mvjrМедицинский вестник Юга РоссииMedical Herald of the South of Russia2219-80752618-7876The Rostov State Medical University10.21886/2219-8075-2025-16-2-65-74mvjr-2026Research Article3.1.17 ПСИХИАТРИЯ И НАРКОЛОГИЯPSYCHIATRY AND NARCOLOGYВлияние длительности нелеченого психоза на вероятность недобровольной госпитализации с первым психотическим эпизодомThe impact of the duration of untreated psychosis on the risk of involuntary hospitalization during the first psychotic episodehttps://orcid.org/0000-0003-3471-5293ЧинаревВ. А.ChinarevV. A.

Чинарев Виталий Александрович, врач-психиатр, заведующий клиническим отделением первого психотического эпизода; ассистент кафедры психиатрии 

Челябинск 

Vitaly Al.Chinarev, psychiatrist, head of the ninth men's Clinical Psychiatric Department of the primary episode;  assistant at the Department of Psychiatry

Chelyabinsk    

v.chinarev@okspnb.ruhttps://orcid.org/0000-0002-5811-4428МалининаЕ. В.MalininaE. V.

Малинина Елена Викторовна, д.м.н., профессор, заведующий кафедрой психиатрии 

Челябинск 

Elena V. Malinina, Dr. Sci. (Med.), Professor, head of the Department of Psychiatry 

Chelyabinsk    

malinina.e@rambler.ruОбластная клиническая специализированная психоневрологическая больница №1; Южно-Уральский государственный медицинский университетРоссияRegional Clinical Specialized Neuropsychiatric Hospital No. 1; South Ural State Medical UniversityRussian FederationЮжно-Уральский государственный медицинский университетРоссияSouth Ural State Medical UniversityRussian Federation2025020720251626574Copyright © Чинарев В.А., Малинина Е.В., 20252025Чинарев В.А., Малинина Е.В.Chinarev V.A., Malinina E.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.medicalherald.ru/jour/article/view/2026

Цель: оценка влияния длительности нелеченого психоза на вероятность недобровольной госпитализации пациентов с первым психотическим эпизодом. Материалы и методы: проведён проспективный анализ данных пациентов, поступивших на стационарное лечение в период с 2020 по 2023 гг. Собраны данные о продолжительности периода от начала психотического эпизода до момента госпитализации, а также о причинах и обстоятельствах госпитализации с клинико-психопатологической и психометрической оценкой состояния. Результаты: пациенты, чей первый эпизод психоза оставался без лечения более 3 месяцев, имели большую вероятность недобровольной госпитализации по сравнению с теми, кто был госпитализирован в течение первого месяца после начала симптомов. Также было установлено, что наличие у пациентов деструктивного, аутоагрессивного поведения, грубой психопродуктивной симптоматики, высокого уровня психопатизации и отказа от лечения увеличивало риск госпитализации без согласия больного. Выводы: полученные результаты подчеркивают необходимость ранней диагностики и начала лечения психотических расстройств, особенно в случае первого эпизода. Своевременное вмешательство может снизить риск недобровольной госпитализации и улучшить долгосрочные исходы терапии.

Objective: to assess the effect of untreated psychosis duration on the likelihood of involuntary hospitalization among patients with a first psychotic episode. Materials and methods: a retrospective analysis of data from patients admitted to inpatient treatment between 2020 and 2023 was conducted. Data was collected on the duration from the onset of the psychotic episode until hospitalization, as well as the reasons and circumstances leading to hospitalization, with clinical, psychopathological, and psychometric assessments of the patient's condition. Results: patients whose first episode of psychosis went untreated for more than 3 months were more likely to be hospitalized involuntarily compared to those who received treatment within the first month after symptom onset. Conclusions: the presence of destructive and autoaggressive behaviors, as well as gross psychoproductive symptoms and a high level of psychopathization, along with patient refusal of treatment increased the risk of hospitalization without consent. These findings emphasize the importance of early diagnosis and treatment for psychotic disorders, particularly in the case of a first episode. Early intervention can help reduce the risk of involuntary hospitalization and improve long-term treatment outcomes.

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The authors declare that there are no conflicts of interest present.