Reducing treatment delay for early intervention: evaluation of a community based crisis helpline
<p>Abstract</p> <p>Background</p> <p>A limited number of studies have assessed the pathways to care of patients experiencing psychosis for the first time. Helpline/clinic programs may offer patients who are still functional but have potential for crisis an alternative t...
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doaj-84d9b0edc0684fce89396b98a13536132020-11-24T23:04:55ZengBMCAnnals of General Psychiatry1744-859X2012-07-011112010.1186/1744-859X-11-20Reducing treatment delay for early intervention: evaluation of a community based crisis helplineShrivastava Amresh KJohnston Megan EStitt LarryThakar MeghanaSakel GopaIyer SunitaShah NileshBureau Yves<p>Abstract</p> <p>Background</p> <p>A limited number of studies have assessed the pathways to care of patients experiencing psychosis for the first time. Helpline/clinic programs may offer patients who are still functional but have potential for crisis an alternative that is free from judgment.</p> <p>Methods</p> <p>In this study we report on patient calling a round-the-clock crisis helpline for suicide prevention supported by psychiatric facilities in Mumbai, India. Chi-square and test of mean differences were used to compare outcomes between first-episode patients and those with a previous history.</p> <p>Results</p> <p>Within five years, the helpline received 15,169 calls. Of those callers, 2341 (15.4%) experienced suicidal ideation. Two hundred and thirty four patients opting for counseling lasting 12 months agreed to a psychiatric assessment. Of those, 32 were fist time psychosis sufferers, whereas, 54 had previously been psychotic. Of all psychiatric assessments, the clinic received 94 patients with ‘first-episode psychosis’. We found that the duration of illness was significantly shorter (17 vs. 28 months) and suicide attempts were fewer (16 vs. 21) in first-time psychosis sufferers compared to those with a treatment history.</p> <p>Conclusions</p> <p>We conclude that some first-episode patients of schizophrenia and other disorders do access services by using helplines. We also argue that helplines may be somewhat immune to stigma, allowing patients a safe alternative when finding help.</p> http://www.annals-general-psychiatry.com/content/11/1/20HelplineStigmaPsychosisEarly interventionDuration of treatment |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Shrivastava Amresh K Johnston Megan E Stitt Larry Thakar Meghana Sakel Gopa Iyer Sunita Shah Nilesh Bureau Yves |
spellingShingle |
Shrivastava Amresh K Johnston Megan E Stitt Larry Thakar Meghana Sakel Gopa Iyer Sunita Shah Nilesh Bureau Yves Reducing treatment delay for early intervention: evaluation of a community based crisis helpline Annals of General Psychiatry Helpline Stigma Psychosis Early intervention Duration of treatment |
author_facet |
Shrivastava Amresh K Johnston Megan E Stitt Larry Thakar Meghana Sakel Gopa Iyer Sunita Shah Nilesh Bureau Yves |
author_sort |
Shrivastava Amresh K |
title |
Reducing treatment delay for early intervention: evaluation of a community based crisis helpline |
title_short |
Reducing treatment delay for early intervention: evaluation of a community based crisis helpline |
title_full |
Reducing treatment delay for early intervention: evaluation of a community based crisis helpline |
title_fullStr |
Reducing treatment delay for early intervention: evaluation of a community based crisis helpline |
title_full_unstemmed |
Reducing treatment delay for early intervention: evaluation of a community based crisis helpline |
title_sort |
reducing treatment delay for early intervention: evaluation of a community based crisis helpline |
publisher |
BMC |
series |
Annals of General Psychiatry |
issn |
1744-859X |
publishDate |
2012-07-01 |
description |
<p>Abstract</p> <p>Background</p> <p>A limited number of studies have assessed the pathways to care of patients experiencing psychosis for the first time. Helpline/clinic programs may offer patients who are still functional but have potential for crisis an alternative that is free from judgment.</p> <p>Methods</p> <p>In this study we report on patient calling a round-the-clock crisis helpline for suicide prevention supported by psychiatric facilities in Mumbai, India. Chi-square and test of mean differences were used to compare outcomes between first-episode patients and those with a previous history.</p> <p>Results</p> <p>Within five years, the helpline received 15,169 calls. Of those callers, 2341 (15.4%) experienced suicidal ideation. Two hundred and thirty four patients opting for counseling lasting 12 months agreed to a psychiatric assessment. Of those, 32 were fist time psychosis sufferers, whereas, 54 had previously been psychotic. Of all psychiatric assessments, the clinic received 94 patients with ‘first-episode psychosis’. We found that the duration of illness was significantly shorter (17 vs. 28 months) and suicide attempts were fewer (16 vs. 21) in first-time psychosis sufferers compared to those with a treatment history.</p> <p>Conclusions</p> <p>We conclude that some first-episode patients of schizophrenia and other disorders do access services by using helplines. We also argue that helplines may be somewhat immune to stigma, allowing patients a safe alternative when finding help.</p> |
topic |
Helpline Stigma Psychosis Early intervention Duration of treatment |
url |
http://www.annals-general-psychiatry.com/content/11/1/20 |
work_keys_str_mv |
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