Early Intervention in Psychiatry最新文献

{"title":"Using a Learning Health System to Integrate Peer Support in Early Intervention Services for Psychosis in Quebec: Protocol for a Participatory, Mixed-Methods Study (the PAIRPEP Project)","authors":"Beatrice Todesco,&nbsp;Srividya N. Iyer,&nbsp;Manuela Ferrari,&nbsp;Marc-André Roy,&nbsp;Marie-Hélène Morin,&nbsp;Julie Marguerite Deschênes,&nbsp;Camille Arbaud,&nbsp;Gabriel Julien,&nbsp;Annie Bossé,&nbsp;Mary Anne Levasseur,&nbsp;Amal Abdel-Baki","doi":"10.1111/eip.70092","DOIUrl":"10.1111/eip.70092","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Since 2019, SARPEP (Système Apprenant Rapide pour les programmes de Premiers Épisodes Psychotiques), a rapid learning health system (RLHS) for Quebec's Early Intervention for Psychosis Services, operates to bridge the evidence-practice gap across the province. Despite strong stakeholder support and government recommendations, peer support services remained poorly available. To address this gap, since 2023, the PAIRPEP project was co-developed to support and evaluate the implementation of peer support and family peer support. This paper describes the co-designed study protocol, embedded within this RLHS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This participatory, mixed-methods study aims to examine the implementation of the PAIRPEP intervention longitudinally over 3 years across 12 Early Intervention Services and its impact on multiple stakeholders. Informed by the Medical Research Council framework for complex interventions, the project includes a co-designed (with multiple stakeholders) multimodal capacity-building program with specific components developed to overcome barriers to integrating peer support and family peer support. Quantitative questionnaires are collected every 4 months from clinicians while youth and families can complete surveys at any convenient time, via QR codes available in clinics, through the RLHS electronic platform. Focus groups are conducted annually over 3 years with eight stakeholder groups. The analysis integrates findings using thematic synthesis and joint displays to assess convergence and divergence across methods and perspectives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results and Conclusion</h3>\u0000 \u0000 <p>This protocol paper outlines the study's co-design, procedures and anticipated contributions. Embedding large-scale innovative intervention implementation (such as peer support) within an RLHS can foster real-time feedback, iterative refinement and inform clinical practice and policies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 10","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12521639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145291491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Engagement, Disengagement and Re-Engagement in Mental Health Services Among Young Patients With First-Episode Psychosis: A Scoping Review","authors":"Joyce Mlay,&nbsp;Saeeda Paruk,&nbsp;Andrew Tomita,&nbsp;Richard Lessells","doi":"10.1111/eip.70100","DOIUrl":"10.1111/eip.70100","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Engagement in mental health services among young patients with first-episode psychosis (FEP) is crucial for preventing relapse. We conducted this scoping review to establish the proportion and determinants of engagement, disengagement and re-engagement in outpatient mental health care among young patients from 13 to 35 years with FEP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We used the guidelines for scoping review by the Joanna Briggs Institute (JBI) and the Arksey and O'Malley framework. We searched for published and unpublished studies guided by the inclusion criteria: studies published in English from 1990, the expansion of psychiatric outpatient, focused on engaged, disengaged and re-engaged in outpatient mental health care using quantitative, qualitative and mixed methods studies. We performed the numerical and thematic analysis and reporting using Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for scoping review (PRISMA-ScR).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>About 25 articles published from 2002 to 2020 met the inclusion criteria for this review; the proportion of young people with FEP who remained engaged was 45.5% for 6 months of follow-up, and the proportion of re-engagement after initial disengagement was 78.8%. Disengagement ranged between 13% and 56.3% for 12–36 months. The socio-demographic factors associated with disengagement were older age, male, black, unmarried status, living alone, unemployment, social and material deprivation, poverty, substance use and involvement with criminal justice. Some clinical determinants included a history of mental illness in the family and a psychosis disorder diagnosis other than schizophrenia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Disengagement from mental health services is consistently high among people with FEP, indicating the need for intervention studies that address the associated individual and clinical factors to ensure their retention in treatment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 