Suicides, psychotic disorders and criminality among former child and adolescent psychiatric patients followed into adulthood

摘要: Background This investigation was designed to characterize psychotic disorders among patients originally treated as in- and outpatients by child adolescent psychiatric services subsequently followed-up into mid-adulthood. The age at the first onset on symptoms, possible changes in diagnoses, early signs noted prior or upon admission care differences between with early- later- disorder were of particular interest. Methods study population consisted (285 1115 outpatients) born 1957 1976 admitted units Jamtland County, Sweden, 1975 1990. status their mental health monitored until 2003 using official registries hospital records. Diagnoses based ICD-8 -9 systems, which used Sweden from 1968-1997, converted diagnoses according ICD-10, has been use since 1997. Comprehensive Assessment Risk Mental States employed assess information concerning psychopathology provided Results By end follow-up period 62 former (36 females 26 males), 4.4% entire group, had received an ICD-10 diagnosis "F20-29: Schizophrenia, schizotypal delusional disorders" (48) and/or "F30-39: Psychotic mood (14). One-third (21) these individuals given initial psychosis connection care. Two 21 not later for this general (adult) whereas remaining 19 diagnosed same type adults. other 41 only mean time symptoms 21.4 years (SD 6.4) corresponding median 18. Behavioural positive most frequent associated a "F20-F29: made during In cases where specific developed psychiatry involved unspecified psychopathology. Conclusions summary, it appears that are relatively uncommon Sweden. However, experiencing categorized may already exhibit typical 13-17; late-onset appear be any obvious before fully. Finally, certain adolescence seem have episodic.