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

Soc Psychiatry Psychiatr Epidemiol. 2005 Aug;40(8):619-21. doi: 10.1007/s00127-005-0948-4. Epub 2005 Aug 16.

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.

MeSH terms

  • Adult
  • Female
  • Health Behavior*
  • Health Services / statistics & numerical data*
  • Humans
  • Male
  • Patient Acceptance of Health Care*
  • Psychotic Disorders / epidemiology*
  • Psychotic Disorders / psychology*
  • Singapore / epidemiology
  • Time Factors