10","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70100","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145250351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital Tools to Support Post-Secondary Student Mental Health and Wellbeing","authors":"Haley M. LaMonica,&nbsp;Ian B. Hickie,&nbsp;William Capon,&nbsp;Maya Ahia,&nbsp;Lexi Ewing,&nbsp;Wendy Lee,&nbsp;Frank Iorfino,&nbsp;Yun J. C. Song,&nbsp;Sarah McKenna,&nbsp;Kristin Cleverley","doi":"10.1111/eip.70094","DOIUrl":"10.1111/eip.70094","url":null,"abstract":"&lt;p&gt;Digital technologies have acted as a revolutionising force across diverse industries, including addressing health system and accessibility challenges (Botelho &lt;span&gt;2021&lt;/span&gt;). The scalability and cost-effectiveness of digital technologies are essential to meet the growing demand for mental health care (McGorry et al. &lt;span&gt;2024&lt;/span&gt;), enabling assessment, intervention delivery, and, importantly, routine outcome monitoring to ongoingly inform personalized recommendations about self-care, clinical, and psychosocial supports and interventions to promote better outcomes. Given the ubiquity of smartphones and internet use, particularly amongst young people, we argue that digital technologies are the only viable option to support both the mental health and academic success of post-secondary students, with data collection capabilities serving to inform the delivery of institutional services and supports that fit the needs of the student body and enable the coordination of care with traditional health systems.&lt;/p&gt;&lt;p&gt;Global trends indicate mental health has worsened amongst emerging adults in recent decades (McGorry et al. &lt;span&gt;2024&lt;/span&gt;), contributing to a reduced life expectancy by approximately 15 years and a major lifelong burden that impacts individuals, their families, and communities globally (Jones &lt;span&gt;2013&lt;/span&gt;). Emerging adulthood often overlaps with the transition into post-secondary education (i.e., college or university), an already challenging life stage that can exacerbate vulnerability to mental health problems (Lipson et al. &lt;span&gt;2022&lt;/span&gt;; Solmi et al. &lt;span&gt;2022&lt;/span&gt;). As a result, the prevalence and complexity of mental health-related challenges amongst post-secondary students have become an increasing concern on college and university campuses worldwide. Notably, almost one-third of post-secondary students meet diagnostic criteria for a mental disorder (Kieling et al. &lt;span&gt;2024&lt;/span&gt;), relative to global prevalence rates of 13.96% and 13.63% for young people aged 15–19 years and 20–24 years respectively (Kieling et al. &lt;span&gt;2024&lt;/span&gt;).&lt;/p&gt;&lt;p&gt;Emerging adults in post-secondary education have unique needs and experiences that warrant greater consideration within mental health policy and research (Byrom et al. &lt;span&gt;2025&lt;/span&gt;). Perhaps most obviously, post-secondary education is associated with heightened academic demands, standards, and expectations often associated with anxiety and fear of failure (Cage et al. &lt;span&gt;2021&lt;/span&gt;; Lisnyj et al. &lt;span&gt;2021&lt;/span&gt;; Wilbraham et al. &lt;span&gt;2024&lt;/span&gt;), with outcomes touted as being directly linked to future employment opportunities (Larcombe et al. &lt;span&gt;2022&lt;/span&gt;). Many students are also confronted with significant financial burdens (Larcombe et al. &lt;span&gt;2022&lt;/span&gt;), new living circumstances outside of home (Worsley et al. &lt;span&gt;2021&lt;/span&gt;), social isolation without easy access to family and friends (Worsley et al. &lt;span&gt;2021&lt;/span&gt;; Diehl et al. &lt;span&gt;2018&lt;/","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 10","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12504010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145244238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating Aberrant Salience in Autism Spectrum Disorder and Psychosis Risk: A Cross-Group Analysis","authors":"Federico Fiori Nastro,&nbsp;Martina Pelle,&nbsp;Alice Clemente,&nbsp;Fernando Corinto,&nbsp;Davide Prosperi Porta,&nbsp;Yael Sonnino,&nbsp;Carmine Gelormini,&nbsp;Giorgio Di Lorenzo,&nbsp;Michele Ribolsi","doi":"10.1111/eip.70099","DOIUrl":"10.1111/eip.70099","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study investigates the expression of aberrant salience (AS) in individuals with autism spectrum disorder (ASD), those at clinical high risk for psychosis (CHR-P) and help-seeking individuals without formal diagnoses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Ninety-nine participants, 44 males and 55 females (age range 17–39 years), met the inclusion criteria of absence of major neurological disorders, intellectual disabilities or substance-related conditions. None were receiving antipsychotic treatment. Based on clinical evaluations, participants were categorised into three groups: ASD (<i>n</i> = 23), Attenuated Psychosis Syndrome (APS) (<i>n</i> = 27) and help-seekers (<i>n</i> = 49). The Aberrant Salience Inventory (ASI) was administered.