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. 2015 Jan 29;50(6):879–893. doi: 10.1007/s00127-015-1013-6

Table 2.

Case finding methods used in studies of course and outcome of psychoses in low and middle income countries

Authors Year Location Sample Case finding methodsa
Menezes et al. 1993 São Paulo, Brazil

n = 124

Any psychosis

Age 15–44 years

Prevalent cases

Hospital admissions

Cases identified through three psychiatric hospitals and the psychiatric ward of the general hospital in the study catchment area in Sao Paulo, Brazil

Ran et al. 2001 Sichuan, China

n = 510

Schizophrenia

No age criteria

Prevalent cases

Community survey

A cross-sectional survey of rural communities in the six townships of Xinjin County, China

Kebede et al. 2004 Butajira, Ethiopia

n = 318

Schizophrenia

Age 15–49 years

Prevalent cases

Community survey

A two-stage community survey of rural communities in Butajira, Ethiopia. First-stage screen; second-stage assessment of screen positives and proportion of screen negatives

Kulhara et al. 1978 Chandigarh, India

n = 174

Schizophrenia

Age15–60 years

Incident cases

Hospital admissions and outpatient clinics

Cases identified through the Department of Psychiatry, Postgraduate Institute of Medical Education and Research in Chandigarh, India

Kulhara et al. 1986 Chandigarh, India

n = 112

Schizophrenia

Age 15–56 years

Prevalent cases

Hospital admissions and outpatient clinics

Members of the Department of Psychiatry, Postgraduate Institute of Medical Education and Research, were asked to refer patients with diagnosis of schizophrenia to the research team

Verghese et al. 1990 Multi-site study, India

n = 386

Schizophrenia (with duration of illness of less than 2 years)

Age 15–45 years

Incident cases

Outpatient clinics

Consecutive patients who attended the psychiatry clinics of the participating centres

Thara et al. 1994 Madras Longitudinal Study, India

n = 90

Schizophrenia

Age 15–45 years

Incident cases

Hospital admissions or outpatient clinics

Patients seen at the Department of Psychiatry, Government General Hospital, Madras, India

Padmavati et al. 1998 Chennai, India

n = 261

Any psychosis

Mean age 36 years

Prevalent cases

Community Survey

Door-to-door survey of two residential areas with a population of around 100,000

Murthy et al. 2005 Rural Karnataka, India

n = 100

Schizophrenia

Age: not specified

Prevalent cases

Outpatient clinics

Patients attending eight outreach clinics and who were drug naive or had discontinued treatment after initial contact and had not received antipsychotic treatment for the previous 6 months

Kurihara et al. 2000 Bali, Indonesia

n = 59

Schizophrenia

Mean age 27 years (unclear if this is at baseline or 5-year follow-up)

Prevalent cases

Hospital admissions

Consecutive patients with no prior admissions admitted to Bangli State Mental Hospital

Hickling et al. 1995 Jamaica

n = 317

Non-affective psychoses

Age 15–54 years

Incident cases

Outpatient clinics and community services

All patients presenting to mental health services for the first time

Makanjoula et al. 1987 Ilesa, NIgeria

n = 116

Schizophreniform

Age: not specified

Prevalent cases

Hospital admissions

Consecutive new patients presenting to a psychiatric unit

Oosthuizen et al. 2005 Cape Town, South Africa

n = 57

Non-affective psychoses

Age 16–55 years

Incident cases

Hospital admissions

Individuals with a first-episode psychosis presenting to the Stikland–Tygerberg Hospital

Bhugra et al. 1996 Trinidad

n = 56

Any psychosis

Age 15–54 years

Incident cases

Hospital admissions, outpatient clinics and community services

All patients with a possible psychosis presenting to mental health services (including prison in-reach service, the private sector, and mental health officers) for a first time

Ganev et al. 1998 Sofia, Bulgaria

n = 60

Any psychosis

Age 16–45 years

Prevalent cases

Hospital admissions and outpatient clinics

Cases with an onset of illness of less than 2 years at the time of assessment

Hopper et al. 2007 China

n = 89

Schizophrenia

Mean age 42 years

Prevalent cases

Community survey

Persons living in 8 defined urban catchment areas and diagnosed with schizophrenia in the first national epidemiological survey of mental disorders in 1982

Hopper et al. 2007

Cali, Colombia

(WHO IPSS Study)

n = 101

Schizophrenia

Age 15–45 years

Mainly incident cases

Hospital admissions

Inpatients San Isidro Psychiatric Hospital; 90 % was first episode

Hopper et al. 2007

Agra, India

(WHO IPSS Study)

n = 140

Schizophrenia

Age 15–45 years

Prevalent cases

Outpatient clinics

Patients attending the outpatient department of Agra Mental Hospital

Jablensky et al.

(WHO Determinants of Outcome of Severe Mental Disorders Study)

1992 Multi-Country

n = 586 from developing countries (Agra, Cali Chandigarh, Ibadan)

Any psychosis

Age 15–54 years

Incident cases

All mental health services, healers and informants

In addition, mental health facilities outside the study catchment areas were monitored; leakage studies were conducted. Details of screening of healers and informants are limited

(a) Centres that applied the case finding without modification:

Aarhus (Denmark), Chandigarh (India), Dublin (Ireland), Honolulu (Hawaii), Moscow (Soviet Union), Nagasaki (Japan) and Nottingham (UK)

(b) Centres that had to introduce modifications:

Agra (India); Cali (Colombia); Ibadan (Nigeria); Prague (Czechoslovakia); Rochester (USA)

Incident cases refer to samples of first episode or first contact cases

aWe provide as much details as we could glean from published reports