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Mar 13, 2019

27th European Congress of Psychiatry

12 - HELP SEEKING BEHAVIOUR, UNTREATED ILLNESS AND DURATION OF UNTREATED PSYCHOSIS AMONGST FIRST TIME PSYCHOSIS PATIENTS IN URBAN AND RURAL REGIONS IN LATVIA

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Abstract

Abstract

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Abstract

Background and Aims: Geography, which could possibly define socioeconomic environment, has an impact on service ability and therefore influences pathways to help seeking and delay of starting treatment (Kvig et al., 2017). Aim: Evaluate differences between two FEP patients’ cohorts in urban and rural regions in Latvia. All consecutive patients with FEP (n=207) were interviewed in two hospitals: Rigas Centre of psychiatry and addiction medicine, (n=113), time period 01.07.2017.-01.07.2018., and Daugavpils Psychoneurological hospital in rural region (n=94), period 01.01.2016.-31.12.2017. ICD-10 criteria for schizophrenia spectrum disorder was used, authors conducted structured interviews including sociodemographic data and clinical characteristics. The study was approved by the RSU Ethics committee. From all 113 consecutive FEP patients in Riga 68 (1st group) met the inclusion criteria; from 94 FEP in Daugavpils we included 77 (2nd group). There were 42 men (61,7%) in the 1st group, median age 29 y. (IQR 24,0-38,5), and 44 men (57,1%) in the 2nd group: median age 33 y. (IQR 27,0-43,0), p=0,067. DUP in the 1st group was 4 weeks (IQR 2.0 - 16.0) vs 4 weeks (IQR 1.0- 12.00) in the 2nd group, and DUI was 144 weeks (IQR 24.0- 240.0) vs 96 weeks (IQR 24.0- 192.0), p>0,05, respectively. Self-initiated visit of psychiatric ER in 1st group 12.7% vs 11,7% in 2nd group, relatives initiated- 74.5% vs 74,0% and medical workers initiated 9,1% vs 10.4%, p=0.994. Significant differences in help seeking behaviour between patients in city and rural region were not found. No significant differences in DUP or DUI was found between these regions.

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© Copyright 2019 Morressier GmbH.
All rights reserved.