To assess the frequency of HIV testing and the incidence of HIV infect
ion among patients with new-onset psychosis, the records of 811 patien
ts referred to a military hospital for acute psychosis during a two-ye
ar period were reviewed. Records of 518 patients were excluded because
they had known chronic psychotic illnesses, repeat admissions for rec
urrent affective disorders with psychotic features, delirium, dementia
, or pre-existing HIV infection. Of the 293 patients with new-onset ps
ychotic illness, 84 percent (N = 246) were tested for HIV antibodies.
None were seropositive for HIV. Although patients with new-onset psych
osis were commonly assessed for HIV infection to clarify their diagnos
is, HIV infection was not associated with new-onset psychosis.