Table 2.
Comparisons in clinical presentation characteristics and pathways to care between FEP-C (control) and PROD (prodrome) groups
| Clinical presentation and pathways to care | FEP-C (n = 283; 83.7%) | PROD (n = 14; 4.1%) | Unadjusted OR (95% CI) | Adjusteda OR (95% CI) |
|---|---|---|---|---|
| Median (IQR)/n(%) | Median (IQR)/n(%) | |||
| DUP, d | 86 (13–368) | 19 (6–40) | 0.99 (0.96–1.00) | 0.99 (0.96–1.00) |
| Source of referral | ||||
| General Practitioner | 67 (24.4) | 6 (46.2) | 2.64 (0.71–9.53) | 2.82 (0.75–10.34) |
| Emergency services | 124 (45.3) | 2 (15.4) | 0.22 (0.02–1.04) | 0.19* (0.02–0.91) |
| Health & social worker | 34 (12.4) | 4 (30.8) | 0.38 (0.01–2.71) | 0.43 (0.01–3.10) |
| Criminal justice agency | 49 (17.9) | 1 (7.7) | 3.12 (0.66–11.96) | 3.23 (0.68–12.68) |
| Mode of onset | ||||
| Acute | 121 (43.7) | 3 (27.3) | 0.48 (0.08–2.07) | 0.42 (0.07–1.85) |
| Gradual | 56 (20.2) | - | 0.26 (0.00–1.63) | 0.28 (0.00–1.80) |
| Insidious | 100 (36.1) | 8 (72.7) | 4.69* (1.10–28.09) | 5.17* (1.18–31.51) |
DUP duration of untreated psychosis, GP general practitioner, IQR 25th and 75th Percentiles range, S.D. standard deviation, df degree of freedom, d days, CI confidence intervals, FEP-C (control) group FEP patients who present to mental health services for FEP without prior contact with the prodromal services, PROD (prodrome) group FEP patients who had first presented to the prodromal services with the ARMS and who, by definition, subsequently transitioned to FEP
*p < 0.05, ** p < 0.01, ***p < 0.001
aAdjusted for age at the first contact with mental health services