{"id":22054,"date":"2025-07-07T08:58:40","date_gmt":"2025-07-07T12:58:40","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=22054"},"modified":"2025-07-07T08:58:41","modified_gmt":"2025-07-07T12:58:41","slug":"early-psychosis-symptoms-noted-by-family-physicians-in-electronic-medical-records-during-help-seeking-visits-in-primary-care","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/early-psychosis-symptoms-noted-by-family-physicians-in-electronic-medical-records-during-help-seeking-visits-in-primary-care\/","title":{"rendered":"Early psychosis symptoms noted by family physicians in electronic medical records during help-seeking visits in primary care"},"content":{"rendered":"<p><strong>Background<\/strong> \u2014 The objectives of this study were (1) to describe the symptoms noted by family physicians during help-seeking visits for early psychosis, relative to a validated screening tool for early psychosis in primary care, and (2) to examine the referral disposition of patients meeting the screening tool cut-off.<\/p>\n<p><strong>Methods<\/strong> \u2014 We constructed a retrospective cohort of Ontario residents aged 14\u201335 years with an incident diagnosis of non-affective psychotic disorder between 2005\u20132015 in health administrative data, and at least one visit in the Electronic Medical Record Primary Care database during the 6 months prior to the date of psychotic disorder diagnosis (n\u2009=\u2009572). We abstracted symptoms of psychosis noted by the family physician in the electronic medical records and compared these to the Primary Care Checklist (PCCL) for early psychosis.<\/p>\n<p><strong>Results<\/strong> \u2014 The most frequent PCCL items noted were \u201ctension or nervousness\u201d (13.3%), \u201cdepressive mood\u201d (12.5%), \u201cincreased stress or deterioration in functioning\u201d (7.5%), and \u201csleep difficulties\u201d (6.6%). The PCCL cut-off was met by 187 patients (33%) across 327 visits (8%). A greater proportion of visits meeting the PCCL cut-off had psychosis noted as the main presenting issue (55.4% vs. 6.8%) and resulted in referral to mental health services (33.3% vs. 6.0%) than those not meeting the cut-off. However, two in three visits where the screening cut-off for early psychosis was met did not result in a referral to mental health services.<\/p>\n<p><strong>Discussion<\/strong> \u2014 The findings of this study suggest that family physicians may benefit from a screening tool when early psychosis is suspected to improve identification and guide referral practices.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background \u2014 The objectives of this study were (1) to describe the symptoms noted by family physicians during help-seeking visits for early psychosis, relative to a validated screening tool for early psychosis in primary care, and (2) to examine the referral disposition of patients meeting the screening tool cut-off. Methods \u2014 We constructed a retrospective [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[59,34,28],"migration-helper-qa-sample-set":[],"class_list":["post-22054","journal_article","type-journal_article","status-publish","hentry","topic-data-science","topic-mental-health-and-addictions","topic-primary-care"],"acf":{"citation":"Wiener JC, Rodrigues R, Reid JNS, Archie S, Jan SH, MacDougall AG, Palaniyappan L, Jaakkimainen L, Chen B, Sawh N, Anderson KK; project co-investigators. <em>Can J Psychiatry<\/em>. 2025 Jul 7 [Epub ahead of print].","source_url":"https:\/\/doi.org\/10.1177\/07067437251355637","ices_scientist":[1283,1377],"site":[6739],"research_program":[6744],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is 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