中文摘要：

目的：调查首发精神分裂症患者的就诊途径,使精神疾病患者能得到早期而正确的治疗。方法：完成对234例首发患者及家属调查,包括一般情况、非精神病专科就诊情况、延迟至精神科求助原因、精神科就诊途径及原因、精神病未治疗期病程等;以PANSS评估患者就诊时症状的严重程度。结果：非精神科的求助方式主要为社区精神病防治医生、宗教或迷信、综合医院非精神科医生、中医药或偏方、普通心理咨询等;到精神科求助的原因主要为患者出现了家属不能接受的行为;延迟至精神科求助的主要原因是患者及家属的精神卫生知识比较匮乏;精神病未治疗期病程（DUP）中位数为7个月,短DUP组的阳性症状总分比长DUP组高,差异有统计学意义（t=4.19,P〈0.01）,短DUP组的阴性症状总分比长DUP组低,差异有统计学意义（t=3.32,P〈0.01）。结论：加强社区精神卫生知识的宣传,建立社区精神疾病防治网络,充分发挥社区精神病防治医生的作用,有利于早期发现及治疗,缩短DUP,对改善疾病的预后有重要作用。

英文摘要：

Objective：To investigate the pathway to care for first-episode schizophrenic patients in psychiatric hospital and non-psychiatric hospita1 and enable them to receive early and proper treatments.Methods：234 one first-episode patients and their families were investigated,including demographic characters,help-seeking in non-psychiatric clinics,reasons for delay seeking help from psychiatric clinics,pathways and causes to psychiatric clinics,duration of untreated psychosis（DUP）;PANSS was used to estimate the severity of the symptom.Results： Patients sought assistance most frequently from community psychiatrist,religion or blind faith,on-psychiatric clinicians,Chinese medicine or remedy and psychological counseling in the non-psychiatric clinic pathway.Major reason for seeking help from psychiatric clinicians was the unacceptable behavior;Major reason for delay seeking help from psychiatric clinicians was that patients and family numbers were short of knowledge about mental health;DUP median was 7 months,the score of positive symptom of short DUP group was significant higher than that found in long DUP group（t=4.19,P〈0.01）,while the score of negative symptom of short DUP group was lower than long DUP group,and the difference was significant（t=3.32,P〈0.01）.Conclusions： Strengthen mental health knowledge dissemination and the role of psychiatrist in community,establishing community mental disease prevention network,as well as shorten the DUP are critical for psychiatry prognosis.