Maria Hedqvist, Sofia Vadlin, Cecilia Åslund, Susan H Spence, Cecilia A Essau, Susanne Olofsdotter
{"title":"Psychometric properties of the Adult Anxiety Scale in a Swedish community sample.","authors":"Maria Hedqvist, Sofia Vadlin, Cecilia Åslund, Susan H Spence, Cecilia A Essau, Susanne Olofsdotter","doi":"10.1080/08039488.2025.2520219","DOIUrl":"https://doi.org/10.1080/08039488.2025.2520219","url":null,"abstract":"<p><p><b>Purpose:</b> Although anxiety disorders are common worldwide and often associated with significant impairment, many cases remain undetected and thus untreated. A lack of adequate screening partly explains this treatment gap, and easy-to-use screening instruments are needed to capture more than one type of anxiety disorder. The aim was to evaluate the psychometric properties of one such promising instrument: the Adult Anxiety Scale, AAS-15, intended to measure social anxiety disorder (social phobia), generalized anxiety disorder, and panic disorder. <b>Materials and methods:</b> The Swedish version of the AAS-15 was evaluated in a community sample (<i>N</i> = 1066, mean age 22.93 years, 64.4% women). <b>Results:</b> The psychometric properties were found to be good. Internal consistency ranged from very good to excellent, and a confirmatory factor analysis supported a three-factor model consistent with the three anxiety disorder dimensions that it purported to assess. <b>Conclusion:</b> This evaluation of the AAS-15 supports the view of the scale as a useful tool for assessing social anxiety disorder, generalized anxiety disorder, and panic disorder. With strong psychometric properties, quick and easy administration, and coverage of the most common types of anxiety disorders in adults, the AAS-15 is a valuable addition to standardized assessment and anxiety screening in a variety of healthcare settings.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-6"},"PeriodicalIF":1.5,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326340","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}
Oliver Rumle Hovmand, Nina Reinholt, Anne Bryde, Kraka Bjørnholm, Dorrit Dilling-Hansen, Sidse Arnfred
{"title":"Association between complexity and adherence to psychotherapy in outpatients awaiting psychotherapy for mood and personality disorders.","authors":"Oliver Rumle Hovmand, Nina Reinholt, Anne Bryde, Kraka Bjørnholm, Dorrit Dilling-Hansen, Sidse Arnfred","doi":"10.1080/08039488.2025.2507737","DOIUrl":"https://doi.org/10.1080/08039488.2025.2507737","url":null,"abstract":"<p><strong>Background: </strong>The Measure of Common Characteristics that Complicate Care (C4) is a clinician-administered checklist designed to quantify characteristics that could complicate care in outpatient psychiatry. This study investigated the C4 checklist against disturbance of personality function and early adherence to psychotherapy.</p><p><strong>Methods: </strong>The recruits for the trial were patients awaiting group psychotherapy in psychotherapy outpatient clinics, who were scored with the C4 and responded to the Level of Personality Functioning Scale-Brief Form (LPFS-BF) questionnaire. We compared differences in case complexity across diagnostic groups and the correlation with the LPFS-BF. Finally, we evaluated the usefulness of the C4 in identifying those who attended ≥ 3 of their first four sessions of psychotherapy by conducting receiver operating characteristic (ROC) curves and linear regression analysis with percentage adherence as a dependent variable.</p><p><strong>Results: </strong>One hundred and fifty-nine patients with emotional disorders, personality disorders, and PTSD were included. Of these, 86 started their psychotherapy courses during the study and were included in the prediction analysis. C4 scores did not differ between diagnostic groups and were not correlated with the LPFS-BF. ROC analysis indicated poor accuracy (AUC=.46) in screening for early adherence to psychotherapy, as did analyses with the LPFS-BF as a cofactor.</p><p><strong>Conclusions: </strong>The C4 was not able to predict early adherence to psychotherapy in psychiatric outpatients, and as it also had no correlation with personality functioning, it was not possible to establish external validity. Future studies should investigate case complexity using a more controlled design and examine the outcomes of psychotherapy and adherence.