Psychological Medicine
Volume 42, Issue 11, 2012, Pages 2255-2264

First-episode psychosis at the West Bologna Community Mental Health Centre: Results of an 8-year prospective study (Review)

Tarricone I.* , Mimmi S. , Paparelli A. , Rossi E. , Mori E. , Panigada S. , Carchia G. , Bandieri V. , Michetti R. , Minenna G. , Boydell J. , Morgan C. , Berardi D.
  • a Institute of Psychiatry, Bologna University, Viale Pepoli 5, 40123 Bologna, Italy, West Bologna Mental Health Department, AUSL, Bologna, Italy
  • b Public Health Department, Bologna University, Italy
  • c Institute of Psychiatry, King's College, London, United Kingdom
  • d Institute of Psychiatry, Bologna University, Viale Pepoli 5, 40123 Bologna, Italy
  • e Institute of Psychiatry, Bologna University, Viale Pepoli 5, 40123 Bologna, Italy
  • f Institute of Psychiatry, Bologna University, Viale Pepoli 5, 40123 Bologna, Italy
  • g Institute of Psychiatry, Bologna University, Viale Pepoli 5, 40123 Bologna, Italy
  • h Institute of Psychiatry, Bologna University, Viale Pepoli 5, 40123 Bologna, Italy
  • i West Bologna Mental Health Department, AUSL, Bologna, Italy
  • j West Bologna Mental Health Department, AUSL, Bologna, Italy
  • k Institute of Psychiatry, King's College, London, United Kingdom
  • l Institute of Psychiatry, King's College, London, United Kingdom
  • m Institute of Psychiatry, Bologna University, Viale Pepoli 5, 40123 Bologna, Italy, West Bologna Mental Health Department, AUSL, Bologna, Italy

Abstract

Background Research mostly conducted in the UK and northern Europe has established that there are high rates of first-episode psychosis (FEP) in large cities and immigrant populations; moreover, psychosis has been found to be associated with cannabis use and early trauma. The present study aimed to evaluate the incidence rate of FEP and the distribution of several risk factors (e.g. age, ethnicity, substance abuse) in Bologna, Italy. Method The Bologna FEP (BoFEP) study is an 8-year prospective study. All FEP patients, 18a-64 years old, consecutively referred to the West Bologna Community Mental Health Centre (CMHC) from 2002 to 2009 were evaluated. Sociodemographic information, migration history and clinical data were collected through an ad-hoc schedule. Psychiatric diagnoses were recorded using the Schedule for Clinical Assessment of Neuropsychiatry (SCAN). Results The overall incidence rate (IR) in the BoFEP study was 16.4 per 100 000 person-years [95% confidence interval (CI) 13.9a-18.9]. The incidence was higher in young people, men and migrants (MI). Conclusions The IR of FEP found by the Bologna study is lower than that found by other European studies. However, as in other studies, the incidence was higher in certain groups. This heterogeneity has implications for policy and mental health service development, and for understanding the aetiology of psychosis. © 2012 Cambridge University Press.

Author Keywords

Incidence Migrants First-episode psychosis Psychosis risk factors

Index Keywords

Community Mental Health Centers urban population prospective study schizophrenia Prospective Studies human middle aged statistics and numerical data Young Adult Humans Adolescent male female Psychotic Disorders risk factor Risk Factors Incidence adult Italy community mental health center
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84869998326&doi=10.1017%2fS0033291712000335&partnerID=40&md5=cfcc3231e432952d9a37ed389650979b
DOI: 10.1017/S0033291712000335
ISSN: 00332917
Cited by: 17
Original Language: English