ArticleBJPsych open2018
Discharge pathways and relapse following treatment from early intervention in psychosis services.
Article in BJPsych open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Specialised early intervention teams (extended time) for recent-onset psychosis.The Cochrane database of systematic reviews · 2020Pooled it
- Smartphone-delivered self-management for first-episode psychosis: the ARIES feasibility randomised controlled trial.BMJ open · 2020Trial
- Identifying Research Priorities in Early Psychosis: A Collaborative Approach to Shaping the Future of Early Psychosis Clinical Trials in Australia.Early intervention in psychiatry · 2026Article
- Risk of bias in routine mental health outcome data: the case of Health of the Nation Outcome Scales.BMJ mental health · 2025Article
- Quality of discharge letters concerning readmissions to mental healthcare: case-control study.BJPsych open · 2025Article
- Discharge from secondary care services to primary care for adults with serious mental illness: a scoping review.BMC psychiatry · 2024Article
- Implementing and Evaluating a National Integrated Digital Registry and Clinical Decision Support System in Early Intervention in Psychosis Services (Early Psychosis Informatics Into Care): Co-Designed Protocol.JMIR research protocols · 2024Article
- Predictors of relapse and engagement in care one year after ending services in an urban safety net coordinated specialty care program for first episode psychosis.Schizophrenia research · 2024Article
- Discharge destinations for young people with a first episode of psychosis after attending an early intervention for psychosis service.The Australian and New Zealand journal of psychiatry · 2023Article
- Five-year illness trajectories across racial groups in the UK following a first episode psychosis.Social psychiatry and psychiatric epidemiology · 2023Article
- Neglecting the care of people with schizophrenia: here we go again.Psychological medicine · 2023Review
- Psychosis Relapse Prediction Leveraging Electronic Health Records Data and Natural Language Processing Enrichment Methods.Frontiers in psychiatry · 2022Article
- Development and external validation of an admission risk prediction model after treatment from early intervention in psychosis services.Translational psychiatry · 2021Article
- Early Signs Monitoring to Prevent Relapse in Psychosis and Promote Well-Being, Engagement, and Recovery: Protocol for a Feasibility Cluster Randomized Controlled Trial Harnessing Mobile Phone Technology Blended With Peer Support.JMIR research protocols · 2020Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundEarly intervention in psychosis (EIP) services are the dominant service model in the treatment of first-episode psychosis. They are a time-limited intervention and little is known about discharge destinations and outcomes once EIP treatment has concluded.
aimsTo understand discharge pathways and predictors of relapse in an EIP service.
methodWe collected data on all patients with an electronic health record treated by EIP services in Oxford Health NHS Foundation Trust in the UK between 12 January 2006 and 7 March 2017 (
resultsMost patients (83.5%) were discharged to primary care. Transfer to secondary care was associated with previous in-patient admissions (odds ratio (OR) = 1.92, 95% CI 1.54-2.39) and longer EIP treatment (OR = 1.04, 95% CI 1.03-1.06). Relapse rate was highest shortly after leaving EIP services. Relapse was associated with transfer to secondary care (hazard ratio (HR) = 2.75, 95% CI 1.75-4.31), higher deprivation (HR = 1.03, 95% CI, 1.01-1.05), a substance misuse disorder (HR = 1.81, 95% CI 1.01-3.26) and a comorbid diagnosis of a personality disorder (HR = 2.96, 95% CI 1.39-6.29).
conclusionsMost patients treated by the EIP service in Oxfordshire did not receive ongoing mental healthcare from secondary mental health services. We identified high deprivation and those with substance misuse problems or personality disorders as EIP populations with a high risk of relapse. DECLARATION OF INTEREST: None.
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