title: Understanding help seeking delay in the prodrome to first episode psychosis: a secondary analysis of the perspectives of young people.
abstract: First episode psychosis represents a critical period for intervention to prevent future impairments and to initiate optimal interventions. Using an interpretive interactionist framework, a secondary analysis of interview transcripts was conducted based on the narratives of youth experiences of psychosis. Our goal was to better understand the factors involved in the decision to seek help (or not) from the mental health system. Findings suggest that help seeking is a social process involving a wide range of influences; two such influences are highlighted in this paper, an individual avoidant strategy of ignoring and hiding early symptoms, and the persuasive influence of significant others in the social network.
authors.affiliation: Department of Psychiatry, University of Toronto, ON, Canada.
authors.forename: Katherine M
authors.initials: KM
authors.lastname: Boydell
authors.forename: Brenda M
authors.initials: BM
authors.lastname: Gladstone
authors.forename: Tiziana
authors.initials: T
authors.lastname: Volpe
mesh_terms: D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D003142:Communication; D003657:Decision Making; D003674:Defense Mechanisms; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D011618:Psychotic Disorders / Q000523:psychology* / Q000534:rehabilitation*; D012559:Schizophrenia / Q000534:rehabilitation*; D012565:Schizophrenic Psychology; D012803:Sick Role; D012944:Social Support