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266847","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":"Internet-delivered acceptance and commitment therapy for COVID-19 related health anxiety: a pragmatic study.","authors":"Ditte Hoffmann Frydendal, Katrine Ingeman, Per Klausen Fink, Kaare Bro Wellnitz, Lisbeth Frostholm","doi":"10.1080/08039488.2025.2506560","DOIUrl":"https://doi.org/10.1080/08039488.2025.2506560","url":null,"abstract":"<p><strong>Background: </strong>Health anxiety (HA) is characterized by excessive worries about having a serious illness, persisting even after medical reassurance. The COVID-19 pandemic, with widespread media coverage and lockdowns, may induce or exacerbate HA. During a pandemic, treatment options can be limited by lockdowns and social distancing, making remote, internet-delivered therapies particularly useful for individuals isolating due to health worries. This study aimed to assess the effectiveness of an internet-delivered Acceptance and Commitment Therapy (iACT) for COVID-19-related HA.</p><p><strong>Methods: </strong>In a Danish university hospital, an uncontrolled national implementation project was conducted. Patients self-referred were assessed <i>via</i> video, and those eligible (≥18 years) received 12 weeks of iACT. The primary outcome was HA symptoms measured by the Whiteley-6-R Index. Secondary outcomes included somatic symptoms, depression, anxiety, quality of life, and life satisfaction. Changes from baseline to post-treatment were analyzed using paired t-tests and Cohen's d for effect size.</p><p><strong>Results: </strong>Out of 223 screened patients, 105 were eligible for enrollment, and 67 responded to post-treatment questionnaires. Significant improvements were observed across all outcomes, particularly for HA (<i>d</i> = 1.40) and anxiety (<i>d</i> = 0.80), along with better quality of life (<i>d</i> = 0.65) and life satisfaction (<i>d</i> = 0.64).</p><p><strong>Conclusions: </strong>Implementation of self-referral and internet-delivered treatment into routine care was feasible and seemed to be effective in treating COVID-19-related HA. However, for self-referred participants, the poor eligibility and motivation may be a limitation when implementing this online treatment during a pandemic. In addition, collecting data in routine care may be a challenge.</p><p><strong>Trial registry numbers: </strong>Approved by the Danish Data Protection Agency (ID no. 790861).</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-7"},"PeriodicalIF":1.5,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258545","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":"Prevalence of misophonia in patients with bipolar disorder: its relationship with autism spectrum symptoms and emotion regulation skills in comparison to a control group.","authors":"Gizem İletmiş, Gozde Bacik Yaman","doi":"10.1080/08039488.2025.2511068","DOIUrl":"https://doi.org/10.1080/08039488.2025.2511068","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this study is to determine the prevalence of misophonia in patients diagnosed with bipolar disorder (BD), examine its relationship with autism spectrum symptoms and emotion regulation skills, and compare it with a healthy control group.</p><p><strong>Methods: </strong>The study included 105 patients diagnosed with BD in remission for at least three months and 105 age-, gender-, and education-matched healthy controls. All participants completed the sociodemographic data form, Hamilton Depression Rating Scale, Young Mania Rating Scale, Revised Amsterdam Misophonia Scale, Emotion Regulation Skills Questionnaire, and Autism Spectrum Quotient.</p><p><strong>Results: </strong>Misophonia symptoms were statistically significantly more prevalent in the healthy control group (63.8%) than in the BD group (48.6%) (<i>p</i> = 0.026). Among BD patients with misophonia symptoms, a history of suicide attempts and higher autistic traits were statistically significantly more common (<i>p</i> = 0.026, <i>p</i> = 0.003, respectively). No statistically significant relationship was found between the severity of misophonia and autism traits (<i>r</i> = 0.200; <i>p</i> = 0.159) or emotion regulation skills (<i>r</i> = -0.178; <i>p</i> = 0.210). Multivariate regression analyses identified suicide attempt history and autistic traits as significant predictors of misophonia severity.</p><p><strong>Conclusion: </strong>Misophonia symptoms were more prevalent in control group, contrary to our hypothesis. BD patients exhibited pronounced emotion regulation deficits, which worsened with increased autistic traits. Misophonia symptoms were statistically significantly associated with adverse psychiatric outcomes in BD patients. These findings highlight the importance of assessing misophonia, emotion regulation, and autistic traits collectively in clinical settings, and suggest that addressing misophonia symptoms in treatment planning may enhance patient functioning.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208995","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}