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Significant differences were observed in ASI total and subscale scores among groups. Post hoc analyses showed significantly higher ASI scores in the ASD and APS groups compared to help-seekers, but no significant differences between ASD and APS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings suggest an overlap in AS processing between ASD and psychosis-spectrum conditions, supporting AS as a transdiagnostic construct.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 10","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12500355/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145238289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Speech and Language Markers as Longitudinal Predictors of Youth Mental Health: A Systematic Review","authors":"Martin Sellier Silva,&nbsp;Jessica Ahrens,&nbsp;Fiona Meister,&nbsp;Lena Palaniyappan","doi":"10.1111/eip.70102","DOIUrl":"10.1111/eip.70102","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Severe mental disorders in young people (&lt; 25 years) are often preceded by subtle changes in communication and thinking, detectable in speech. Speech and language markers are promising for early detection; however, no systematic review has evaluated their prospective utility in predicting mental disorders in youth. We comprehensively reviewed longitudinal studies assessing speech/language markers as predictors of major mental disorder onset or symptom progression in youth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We searched for longitudinal studies using recorded speech samples from youth or family members to predict diagnostic changes or symptom severity in major depressive disorder (MDD), psychosis, ADHD, substance use disorder, bipolar disorder, OCD and eating disorders. Risk of bias was assessed using the Newcastle–Ottawa Scale. Our protocol was pre-registered (CRD42024579798).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 2260 articles, 11 studies met inclusion criteria, covering MDD (<i>n</i> = 3), psychosis (<i>n</i> = 5) and ADHD (<i>n</i> = 3). No eligible studies were found for OCD, substance use, bipolar or eating disorders. Both manual and computational speech analyses were used, with speech samples from parents and youth. Predictive speech/language markers included parental expressed emotion (MDD, ADHD), formal thought disorder (psychosis) and acoustic/linguistic features (psychosis, ADHD). Study quality was moderate to good (mean score: 5.45/8).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Externally validated longitudinal studies on the predictive value of speech/language markers of youth-onset mental disorders are scarce, restricted to a few target disorders and do not allow for variations due to the developmental stage of the samples. Nonetheless, existing studies highlight the potential of applying Natural Language Processing methods to speech samples from both youth and parents for early identification.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 10","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12497510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145231781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The ‘Reducing Psychosis Risk by Targeting Trauma’ Trial: Protocol of a Feasibility Randomised Controlled Trial of Trauma-Focused Cognitive Behavioural Therapy and Eye Movement Desensitisation and Reprocessing Therapy for People With At-Risk Mental States","authors":"Filippo Varese,&nbsp;Kim Cartwright,&nbsp;Amanda Larkin,&nbsp;Marina Sandys,&nbsp;Aidan Flinn,&nbsp;Alice Newton,&nbsp;Jasmine Lamonby,&nbsp;Mica Samji,&nbsp;Clare Holden,&nbsp;Samantha Bowe,&nbsp;David Keane,&nbsp;Nadine Keen,&nbsp;Amy Hardy,&nbsp;Debra Malkin,&nbsp;Richard Emsley,&nbsp;Kate Allsopp","doi":"10.1111/eip.70095","DOIUrl":"https://doi.org/10.1111/eip.70095","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Trauma exposure is pervasive in people with an At Risk Mental State (ARMS) and is associated with adverse clinical and functional outcomes. While promising developments have been made in treating trauma in psychosis, evidence regarding the efficacy of trauma therapies in ARMS individuals is limited. This trial aims to evaluate the feasibility of conducting a future randomised controlled trial (RCT) to determine the efficacy of Eye Movement Desensitisation and Reprocessing (EMDR) and trauma focused cognitive behavioural therapy (TF-CBT) in people with ARMS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Seventy ARMS individuals with a history of trauma will be randomised to receive 24 sessions of EMDR plus treatment as usual (TAU), 24 sessions of TF-CBT+TAU, or TAU alone. Feasibility will be determined against pre-specified thresholds for recruitment, retention, treatment engagement, and fidelity. To examine the promise of efficacy of EMDR and TF-CBT, participants will complete a battery of clinical and mechanistic measures at baseline and 9-month post-randomisation, including assessments of attenuated psychotic symptoms and post-traumatic symptoms. Clinical notes will be reviewed to identify transitions to first episode psychosis up to 12 months post-randomisation. Qualitative interviews with trial participants, therapists, and professional stakeholders will explore the acceptability of