ArticleSocial psychiatry and psychiatric epidemiology2013
Help-seeking and pathways to care in the early stages of psychosis.
Article in Social psychiatry and psychiatric epidemiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.
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Who cites it
37 citing papers in PubMed, 3 syntheses or guidelines pooled it, 81 citations in OpenAlex.
- Sex and gender differences in symptoms of early psychosis: a systematic review and meta-analysis.Archives of women's mental health · 2022Pooled it
- Pathways to mental health services for young people: a systematic review.Social psychiatry and psychiatric epidemiology · 2018Pooled it
- Implementing family involvement in the treatment of patients with psychosis: a systematic review of facilitating and hindering factors.BMJ open · 2014Pooled it
- Positive affect in the family environment protects against relapse in first-episode psychosis.Social psychiatry and psychiatric epidemiology · 2014Trial
- Public Health Service Clinical Journeys of Patients With Primary Substance Use Disorders Who Are Subsequently Diagnosed With Non-Affective Psychotic Disorders.Early intervention in psychiatry · 2026Article
- Pathways to Mental Health Care: The Role of Religion and Spirituality in Help Seeking for Psychosis.Psychiatric services (Washington, D.C.) · 2026Review
- Feasibility and acceptability of unconditional cash transfers intervention among unemployed young adults with first-episode psychosis in South Africa: a pilot randomized controlled trial.International journal of mental health · 2026Article
- Adult psychiatrists' views on clozapine prescribing for schizophrenia in Germany-an online survey.Therapeutic advances in psychopharmacology · 2026Article
- Engagement, Disengagement and Re-Engagement in Mental Health Services Among Young Patients With First-Episode Psychosis: A Scoping Review.Early intervention in psychiatry · 2025Article
- A comparison of pathways to care in at-risk mental states and first episode psychosis: a mental health electronic clinical records analysis in the East of England, UK.Social psychiatry and psychiatric epidemiology · 2025Article
- Characteristics Associated with Engagement in the Early Detection Cascade of Care for Psychosis at a College Counseling Center.Community mental health journal · 2025Article
- Ethical challenges in contemporary psychiatry: an overview and an appraisal of possible strategies and research needs.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2024Article
- Strategies to promote treatment compliance: a grounded theory study with relatives of people with a serious mental health condition.BMC psychiatry · 2024Article
- Medical and Psychiatric Care Preceding the First Psychotic Disorder Diagnosis.Schizophrenia bulletin · 2024Article
- Finding the Right Setting for the Right Treatment During the Acute Treatment of Individuals with Schizophrenia: A Narrative Review and Clinical Practice Guideline.Neuropsychiatric disease and treatment · 2024Review
- Detecting at-risk mental states for psychosis (ARMS) using machine learning ensembles and facial features.Schizophrenia research · 2023Article
- Sex differences in the clinical presentation of early psychosis in a primary care setting.Archives of women's mental health · 2023Article
- Exploring sustainable care pathways - a scoping review.BMC health services research · 2022Article
- Mental health and help seeking among trauma-exposed emergency service staff: a qualitative evidence synthesis.BMJ open · 2022Review
- Clinical and Functional Differences Between Mexican Youth at Clinical High Risk for Psychosis and With Familial High Risk.Frontiers in psychology · 2022Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDelay in the treatment of a first psychotic episode can have a negative influence on the future course of the disease. In this context, it is important to examine pathways to care to understand factors contributing to delay in access to adequate care.
methodsUsing the Basel Interview for Psychosis, we examined the help-seeking behaviour of 61 individuals with an at-risk mental state for psychosis and 37 patients with a first episode of psychosis in a low threshold health care system as part of the Basel early detection of psychosis study.
resultsThe median duration of untreated illness was 3.4 years, of untreated psychosis 12 months. Eighty-six percent of all individuals sought help of some kind before reaching our specialised early detection outpatient clinic, with a mean number of help-seeking contacts of 1.5 prior to referral. The most frequent first help-seeking contacts were family members or relatives n = 24 (26.7 %), close friends n = 17 (17.9 %), psychiatrists in private practice n = 13 (14.4 %) or general practitioners n = 11 (12.2 %). Most patients consulted other health professionals in the early course of the illness before reaching our specialised service; help-seeking with non-medical institutions was rare. Women had more help-seeking contacts than men before contact with our early detection clinic.
conclusionsFamily, close friends and medical professionals play an important role in help-seeking leading to specialised psychiatric care. Men seek help less often; specific strategies for encouraging young, at-risk men to seek help should be developed.
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