@article{ref1,
title="History of offending behavior in first episode psychosis patients: a marker of specific clinical needs and a call for early detection strategies among young offenders",
journal="Schizophrenia Research",
year="2014",
author="Marion-Veyron, Régis and Lambert, Martin and Cotton, Sue M. and Schimmelman, Benno G. and Gravier, Bruno and McGorry, Patrick D. and Conus, Philippe",
volume="161",
number="2-3",
pages="163-168",
abstract="OBJECTIVES: Previous literature suggests that early psychosis (EP) patients with a history of offending behavior (HOB) have specific clinical needs. The aims of this study were to assess: (1) the prevalence of HOB in a representative sample of EP; (2) the premorbid and baseline characteristics of patients with HOB, and (3) the potential differences in short-term outcome of such patients when compared to patients without HOB. <br><br>METHODS: The Early Psychosis Prevention and Intervention Centre (EPPIC) admitted 786 EP patients between 1998 and 2000. Data were collected from patients' files using a standardized questionnaire. Data of 647 patients could be analyzed. <br><br>RESULTS: HOB patients (29% of the sample) were more likely to be male with lower level of premorbid functioning and education, have used illicit substances and have attempted suicide. They presented with a more complex clinical picture and had poorer 18-month outcome. Most importantly, they had a significantly longer duration of untreated psychosis. <br><br>CONCLUSIONS: On the basis of the high prevalence and specific features of EP patients with HOB, our study confirms a need for additional research in this domain and for the development of specific treatment strategies. Most importantly, it suggests a need for the promotion of early detection strategies among the populations of young offenders, considering that some of them may be going through the early phases of a psychotic disorder and that reduction of treatment delay and provision of well adapted interventions may have a significant impact at numerous levels in such patients.<p /> <p>Language: en</p>",
language="en",
issn="0920-9964",
doi="10.1016/j.schres.2014.09.078",
url="http://dx.doi.org/10.1016/j.schres.2014.09.078"
}