EMDR and TF-CBT and factors to facilitate future implementation of trauma therapies in routine practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>If a large-scale RCT is deemed feasible, it will be possible to establish whether EMDR and/or TF-CBT represent beneficial treatments to augment existing evidence-based care for individuals at ultra-high risk for future psychosis, potentially reducing transition rates and improving clinical outcomes for ARMS individuals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 10","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70095","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Emotion in Psychosis Onset and Symptom Persistence: A Systematic Review","authors":"R. Gurnani,&nbsp;A. Georgiades","doi":"10.1111/eip.70096","DOIUrl":"https://doi.org/10.1111/eip.70096","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Emotions have repeatedly been implicated in the development and maintenance of psychosis. However, there is no universally acknowledged theory to account for how emotions influence psychosis. This review, therefore, aims to explore how emotions and emotional coping strategies contribute to the onset and persistence of psychosis symptoms.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Method&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A systematic review was conducted to summarise the existing evidence base regarding the role of emotions and emotional coping strategies across the psychosis continuum, including individuals at Clinical High Risk (CHR), those experiencing a First Episode of Psychosis (FEP), and those with a diagnosis of Schizophrenia (SZ).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Seventy-eight studies were eligible for inclusion. Compared to Healthy Controls (HCs), SZ and CHR individuals demonstrated significant impairments in emotional awareness, emotional understanding of self and others, and emotional regulation, along with heightened emotional reactivity. In SZ, lower emotional awareness, negative emotional reactivity, and emotional dysregulation were significantly associated with increased positive symptoms. Individuals with SZ reported high levels of Negative Affect (NA) and low levels of Positive Affect (PA), with NA being a strong predictor of paranoia and rumination strengthening the affective pathway to paranoia. In terms of coping, CHR and SZ demonstrated significantly greater use of Maladaptive Coping Strategies (MCS) than Adaptive Coping Strategies (ACS) compared to HCs. MCS such as suppression were significantly associated with increased positive and negative symptoms, social withdrawal, and depression severity in SZ, while ACS such as cognitive reappraisal significantly decreased negative symptoms, depression, and social withdrawal and improved social functioning. Individuals with SZ predominantly employed Emotion-Focused Coping (EFC) rather than Problem-Focused Coping (PFC), which were associated with negative and positive outcomes, respectively.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;These findings highlight the important role of emotion in psychosis onset and symptom persistence. Given the prominence of emotions in the manifestation and maintenance of psychosis, the development of emotion-focused interventions for psychosis is necessary to not only prevent transition and relapse but also to maintain recovery. To support clinical application, this review also provides Socratic questions and recommends practical therapeutic ","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 10","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70096","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Which Sociodemographic and Pathway to Care Factors Influence the Wait Time for Early Intervention for Psychosis? A Mental Health Electronic Health Records Analysis in South London","authors":"Nikki Wood,&nbsp;Jo Hodgekins,&nbsp;Hitesh Shetty,&nbsp;Eduardo Iacoponi,&nbsp;Brian O'Donoghue,&nbsp;Rob Stewart,&nbsp;Sherifat Oduola","doi":"10.1111/eip.70087","DOIUrl":"https://doi.org/10.1111/eip.70087","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>In 2016, the Access and Waiting Time Standard (AWTS) was introduced in England, UK, outlining that people with first-episode psychosis should receive treatment from an early intervention for psychosis (EIP) service within 2 weeks. We examined sociodemographic, pathways to care (PtC), and clinical factors associated with EIP service wait time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>We collected de-identified data from a large mental health provider in South London, UK. We included patients referred and accepted to EIP services as inpatient or community contacts between 1 May 2016 and 30 April 2019, providing 3 years of data from the introduction of AWTS. Descriptive statistics and multivariable linear regression were performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 1806 patients were identified with a mean age of 30 (SD: 10.7) years, of whom 86.3% (<i>n</i> = 1559) accessed community EIP and 13.7% (<i>n</i> = 247) accessed inpatient EIP; of these, 26.7% were not seen within 2 weeks. Community EIP patients waited longer adj.