Les personnes atteintes de schizophrénie et vivant en communauté: Construction d'un outil évaluant le risque de rechute psychotique
Psychotic relapse is a common phenomenon in the evolution of schizophrenia. A relapse leads to a large number of negatives outcomes, both on an individual and social level. Decompensation involves, among other things, an increase in positive psychotic symptoms. The literature shows that the risk of violence is increased when psychotic symptoms are important. It is essential to carefully examine the issues involved in preventing and managing the risk of psychotic relapse. To date, no tool has been elaborated to assess the risk of psychotic relapse. We wanted to address this situation by building an instrument in keeping with a structured professional judgment model, the Grille d’évaluation du risque de rechute psychotique (literally: the Psychotic Relapse Risk Assessment Grid). Our instrument is conceptualized according to the principles of the START instrument. A literature review was conducted to determine which risk factors and protective factors are associated with psychotic relapse. For each of these factors, criteria were defined. Then, the Grille d’évaluation du risque de rechute psychotique was applied to three clinical cases. The patients evaluated in this paper are monitored by the Centre de psychiatrie légale de Montréal. Our tool was not subjected to a validation process, and therefore has several methodological limitations. Nevertheless, we believe the first steps of building a tool to be a crucial exercise.
Rechute psychotique Évaluation Schizophrenia Psychotic relapse Decompensation Assessment Structured professional judgment