Relationship between circumstances of emergency psychiatric admission, sociodemographic profile, and treatment outcome in first-time hospitalized FEP patients: A aross-sectional study

This study aims to investigate the correlation between the conditions of arrival at the emergency psychiatric service for patients experiencing their first hospitalization due to a psychotic episode and their sociodemographic profiles in relation to the outcomes of hospital treatment, facilitating the evaluation of the clinical progression of the illness based on individual attributes [12]. The subsequent parameters will be examined: age, gender, education, employment status, residence location, integrity of the primary family, number of siblings, marital status, parenthood, psychiatric heredity, psychoactive substance use, family support upon admission, presence of emergency medical stuff upon admission, presence of law enforcement upon admission, symptoms at admission (hallucinations, suicidality, heteroaggression), and duration from symptom onset to hospitalization. The evaluated factors will be compared with a cross-sectional study from 2001. that investigated the sociodemographic profile of patients and the conditions of admission during their initial psychiatric hospitalization for a psychotic episode within the same field of study. Considering the increasing interest among mental health professionals in the early detection and treatment of individuals experiencing their first psychotic episode [13], the analyzed parameters associated with treatment outcomes would enhance understanding of risk factors and refine early intervention algorithms. It is expected that treatment outcomes among patients presenting to emergency services will vary according to the type of escort upon arrival and the duration of untreated psychosis. Specifically, patients escorted by police officers are anticipated to demonstrate poorer treatment outcomes, whereas those accompanied by relatives are expected to show more favorable outcomes compared with unaccompanied patients. Furthermore, a shorter duration of untreated psychosis is expected to be associated with better treatment outcomes. In line with trends observed since 2001, an increase in the proportion of patients escorted by police officers and a decrease in those accompanied by relatives are also anticipated.