title: Gender differences in one-year outcomes of first-presentation psychosis patients in inner-city UK Early Intervention Services.
abstract: Men and women have historically been shown to differ in their presentation and outcome of psychotic disorders and thus are likely to have different treatment needs. It is unclear whether Early Intervention Services (EIS) are able to provide equitable care for both men and women presenting for the first time with psychosis. The main aim of this study was to explore gender differences for first-presentation psychosis patients at the time of their referral to inner-city EIS and their outcomes 1 year later.
  
  
  
  Audit data were utilized from 1098 first-presentation psychosis patients from seven EIS across London, UK, collected via the computerized MiData package. Binary logistic regression was employed to detect potential associations between gender and (i) initial clinical presentation (including duration of untreated psychosis, pathways to care, risk behaviours); and (ii) 1-year clinical and functional outcomes.
  
  
  
  At entry to EIS, male patients presented with more violent behaviour whereas female patients had more suicide attempts. Following 1 year of EIS care, men still presented as more violent towards others whereas women were more likely to have been admitted to a psychiatric ward.
  
  
  
  Gender differences in clinical outcome, service use and risk behaviours were apparent within the first year of specialist psychosis care. This may be partly due to the different pathways to care taken by men and women and differences in clinical presentation. Greater focus on the specific needs of each gender by EIS in detection and intervention is required to improve equality of outcome.
authors: Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queens University Belfast, London, UK.
authors: Foteini
authors: F
authors: Tseliou
authors: Early Intervention Service, Camden and Islington NHS Foundation Trust, London, UK.|Division of Psychiatry, University College London, London, UK.
authors: Sonia
authors: S
authors: Johnson
authors: EQUIP, Hackney, East London NHS Foundation Trust, London, UK.|Hereford Early Intervention Service, 2gether NHS Foundation Trust for Gloucestershire, London, UK.
authors: Barnaby
authors: B
authors: Major
authors: Kensington, Chelsea, Westminster and Brent Early Intervention Service, Central and North West London NHS Foundation Trust, London, UK.
authors: Nikola
authors: N
authors: Rahaman
authors: Lewisham Early Intervention Service, South London and Maudsley NHS Foundation Trust, London, UK.
authors: John
authors: J
authors: Joyce
authors: STEP, Southwark, South London and Maudsley NHS Foundation Trust, London, UK.
authors: Jo
authors: J
authors: Lawrence
authors: Division of Psychiatry, University College London, London, UK.
authors: Farhana
authors: F
authors: Mann
authors: Lewisham Early Intervention Service, South London and Maudsley NHS Foundation Trust, London, UK.
authors: Andrew
authors: A
authors: Tapfumaneyi
authors: Wandsworth Early Intervention Service, South West London and St Georges' Mental Health NHS Trust, London, UK.
authors: Brock
authors: B
authors: Chisholm
authors: Wandsworth Early Intervention Service, South West London and St Georges' Mental Health NHS Trust, London, UK.
authors: Nick
authors: N
authors: Chamberlain-Kent
authors: Early Intervention Service, Camden and Islington NHS Foundation Trust, London, UK.|Division of Psychiatry, University College London, London, UK.
authors: Mark F
authors: MF
authors: Hinton
authors: MRC Social Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
authors: Helen L
authors: HL
authors: Fisher
mesh_terms: D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care; D011618:Psychotic Disorders; D012307:Risk Factors; D012727:Sex Characteristics; D061665:Time-to-Treatment; D014505:Urban Population; D055815:Young Adult
keywords: early intervention; gender; outcome; psychosis