TY  - JOUR
PY  - 2014//
TI  - 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
JO  - Schizophrenia Research
A1  - Marion-Veyron, Régis
A1  - Lambert, Martin
A1  - Cotton, Sue M.
A1  - Schimmelman, Benno G.
A1  - Gravier, Bruno
A1  - McGorry, Patrick D.
A1  - Conus, Philippe
SP  - 163
EP  - 168
VL  - 161
IS  - 2-3
N2  - 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>
LA  - en
SN  - 0920-9964
UR  - http://dx.doi.org/10.1016/j.schres.2014.09.078
ID  - ref1
ER  -