Early intervention versus standard care for psychosis in Hong Kong: a 10-year study
SKW Chan, EYH Chen, JYM Tang, CPY Chiu, MML Lam, DWS Chung, S Tso, SF Hung, KC Yip, ELW Dunn
Department of Psychiatry, The University of Hong Kong, Hong Kong
1. Psychotic patients who received early intervention had longer periods of employment, fewer hospitalisations, more time in symptomatic remission, fewer suicidal attempts and violent acts, and lower mortality over a 10-year period.
2. Early intervention improved the longitudinal outcomes of psychosis. Nonetheless, symptomatic remission and recovery rate did not differ significantly at 10 years between patients with early intervention and patients with standard care. Early intervention did not alter the symptomatic trajectory of schizophrenia-spectrum disorders.
3. Re-examination of the optimum duration of early intervention should be considered.