Background:This study comprehensively explores the first episode of Acute Psychosis and its socio-demographic associations, examining gender, age of onset, rural-urban disparities, educational, socio-economic status, marital status, and family type. Clinical manifestations, stressful life events, and PANSS scores were studied, with a focus on diagnostic subtypes and correlation analyses.Methods:A cross-sectional study involving 56 Acute Psychosis patients utilized ICD 10 criteria, assessing using PSLES, PANSS, and FRS. Comparative analyses based on sex, marital status, onset of illness, suicide attempts, family history, and delusions were conducted.Result:The study revealed a slight male preponderance in Acute Psychosis, contrary to earlier findings. Variability in age of onset was noted, with males experiencing an earlier onset. Rural areas showed a higher prevalence. Delusions, especially persecutory, were predominant. Stressful life events significantly varied between diagnostic subtypes, notably lower in Acute Schizophrenia-like Psychotic Disorder (F23.2). PANSS scores indicated a higher prevalence of positive symptoms, with F23.3 exhibiting fewer positive symptoms. Marital status differences were significant among diagnostic subtypes.Conclusion:This study enhances our understanding of Acute Psychosis, providing nuanced insights into demographic patterns and symptomatology, informing future research and clinical approaches.