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Remission one year after emergency admission is higher for substance-induced psychosis than primary psychosis

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Q What are the rates and predictors of remission at 1 year follow-up post emergency admission for substance-induced psychosis or primary psychosis?

METHODS

Embedded ImageDesign:

Prospective cohort study.

Embedded ImageSetting:

Five psychiatric emergency departments, upper Manhattan, New York, USA; time period not specified.

Embedded ImagePopulation:

386 adults (17–45 years old) admitted as psychiatric emergencies, with DSM-IV primary psychotic disorder or substance-induced psychosis, and using alcohol, or drugs or both in the previous 30 days. Exclusions: first hospitalisation for psychosis more than 6 months before the index admission; extended period of continuous psychotic symptoms with no prior treatment.

Embedded ImagePrognostic factors:

Baseline DSM-IV diagnosis, psychiatric symptom levels (Positive and Negative Syndrome Scale (PANSS)), demographic factors (Community Care Schedule), premorbid functioning (Premorbid Adjustment Scale (PAS)), duration of untreated psychosis (defined as number of days from first psychotic symptom reported by …

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