Treated incidence of first-episode psychosis in the catchment area of EPPIC between 1997 and 2000

Acta Psychiatr Scand. 2006 Nov;114(5):337-45. doi: 10.1111/j.1600-0447.2006.00790.x.

Abstract

Objective: To identify the treated incidence of psychosis in catchment of the Early Psychosis Prevention and Intervention Centre (EPPIC), Melbourne, Australia.

Method: Cases were aged 15-29 years with a first episode of a psychotic disorder accepted into EPPIC between 1997 and 2000. Age- and sex-specific incidence rates per 10,000 person-years were calculated in 5 year age bands. Rate ratios were used for age group comparisons.

Results: The age-specific treated incidence of first-episode psychosis in 15-29-year old individuals was 16.7 per 10,000 person-years in males, and 8.1 per 10,000 person-years in females. The incidence was highest in 20-24-year-old males and in 15-19-year-old females. For both sexes, incidence rates were significantly lower in the 25-29-year age group.

Conclusions: The incidence of psychosis in the catchment of EPPIC was higher than previously reported, especially in female teenagers. Peak rates in 15-24 year olds suggest a youth model approach to early psychosis may be indicated.

MeSH terms

  • Adolescent
  • Adult
  • Age Distribution
  • Antipsychotic Agents / therapeutic use*
  • Australia / epidemiology
  • Catchment Area, Health
  • Diagnostic and Statistical Manual of Mental Disorders
  • Female
  • Humans
  • Incidence
  • Male
  • Patient Care Team
  • Psychotic Disorders / diagnosis
  • Psychotic Disorders / epidemiology*
  • Psychotic Disorders / prevention & control*
  • Schizophrenia / diagnosis
  • Schizophrenia / epidemiology
  • Severity of Illness Index
  • Sex Distribution

Substances

  • Antipsychotic Agents