Impact of the priority follow-up system on quality of life in Chinese schizophrenia patients

Aust N Z J Psychiatry. 2008 Feb;42(2):154-8. doi: 10.1080/00048670701787552.

Abstract

Objective: Priority follow up (PFU) is a particular aspect of mental health care in Hong Kong whereby psychiatric patients with a history of violence or suspected proclivity to violence are identified and their management is closely monitored. The aim of the present study was to determine the impact of a PFU system on quality of life (QOL) in schizophrenia patients.

Methods: Two hundred and sixty-seven clinically stable outpatients with schizophrenia were randomly selected and interviewed in Hong Kong using standardized assessment instruments that covered their clinical condition and QOL.

Results: Patients with PFU status constituted 8.2% of the sample. PFU patients were more likely to be men, have a history of violence, and were poorer in the physical, psychological, social and environmental QOL domains than their non-PFU counterparts even after controlling for the effects of potential confounding variables.

Conclusions: More effective measures should be taken to improve QOL in PFU schizophrenia patients who are prone to violent behavior.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Antipsychotic Agents / therapeutic use
  • Asian People / psychology*
  • Asian People / statistics & numerical data
  • Female
  • Follow-Up Studies*
  • Health Status
  • Hong Kong / epidemiology
  • Humans
  • Male
  • Middle Aged
  • Outpatient Clinics, Hospital / statistics & numerical data
  • Quality of Life / psychology*
  • Sampling Studies
  • Schizophrenia / diagnosis*
  • Schizophrenia / drug therapy
  • Schizophrenia / epidemiology
  • Schizophrenic Psychology
  • Secondary Prevention
  • Sickness Impact Profile
  • Violence / prevention & control*
  • Violence / psychology

Substances

  • Antipsychotic Agents