Background: The first episode of psychosis, frequently encountered during adolescence, is considered a crucial period due to the confusion experienced, which leads to high suicide rates in this phase. Conversely, appropriate intervention during this phase promises better outcomes. Objective: This study aims to explore the experiences of adolescents during their first episode of psychosis in Indonesia. Method: An explorative qualitative design was employed to explore the unique experiences of each participant. Ten adolescent participants experiencing their first episode of psychosis were recruited from an outpatient ward, and in-depth interviews were conducted to explore their experiences and needs during this phase. Data were analyzed using thematic analysis. Result: The duration of care among participants ranged from less than one year to two years, with parents serving as the primary caregivers in nearly all cases. Four themes were identified in this study: 1) Navigating the treatment options, 2) Barriers in accessing healthcare services, 3) Grief and hardships alleviated by support, and 4) Holistic support needs for recovery. These themes illustrate the lived experiences, needs, and hopes of adolescents during their first psychotic episode. Conclusion: The findings offer valuable insights for developing culturally sensitive early intervention programs tailored to adolescents experiencing their first episode of psychosis in Indonesia.
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