:1727–1730

    Article  PubMed  Google Scholar 

  7. McGlashan TH (1996) Early detection and intervention in schizophrenia: research. Schizophr Bull 22:327–345

    PubMed  Google Scholar 

  8. McGorry P et al (1996) EPPIC: an evolving system of early detection and optimal management. Schizophr Bull 22:305–326

    PubMed  Google Scholar 

  9. Melle I et al (2004) Reducing the duration of untreated first-episode psychosis: effects on clinical presentation. Arch Gen Psychiatry 61:143–150

    Article  PubMed  Google Scholar 

  10. Parker G et al (2001) Mental health literacy study of general practitioners: a comparative study in Singapore and Australia. Australas Psychiatry 9:55–59

    Article  Google Scholar 

  11. Philips MR (1998) The transformation of China’s mental health services. China J 39:1–36

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Institute of Mental Health, Woodbridge Hospital, 10 Buangkok View, Singapore, 539747, Singapore

    Siow-Ann Chong MBBS, MMed (Psych), S. Mythily MBBS, MD (Biochem) & Swapna Verma MD

Authors
  1. Siow-Ann Chong MBBS, MMed (Psych)
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  2. S. Mythily MBBS, MD (Biochem)
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  3. Swapna Verma MD
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Corresponding author

Correspondence to Siow-Ann Chong MBBS, MMed (Psych).

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Chong, SA., Mythily, S. & Verma, S. Reducing the duration of untreated psychosis and changing help-seeking behaviour in Singapore. Soc Psychiat Epidemiol 40, 619–621 (2005). https://doi.org/10.1007/s00127-005-0948-4

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  • DOI: https://doi.org/10.1007/s00127-005-0948-4

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