Study on the risks and its influencing factors of patients with psychotic disorders in communities

Objective To explore the risks and its influencing factors of patients with psychotic disorders in communities. Methods A total of 457 patients with psychotic disorders in communities were investigated by use of the multistage stratified cluster random sampling method. Results Totally 257 patients with psychotic disorders in communities were with risks, which accounted for 56.2%.Among them, 200 patients (43.8%) were with level-0 risk, 113 patients (24.7%) were level-1 risk, 85 patients (18.6%) were level-2 risk, 43 patients (9.4%) were level-3 risk, 11 patients (2.4%) were level-4 risk, while 5 patients (1.1%) were level-5 risk.There were significant differences in risks among patients with different gender, family income, duration, type of disease, medication and the history of violent behavior.Logistic regression analysis showed that low family income (OR=0.515, 95%CI=0.386-0.689, P<0.01), long course of disease (OR=1.378, 95%CI=1.179-1.609, P<0.01), patients with schizophrenia (OR=6.285, 95%CI=2.456-16.086, P<0.01) and patients with a history of violence history (OR=28.988, 95%CI=10.692-78.592, P<0.01) were the risk factors of the influencing of patients with psychotic disorders in communities. Conclusions Low family income, long course of disease, patients with schizophrenia and a history of violence history are the influencing factors of patients with psychotic disorders in communities, and the management of follow-up and the strength of supervision among these patients should be reinforced. Key words: Psychotic disorders; Risks; Influencing factors