BJPsych：接受精神病早期干预前治疗路径选择的人种差异

　　近期《英国精神病学杂志》》(The British Journal of Psychiatry)网络版刊登的一项队列研究的结果显示，不同人种的精神病未治疗期（the duration of untreated psychosis, DUP）存在差异或许是由于不同人种的精神障碍患者在选择何时进入早期干预机构，及选择以何种途径进入早期干预机构时持续存在差异。

　　在DUP期及精神病医疗机构的治疗路径选择中存在人种差异已被证实。早期干预机构对患者的干预治疗或许会改变上述轨迹，但之前尚未在早期干预机构中进行过相关人种差异研究。

　　本研究在未加干预及接受早期干预前治疗路径选择期间的人种差异进行了探索研究。对在伦敦八个早期干预机构接受干预管理的1024名精神障碍患者的相关资料进行研究后发现，与大部分组群相比英国白人患者的DUP较长。英国白人患者更倾向于向全科医生寻求医疗帮助，较少选择急诊治疗。所有的黑种人组都比与其对应的英国白种人组更易涉及刑事司法事件。

与精神病相关的拓展阅读： 

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Ethnic variations in pathways into early intervention services for psychosis†
Background
Ethnic variations have previously been identified in the duration of untreated psychosis (DUP) and pathways into psychiatric services. These have not been examined in the context of early intervention services, which may alter these trajectories.
Aims
To explore ethnic differences in the nature and duration of pathways into early intervention services.
Method
In a naturalistic cohort study, data were collected for 1024 individuals with psychotic disorders accepted for case management by eight London early intervention services.
Results
Duration of untreated psychosis was prolonged in the White British group compared with most other ethnic groups. White British individuals were more likely to make contact with their general practitioner and less likely to be seen within emergency medical services. All Black patient groups were more likely than their White British counterparts to experience involvement of criminal justice agencies.
Conclusions
Variations continue to exist in how and when individuals from different ethnic groups access early intervention services. These may account for disparities in DUP.