Welcome to the Schizophrenia Resource Centre

Welcome, this website is intended for healthcare professionals in EMEA with an interest in the treatment of schizophrenia. By clicking the link below you are declaring and confirming that you are a healthcare professional

You are here

Predictors of engagement in first-episode psychosis

Schizophrenia Research, In Press, Corrected Proof, Available online 25 April 2016, Available online 25 April 2016


Engagement with psychiatric services is critical for ensuring successful outcomes in patients experiencing a first episode of psychosis (FEP). However, it is not known how sociodemographic factors and patient beliefs about the causes of mental illness affect engagement. This study explored predictors of engagement in a cohort of 103 FEP patients presenting to an early-intervention service. Beliefs that mental illness is caused by social stress or thinking odd thoughts predicted higher engagement scores. Patients with no qualifications were found to have higher engagement scores than those educated to a higher level. Ethnicity, gender, age and socioeconomic factors were not significantly correlated with engagement scores. Duration of untreated illness (DUI) significantly predicted higher engagement scores, but only for values > 1220 days. Duration of untreated psychosis (DUP) was not a significant predictor of patient engagement scores. Patient beliefs about the causes of mental illness are an important factor to be taken into consideration and may represent a target of interventions to increase engagement in FEP.

Keywords: Engagement, Psychosis, Schizophrenia, Ethnicity, Patient beliefs.


a James Paget University Hospital, Lowestoft Rd., Gorleston NR31 6LA, UK

b Gibbet Hill Campus, University of Warwick, Coventry CV4 7AL, UK

c Institute of Health and Wellbeing, University of Glasgow, Glasgow, G3 8SJ

Corresponding author.