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First Presentation With Psychotic Symptoms in a Population-Based Sample.

Psychiatr Serv

May 2017

Dr. Simon, Ms. Operskalski, Dr. Stewart, and Dr. Carrell are with the Group Health Research Institute, Group Health Cooperative, Seattle (e-mail: ). Dr. Coleman is with the Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena. Dr. Yarborough and Dr. Lynch are with the Center for Health Research, Kaiser Permanente, Portland, Oregon. When this work was done, Ms. Hunkeler, who is now retired, was with the Division of Research, Kaiser Permanente, Oakland, California. Dr. Beck is with the Institute for Health Research, Kaiser Permanente of Colorado, Denver.

Objective: Increasing evidence supports the effectiveness of comprehensive early intervention at first onset of psychotic symptoms. Implementation of early intervention programs will require population-based data on overall incidence of psychotic symptoms and on care settings of first presentation.

Methods: In five large health care systems, electronic health records data were used to identify all first occurrences of psychosis diagnoses among persons ages 15-59 between January 1, 2007, and December 31, 2013 (N=37,843).

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