Subjects from both groups had clear evidence of impaired psychosocial functioning (IED, mean GAF score = 60.5 ± 7.3; PD, mean GAF 65.2 ± 5.3).
There was no statistically significant between-group difference in psychosocial functioning at entry (mean GAS score ± SD: suicide attempters 41.8 ± 8.3 versus non-attempters 39.3 ± 8.7, p = ns).. Fourteen (87.5%) suicide attempters and 32 (82.1%) non-attempters had previously utilized psychiatric services.
Statistically significant improvements were observed from baseline to study endpoint on the PETiT total (mean change [SD]: 3.2 [8.5]) and psychosocial functioning (2.5 [6.9]) and adherence-related attitude (0.7 [2.6]) domain scores (all p ≤ 0.002).
After enrollment and consecutively, every six months, case managers routinely assess psychosocial functioning by means of the Health of the Nation Outcome Scale (HoNOS).
The sample showed a severe impairment in the overall level of psychosocial functioning with a mean GAF score of 47.2 ± 14. 76% of the samples were currently under medication.
To create the Psychosocial Functioning score, the mean is computed as the sum of the items divided by the number of the items answered in the Emotional, Social, and School Functioning Scale.
Information about mental health problems and psychosocial functioning was collected about 12 years later at mean age 27.2 (n = 1266).
The mean total HoNOS65+ scores at follow-up showed an improvement in psychosocial functioning in both groups.
Using assessment instruments, the following data will be collected: - Psychosocial functioning (psychiatric, somatic and social symptoms/functioning) by means of the health of nations outcome scale for the elderly (HoNOS 65+, Dutch version) [ 29, 30] - Care needs by means of the abridged Camberwell assessment of needs elderly (CANE, short version, Dutch version [ 31, 32].
Their general level of psychosocial functioning was average (GAF score = 50.2), while the mean BPRS (18 - item) score of 44.4 indicated that they were clinically "moderately ill"[ 34].