Maja Bendtsen, Nelly Umulisa Rurangwa, Caroline Juhl Arnbjerg, Emmanuel Musoni-Rwililiza, Laura Glahder Lindberg, Kate Andreasson Aamund, Per Kallestrup, Jessica Carlsson
{"title":"A mixed method study on suicidal behavior among people with bipolar disorder in Rwanda.","authors":"Maja Bendtsen, Nelly Umulisa Rurangwa, Caroline Juhl Arnbjerg, Emmanuel Musoni-Rwililiza, Laura Glahder Lindberg, Kate Andreasson Aamund, Per Kallestrup, Jessica Carlsson","doi":"10.1080/08039488.2025.2511073","DOIUrl":"https://doi.org/10.1080/08039488.2025.2511073","url":null,"abstract":"<p><strong>Background: </strong>Three out of four individuals who complete suicide reside in low- and middle-income countries. More than half of them have an underlying mental health disorder. Of all mental health disorders, bipolar disorder has one of the highest occurrences of suicide. This study aims to assess the prevalence and experiences of suicidal behavior among outpatients with bipolar disorder in Rwanda and identify protective factors and potential interventions.</p><p><strong>Methods: </strong>This study uses a mixed methods design with quantitative data on the prevalence of suicidal behavior among people with bipolar disorder and qualitative in-depth interviews employing a phenomenological approach.</p><p><strong>Results: </strong>Among 131 outpatients with bipolar disorder, the prevalence of attempted suicide was 18.3%. Thirteen outpatients participated in qualitative interviews. We found that the mental pain of bipolar disorder triggered suicidal behavior, but that universal themes such as hardship and loneliness were also drivers for suicidal behavior. The stigmatization of both mental health disorders and suicide was found to influence suicidal behavior. Social support, religion, and mental health care services were described as protective factors against suicidal behavior.</p><p><strong>Conclusion: </strong>The prevalence of suicidal behavior was found to be remarkably lower than global estimates for people with bipolar disorder. This may be due to the strong communal support from religion and family, contrasting with more individualistic societies. The study highlights the need for the de-stigmatization of suicide and mental health disorders and the necessity of improved access to quality mental health care in Rwanda.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208994","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}
Nina Xiyu Qiu, Lars Martin Nielsen, Anders Damm-Hejmdal, Ida Hageman, Lone Baandrup
{"title":"Brief report: psychiatric emergency service in the Capital Region of Denmark.","authors":"Nina Xiyu Qiu, Lars Martin Nielsen, Anders Damm-Hejmdal, Ida Hageman, Lone Baandrup","doi":"10.1080/08039488.2025.2511072","DOIUrl":"https://doi.org/10.1080/08039488.2025.2511072","url":null,"abstract":"<p><strong>Objective: </strong>In October 2022, the psychiatric emergency service PAB (in Danish: Psykiatrisk Akutberedskab) in the Capital Region of Denmark expanded its operations from an off-hours service to a 24/7 operational model. The PAB offers telephone and outreach services for people with psychiatric emergencies on professional request. The aim of this study was to describe the activities and evaluate the perceived usefulness of PAB's 24/7 model.</p><p><strong>Materials and methods: </strong>This study utilized a quantitative research approach, with data collection conducted during daytime hours of weekdays from October 2022 through September 2023, covering the first year of PAB's 24/7 operations. The on-call psychiatrist documented requisitions from which statistical data have been compiled. The sample is comprised of 830 requisitions.</p><p><strong>Results: </strong>There was a recognizable demand for PAB in the Capital Region during weekday daytime hours. Most requisitions were made by family physicians and staff at sheltered homes. The majority of requisitions were considered relevant for PAB. Telephone consultations and mobile outreach services were utilized equally. Data from 2022 and 2023 exhibited similar activity patterns.</p><p><strong>Conclusions: </strong>This brief report concludes that there is a clinically relevant need for PAB in the Capital Region of Denmark. PAB is a competent psychiatric emergency service that provides a qualified mobile crisis assessment with subsequent relevant action, and the strategic collaboration between psychiatrists and law enforcement enhances its efficiency. The clinical benefits derived from extended operational hours justify the associated costs.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-4"},"PeriodicalIF":1.5,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174294","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}
