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Related Experiment Videos

Help-seeking pathways in early psychosis.

Christoph Platz¹, Daniel S Umbricht, Katja Cattapan-Ludewig

¹Psychiatric Outpatient Services, University of Bern, Bern, Switzerland.

Social Psychiatry and Psychiatric Epidemiology

|October 13, 2006

Summary

Patients at risk for psychosis often contact general practitioners (GPs) with subtle symptoms. GPs need specialized training to better identify early psychosis signs, shortening patient help-seeking pathways.

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Area of Science:

Psychiatry
Mental Health Services Research

Background:

Understanding patient help-seeking is crucial for developing effective specialized psychosis care.
Identifying delays in accessing specialized services is key for timely intervention.

Purpose of the Study:

To investigate the help-seeking pathways of individuals at putative risk for psychosis.
To determine the types of health professionals contacted, number of contacts, and symptom presentation leading to referrals.

Main Methods:

Prospective study involving 104 patients with suspected at-risk states for psychosis.
Assessment of help-seeking pathways, including professional contacts and symptom types.

Main Results:

Patients made an average of 2.38 contacts before referral.

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Psychotic symptoms led to contact with mental health professionals.

Insidious and unspecific symptoms were more frequently reported to general practitioners (GPs).

Conclusions:

GPs often under-identify insidious psychosis features, despite being the initial contact for such cases.
Targeted training for primary care physicians is needed to improve early psychosis detection.
Enhanced primary care identification can shorten help-seeking delays, particularly for schizophrenia spectrum disorders.