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Clinical high risk for psychosis paradigm for CAP: do not throw the baby out with the bathwater

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References

  1. Rimvall MK, van Os J, Jeppesen P (2020) Promoting a patient-centered, transdiagnostic approach to prevention of severe mental illness. Eur Child Adolesc Psychiatry. https://doi.org/10.1007/s00787-020-01563-y

    Article  PubMed  Google Scholar 

  2. Oliver D, Radua J, Reichenberg A et al (2019) Psychosis polyrisk score (PPS) for the detection of individuals at-risk and the prediction of their outcomes. Front Psychiatry. https://doi.org/10.3389/fpsyt.2019.00174

    Article  PubMed  PubMed Central  Google Scholar 

  3. Schultze-Lutter F, Klosterkötter J, Gaebel W et al (2018) Psychosis-risk criteria in the general population: frequent misinterpretations and current evidence. World Psychiatry 17:107–108. https://doi.org/10.1002/wps.20498

    Article  PubMed  PubMed Central  Google Scholar 

  4. van Os J, Guloksuz S (2017) A critique of the “ultra-high risk” and “transition” paradigm. World Psychiatry 16:200–206. https://doi.org/10.1002/wps.20423

    Article  PubMed  PubMed Central  Google Scholar 

  5. Fusar-Poli P, Salazar de Pablo G, Correll CU et al (2020) Prevention of psychosis: advances in detection, prognosis, and intervention. JAMA Psychiatry. https://doi.org/10.1001/jamapsychiatry.2019.4779

    Article  PubMed  Google Scholar 

  6. Addington J, Addington D, Abidi S et al (2017) Canadian treatment guidelines for individuals at clinical high risk of psychosis. Can J Psychiatry 62:656–661. https://doi.org/10.1177/0706743717719895

    Article  PubMed  PubMed Central  Google Scholar 

  7. Schultze-Lutter F, Michel C, Schmidt SJ et al (2015) EPA guidance on the early detection of clinical high risk states of psychoses. Eur Psychiatry 30:405–416. https://doi.org/10.1016/j.eurpsy.2015.01.010

    Article  CAS  PubMed  Google Scholar 

  8. Tor J, Dolz M, Sintes A et al (2018) Clinical high risk for psychosis in children and adolescents: a systematic review. Eur Child Adolesc Psychiatry 27:683–700. https://doi.org/10.1007/s00787-017-1046-3

    Article  PubMed  Google Scholar 

  9. Raballo A, Poletti M, Preti A et al (2020) Clinical high risk for psychosis in children and adolescents: a meta-analysis of transition prevalences. Schizophr Res. https://doi.org/10.1016/j.schres.2020.03.063

    Article  PubMed  Google Scholar 

  10. Marshall M, Lewis S, Lockwood A et al (2005) Association between duration of untreated psychosis and outcome in cohorts of first-episode patients: a systematic review. Arch Gen Psychiatry 62:975–983. https://doi.org/10.1001/archpsyc.62.9.975

    Article  PubMed  Google Scholar 

  11. Fraguas D, del Rey-Mejías Á, Moreno C et al (2014) Duration of untreated psychosis predicts functional and clinical outcome in children and adolescents with first-episode psychosis: a 2-year longitudinal study. Schizophr Res 152:130–138. https://doi.org/10.1016/j.schres.2013.11.018

    Article  PubMed  Google Scholar 

  12. McGorry PD, Hartmann JA, Spooner R et al (2018) Beyond the “at risk mental state” concept: transitioning to transdiagnostic psychiatry. World Psychiatry 17:133–142. https://doi.org/10.1002/wps.20514

    Article  PubMed  PubMed Central  Google Scholar 

  13. Seiler N, Maguire J, Nguyen T et al (2020) Prevalence of subthreshold positive symptoms in young people without psychotic disorders presenting to a youth mental health service. Schizophr Res 215:446–448. https://doi.org/10.1016/j.schres.2019.10.041

    Article  PubMed  Google Scholar 

  14. Nieman DH, McGorry PD (2015) Detection and treatment of at-risk mental state for developing a first psychosis: making up the balance. Lancet Psychiatry 2:825–834. https://doi.org/10.1016/S2215-0366(15)00221-7

    Article  PubMed  Google Scholar 

  15. Reavley NJ, Jorm AF (2011) Young people’s stigmatizing attitudes towards people with mental disorders: findings from an Australian national survey. Aust N Z J Psychiatry 45:1033–1039. https://doi.org/10.3109/00048674.2011.614216

    Article  PubMed  Google Scholar 

  16. Yoshioka K, Reavley NJ, MacKinnon AJ et al (2014) Stigmatising attitudes towards people with mental disorders: results from a survey of Japanese high school students. Psychiatry Res 215:229–236. https://doi.org/10.1016/j.psychres.2013.10.034

    Article  PubMed  Google Scholar 

  17. Colizzi M, Ruggeri M, Lasalvia A (2020) Should we be concerned about stigma and discrimination in people at risk for psychosis? A systematic review. Psychol Med 50:705–726. https://doi.org/10.1017/s0033291720000148

    Article  PubMed  Google Scholar 

  18. Parrish EM, Kim NS, Woodberry KA et al (2019) Clinical high risk for psychosis: the effects of labelling on public stigma in a undergraduate population. Early Interv Psychiatry 13:874–881. https://doi.org/10.1111/eip.12691

    Article  PubMed  Google Scholar 

  19. Trask CL, Kameoka VA, Schiffman J et al (2019) Perceptions of attenuated psychosis in a diverse sample of undergraduates. Early Interv Psychiatry 13:922–927. https://doi.org/10.1111/eip.12710

    Article  PubMed  Google Scholar 

  20. Corcoran CM (2016) Ethical and epidemiological dimensions of labeling psychosis risk. AMA J Ethics 18:633–642. https://doi.org/10.1001/journalofethics.2016.18.6.msoc2-1606

    Article  PubMed  PubMed Central  Google Scholar 

  21. Deschamps P, Hebebrand J, Jacobs B et al (2020) Training for child and adolescent psychiatry in the twenty-first century. Eur Child Adolesc Psychiatry 29:3–9. https://doi.org/10.1007/s00787-019-01467-6

    Article  PubMed  PubMed Central  Google Scholar 

  22. Singh SP, Paul M, Ford T et al (2010) Process, outcome and experience of transition from child to adult mental healthcare: multiperspective study. Br J Psychiatry 197:305–312. https://doi.org/10.1192/bjp.bp.109.075135

    Article  PubMed  Google Scholar 

  23. Shah JL, Scott J, McGorry PD et al (2020) Transdiagnostic clinical staging in youth mental health: a first international consensus statement. World Psychiatry 19:233–242. https://doi.org/10.1002/wps.20745

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to Marco Armando.

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CM reports personal fees from Janssen, Angelini, Servier, Nuvelution, Otsuka, Lundbeck and Esteve.

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Klauser, P., Revet, A., Anagnostopoulos, D. et al. Clinical high risk for psychosis paradigm for CAP: do not throw the baby out with the bathwater. Eur Child Adolesc Psychiatry 31, 685–687 (2022). https://doi.org/10.1007/s00787-020-01624-2

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