Table 1.
Prospective Studies of Schizophrenia Outcomes in Low-Income Countries
Site | Follow-up (y) | Sample Type | Baseline (N) | Lost to Follow-up (%) | Mortality (%) | Follow-up (%) |
São Paulo, Brazil37,38,52,64 | 2 | Hospital | 124 | 11.3 | 5.6 | 83.1 |
Sichuan, China29,51,61,81 | 10a | Community | 510 | 7.8 | 19.2 | 72.9 |
Butajira, Ethiopia32,33,42 | 1–4 | Community | 321 | 15.6 | 10.3 | 84.4b |
Chandigarh, India27 | 4.5–6+ | Clinic | 174 | 35.1 | 7.5 | 57.5 |
Chandigarh, India28,82 | 1.5–2.5 | Clinic | 112 | 16.1 | 2.7 | 81.2 |
Multisite study, India22,25,83 | 2 | Clinic | 386 | 11.9 | 4.4 | 83.7 |
Multisite study, India22,26,84 | 5 | Clinic | 386 | NA | NAc | 74.4 |
MLS,d India21,30,31,44,45,85,86 | 10 | Clinic | 90 | 5.6 | 10.0 | 84.4 |
First episode | ||||||
MLS, India20 | 20 | Clinic | 90 | 14.4 | 17.8 | 67.8 |
First episode | ||||||
Chennai,e India36,43,46 | 1 | Community | 49 | 0.0 | 0.0 | 100.0 |
Rural Karnataka, India41 | 1.5 | Community | 100 | 1.0 | 6.0 | 93.0 |
Bali, Indonesia23,54 | 11f | Hospital | 59 | 1.7 | 20.3 | 78.0 |
Jamaica39,87 | 1 | Community | 317 | 2.8 | 0.9 | 96.2 |
First episode | ||||||
Ilesa, Nigeria53 | 2.1–3.2 | Hospital | 116 | 11.2 | 7.8 | 81.0 |
Cape Town, South Africa47 | 2 | Hospital | 57 | 15.8 | NA | 84.2 |
First episode | ||||||
Trinidad88 | 1 | Community | 46 | 6.5 | NA | 93.5 |
First episode | ||||||
WHO studies | ||||||
Sofia, Bulgaria15 | 16 | First episode | 60 | 5.0 | 3.0 | 91.7g |
China15 | 12 | First episode | 89 | 12.4 | 22.5 | 65.2 |
Cali, Colombia15 | 26 | Clinic | 101 | 16.8 | 11.9 | 71.3 |
Agra, India15 | 26 | Clinic | 140 | 25.7 | 30.7 | 43.6 |
Chandigarh (rural), India15 | 15 | First episode | 54 | 13.0 | 18.5 | 68.5 |
Chandigarh (urban), India15 | 15 | First episode | 155 | 39.4 | 9.0 | 51.6 |
Ibadan, Nigeria11 | 2 | First episode | 142 | 31.0 | NA | 69.0 |
Note: MLS, Madras Longitudinal Study; NA, not applicable.
Outcomes based on 2-y follow-up of untreated subjects, mortality based on 10-y follow-up.
Eighteen cases who had died were included in follow-up analyses.
By year 5, 12 subjects (3.1%) had committed suicide.
Results from this study included in International Study of Schizophrenia.
Survey identified 265 persons with schizophrenia. Of these, 75 had never received treatment. Of this subsample, 49 accepted treatment and were followed-up.
Five-year retrospective study served as baseline.
Forty percent of subjects included were not interviewed. Follow-up assessments were based on medical records.