β = 2.21 days (95% CI: 2.05–2.37) compared with inpatient EIP patients, and being older was associated with longer wait time. Conversely, a shorter wait time was associated with A&amp;E [adj.β = −0.22 days (95% CI: −0.36, −0.10)] and ‘other’ [adj.β = −0.21 days (95% CI: −0.36, −0.03)] PtC characteristics. White non-British and South Asian patients had shorter wait times compared with White British patients; however, this difference diminished after adjusting for PtC and clinical factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our findings indicate that individual factors, PtC, and mode of contact influence wait time for EIP services. More than a quarter of patients were not seen within 2 weeks, indicating that targeted support in community EIP services is needed to meet clinical guidelines.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 10","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70087","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Youth-Nominated Support Teams for Youth at Clinical High Risk for Psychosis (YST-CHR): A Novel Approach to Suicide Prevention in Early Psychosis","authors":"Jordan DeVylder,&nbsp;Yerim Ryu,&nbsp;Samantha Jay Title,&nbsp;Brianna Amos,&nbsp;Melissa E. Smith,&nbsp;Elaina Montague,&nbsp;Alison K. Boos,&nbsp;Cheryl A. King,&nbsp;Jason Schiffman","doi":"10.1111/eip.70097","DOIUrl":"https://doi.org/10.1111/eip.70097","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Individuals at clinical high risk for psychosis (CHR) constitute a very high-risk group for suicide and suicidal behaviour, yet they are typically excluded from trials of suicide prevention interventions. As such, there are no evidence-based suicide prevention approaches tailored to the unique needs of this population. This study aimed to adapt the Youth-Nominated Support Team (YST), a suicide prevention strategy with demonstrated efficacy, for use with CHR youth (YST-CHR).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>YST-CHR was designed as an adjunctive intervention, offered alongside ongoing clinical care to mobilise informed support from trusted adults in a youths' life. Using a formative adaptation approach, we conducted focus group interviews with key informants and convened expert consensus meetings to guide the adaptation process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results and Discussion</h3>\u0000 \u0000 <p>Modifications were made to (1) pre-intervention preparatory activities, (2) availability of resources for clinicians, (3) the support person nomination and orientation process and (4) the format and schedule of contacts between support persons and clients. Additional recommendations that could not be incorporated into our preliminary test of YST-CHR, but may be considered in future studies, included an expanded role for peer providers and the incorporation of virtual reality to educate support persons about psychotic symptoms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A small feasibility study currently underway will inform further development of YST-CHR. The modifications described here lay the groundwork for a scalable, key-informant-informed model of suicide prevention tailored to the unique needs of youth at CHR.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 10","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Direct and Indirect Parental Influences on Body Image Dissatisfaction in Adult Offspring","authors":"Yasmine Athaide,&nbsp;Stephanie Miles,&nbsp;Eric J. Tan,&nbsp;Andrea Phillipou","doi":"10.1111/eip.70093","DOIUrl":"https://doi.org/10.1111/eip.70093","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Body image dissatisfaction is a risk and maintenance factor for disordered eating. Parents may contribute to offspring body image dissatisfaction through weight-related criticism (direct influence), as well as expressed parental body image dissatisfaction and dieting (indirect influence). This study retrospectively investigated the contribution of parental influence towards adult offspring's body image dissatisfaction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>One hundred and fifty six participants from a general community sample completed a survey recording their experience of direct and indirect parental influence throughout adolescence, in addition to their current body image satisfaction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>While controlling for peer and media influences, hierarchical linear regression determined that parental influence was a significant contributor to offspring body image dissatisfaction (<i>p</i> &lt; 0.001), and this effect was driven by direct influence (<i>p</i> &lt; 0.001). Indirect parental influence was non-significant (<i>p</i> = 0.899).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The observed strength of direct influence supports the need for parents to reinforce positive weight-related behaviours at home as a method of reducing and managing body image dissatisfaction levels in their offspring.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 10","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70093","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145196345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}