Detecting psychotic symptoms in Indigenous populations: A review of available assessment tools

Abstract As efforts to shorten the duration of untreated psychosis increase, there is a need for short screening instruments to identify those at-risk. It is feared that remote Indigenous populations, manifesting many of the risk factors associated with schizophrenia and often lacking access to adeq...

Full description

Saved in:
Bibliographic Details
Published in:Schizophrenia research 2012-08, Vol.139 (1), p.136-143
Main Authors: Demarchi, Célia, Bohanna, India, Baune, Bernhard T, Clough, Alan R
Format: Article
Language:English
Subjects:
Adult and adolescent clinical studies
Australia - epidemiology
Australia - ethnology
Biological and medical sciences
Databases, Bibliographic - statistics & numerical data
Early detection
Early Diagnosis
Female
Health Services, Indigenous
Humans
Indigenous
Male
Medical sciences
Other psychotic disorders
Population Groups
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychometrics. Diagnostic aid systems
Psychopathology. Psychiatry
Psychoses
Psychosis
Psychotic Disorders - diagnosis
Psychotic Disorders - epidemiology
Psychotic Disorders - ethnology
Remote communities
Techniques and methods
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract As efforts to shorten the duration of untreated psychosis increase, there is a need for short screening instruments to identify those at-risk. It is feared that remote Indigenous populations, manifesting many of the risk factors associated with schizophrenia and often lacking access to adequate mental health services, may be overlooked as the general population effort shifts towards early detection. This article aimed to review studies investigating psychotic symptoms in Indigenous communities in Australia, New Zealand, Canada and United States of America and aimed to evaluate the usefulness of the instruments. Eleven relevant studies were identified using seven unique instruments. The available instruments assessed psychotic symptoms to varying degrees, although no screener for early detection was found thus supporting concerns that these disadvantaged populations do not have access to suitable support enabling early detection of psychosis. We recommend that a rapid screening tool for detecting at-risk individuals be developed and validated for community use in Indigenous populations living in remote areas.
ISSN:0920-9964
1573-2509
DOI:10.1016/j.schres.2012.05.017