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Subclinical psychotic experiences and subsequent contact with mental health services

  • Vishal Bhavsar (a1), James H. Maccabe (a1), Stephani L. Hatch (a2), Matthew Hotopf (a2), Jane Boydell (a3) and Philip McGuire (a1)...
Abstract
Background

Although psychotic experiences in people without diagnosed mental health problems are associated with mental health service use, few studies have assessed this prospectively or measured service use by real-world clinical data.

Aims

To describe and investigate the association between psychotic experiences and later mental health service use, and to assess the role of symptoms of common mental health disorders in this association.

Method

We linked a representative survey of south-east London (SELCoH-1, n=1698) with health records from the local mental healthcare provider. Cox regression estimated the association of PEs with rate of mental health service use.

Results

After adjustments, psychotic experiences were associated with a 1.75-fold increase in the rate of subsequent mental health service use (hazard ratio (HR) 1.75, 95% CI 1.03–2.97) compared with those without PEs. Participants with PEs experienced longer care episodes compared with those without.

Conclusions

Psychotic experiences in the general population are important predictors of public mental health need, aside from their relevance for psychoses. We found psychotic experiences to be associated with later mental health service use, after accounting for sociodemographic confounders and concurrent psychopathology.

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Copyright
This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY) license.
Corresponding author
Correspondence: Vishal Bhavsar, Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London SE5 8AF, UK. Email: vishal.2.bhavsar@kcl.ac.uk
Footnotes
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Joint senior authors

Declaration of interest

None.

Footnotes
References
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Subclinical psychotic experiences and subsequent contact with mental health services

  • Vishal Bhavsar (a1), James H. Maccabe (a1), Stephani L. Hatch (a2), Matthew Hotopf (a2), Jane Boydell (a3) and Philip McGuire (a1)...
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