Kristoffer Høiland, Espen Kristian Ajo Arnevik, Anette Søgaard Nielsen, Jens Egeland
{"title":"Gender differences in alcohol use disorder treatment: sociodemographic, mental health, personality, and neuropsychological factors.","authors":"Kristoffer Høiland, Espen Kristian Ajo Arnevik, Anette Søgaard Nielsen, Jens Egeland","doi":"10.1080/08039488.2025.2508415","DOIUrl":"https://doi.org/10.1080/08039488.2025.2508415","url":null,"abstract":"<p><strong>Background: </strong>Rates of alcohol use increase among women, and the gender gap in alcohol use disorder (AUD) is narrowing. Earlier studies indicate that there are differences in a variety of demographic and psychological measures between men and women with AUD. Examining differences between treatment-seeking men and women to target the specific needs and effective interventions for women with AUD is thus of vital importance.</p><p><strong>Methods: </strong>This explorative study investigated differences in sociodemographic characteristics, psychological distress, personality functioning, and cognitive functioning between men and women seeking treatment for AUD.</p><p><strong>Results: </strong>Treatment-seeking men and women with AUD differed on a series of mental health measures, personality functioning, and cognitive functioning. Women with AUD experienced the same level of harmful drinking as men with AUD, more psychological distress, more maladaptive personality functioning, and lower general intellectual functioning.</p><p><strong>Conclusions: </strong>The results indicate that treatment-seeking women with AUD have special needs that should be assessed and addressed in treatment. Further, there is a need for more integrated treatments targeting the high level of comorbidity experienced by women with AUD.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144160607","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":"Suicide and self-harm in adults with a history of out-of-home care-a Swedish national cohort study.","authors":"Anders Hjern, Bo Vinnerljung, Lars Brännström","doi":"10.1080/08039488.2025.2507734","DOIUrl":"https://doi.org/10.1080/08039488.2025.2507734","url":null,"abstract":"<p><strong>Background: </strong>Exposure to childhood out-of-home care (OHC, foster family and residential care) is associated with an increased risk of suicide in youth and young adulthood, but the life course and clinical psychiatric implications of this risk have not yet been well elucidated.</p><p><strong>Methods: </strong>This was a national cohort study generated from linkage of a range of population-based registers, resulting in a national cohort of 838 714 where 24 628 (2.9%) had a history of OHC. The study population, born 1972-1981, was followed from age 18 to age 39-48 years for suicide death and hospitalized self-harm.</p><p><strong>Results: </strong>Exposure to OHC accounted for 14% of all suicide deaths in the cohort. The age-adjusted Hazard Ratios (HRs) for exposure to OHC on suicide death were 5.04 (95% C.I. 4.50-5.64) for men and 7.21 (6.13-8.48) for women compared with the same gender in the general population. After adjusting for year of birth, childhood SES and parental morbidity these risks were attenuated to 3.39 (2.99-3.85) for men and 4.23 (3.50-5.12) for women. For hospitalized self-harm the adjusted HRs were 4.47 (4.18-4.79) for men and 4.25 (4.00-4.52) for women. These risks remained similarly high from age 18 years to 48 years. Exposure to childhood OHC carried a higher risk of suicide also among psychiatric inpatients, age-adjusted HR 1.70 (1.50-1.94).</p><p><strong>Conclusion: </strong>Exposure to OHC during childhood is a major predictor for suicide and self-harm in young and middle-aged adults as well as among adult psychiatric patients.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-7"},"PeriodicalIF":1.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151376","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}
Eyüp Sabri Ercan, Akın Tahıllıoğlu, Ali Evren Tufan, Öznur Bilaç
{"title":"Teachers predict ADHD more accurately than parents: findings from a large epidemiological survey.","authors":"Eyüp Sabri Ercan, Akın Tahıllıoğlu, Ali Evren Tufan, Öznur Bilaç","doi":"10.1080/08039488.2025.2508417","DOIUrl":"https://doi.org/10.1080/08039488.2025.2508417","url":null,"abstract":"<p><strong>Objective: </strong>Observational reports of parents and teachers might conflict in the diagnostic process of pediatric Attention-Deficit/Hyperactivity Disorder (ADHD). This study investigates the diagnostic accuracy of parents and teachers in identifying ADHD in children, focusing on the influences of parental education level, child gender, and age.</p><p><strong>Methods: </strong>Data were derived from the Turkish Epidemiological Survey in Childhood Psychopathologies, encompassing 5,830 children aged 6-13 years. ADHD diagnoses were determined using a semi-structured interview and impairment ratings from both parents and teachers. Both groups completed the ADHD Rating Scale-IV to identify ADHD-related symptoms. Diagnostic accuracy was evaluated by comparing sensitivity, specificity, positive predictive value, and negative predictive value across informants. Parental education was categorized into lower (LEL) and higher education levels (HEL).</p><p><strong>Results: </strong>Teachers exhibited significantly higher diagnostic accuracy (93.7%) compared to parents (89.9%, <i>p</i> < 0.001), a trend consistent across gender and age groups. Teachers predicted ADHD in girls (95.2%) with greater accuracy than boys (92.1%), and similar patterns were observed for parents (girls: 92.0%, boys: 88.0%, <i>p</i> < 0.001). Parents with HEL demonstrated better diagnostic performance (91.3%) than those with LEL (89.4%, <i>p</i> < 0.05), though both were outperformed by teachers. Accuracy slightly declined in older children (10-13 years), but the differences were statistically insignificant.</p><p><strong>Conclusion: </strong>The findings highlight teachers' superior ability to predict ADHD, likely due to their comparative observational advantages in structured settings. Parental education and child gender also influenced diagnostic performance. These results underscore the importance of incorporating teacher reports into diagnostic protocols while addressing socio-educational disparities to improve parent-reported accuracy.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135915","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":"Use of coercion in patients with first-episode psychosis: a retrospective cohort study of involuntary admissions, involuntary treatment orders and community treatment orders.","authors":"Morten Brix Schou, Berit Walla, Bjørn Siver Seljeflot","doi":"10.1080/08039488.2025.2508416","DOIUrl":"https://doi.org/10.1080/08039488.2025.2508416","url":null,"abstract":"<p><strong>Aim: </strong>Coercion in mental health care is under constant debate. Norway has been shown to have relatively high rates of involuntary admissions. The use of coercion in patients with first-episode psychosis (FEP) in Norway is sparsely described, thus limiting an informative debate.</p><p><strong>Method: </strong>We registered involuntary admissions, involuntary treatment orders, community treatment orders and other coercive measures during the first two years of treatment for all patients diagnosed with a first-episode non-affective psychosis at St Olav's University Hospital from 2012 to 2016. The hospital serves the Sør-Trøndelag County with 313,370 inhabitants in 2016.</p><p><strong>Results: </strong>A total of 238 patients with FEP were included. 40% of the patients were involuntary admitted at first contact leading to the psychosis diagnose, and during the first two years of treatment 53% of the patients were involuntary admitted. Of the involuntarily admitted patients, 43% were discharged on a community treatment order, and 34% had involuntary treatment orders. Other coercive measures, such as short-term holding, mechanical restraint or short-acting medication, were used in 21% of patients receiving inpatient treatment.</p><p><strong>Conclusion: </strong>Involuntary admission was relatively common in this cohort of FEP patients, although less used than in previous studies from Norway. Compared to studies from other countries, our findings, along with those from Finland, show among the highest rates of involuntary admissions and involuntary treatment orders published, and are higher than findings in other Nordic countries such as Denmark and Sweden.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135871","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}