Mapping the onset of psychosis: the comprehensive assessment of at risk mental states (CAARMS)
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Participants at-risk for psychosis met ARMS criteria on the CAARMS interview in the past 6 months.
“Individuals at-risk for psychosis met ARMS criteria on the CAARMS interview in the past 6 months [30].”
From Precision weighting of cortical unsigned prediction error signals benefits learning, is mediated by dopamine, and is impaired in psychosis (2021) · cites this paper as [30]
The CAARMS positive dimension subscales allow measurement of individual psychotic experiences.
“the assessment of psychotic experiences was carried out using the Comprehensive Assessment of At Risk Mental States (CAARMS), in which the subscales of the ‘positive psychotic experiences’ dimension allow measurement of individual psychotic experiences (Yung et al., 2003).”
From Sleep duration and psychotic experiences in patients at risk of psychosis: a secondary analysis of the EDIE-2 trial (2019) · cites this paper as Yung et al., 2003
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Fusar-Poli, P., Cappucciati, M., Borgwardt, S., Woods, S. W., Addington, J., Nelson, B., Nieman, D. H., Stahl, D. R., Rutigliano, G., Riecher-Rössler, A., et al. (2016) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2015.2324 · Cited by 440 · see citing works
Self-citationThe stress cascade and schizophrenia: Etiology and onset
Corcoran, C., Walker, E., Huot, R., Mittal, V., Tessner, K., Kestler, L., & Malaspina, D. (2003) · Schizophrenia Bulletin · doi:10.1093/oxfordjournals.schbul.a007038 · Cited by 439 · see citing works
Declining Transition Rate in Ultra High Risk (Prodromal) Services: Dilution or Reduction of Risk?
Yung, A. R., Yuen, H. P., Berger, G. E., Francey, S. M., Hung, T.-C., Nelson, B., Phillips, L., & McGorry, P. D. (2007) · Schizophrenia Bulletin · doi:10.1093/schbul/sbm015 · Cited by 412 · see citing works
“Certain predictor variables were chosen for examination in this study because they had previously been shown to be significantly associated with transition to psychosis.(12,13,27) These were duration of symptoms prior to seeking help, level of psychosocial functioning, positive and negative symptoms, level of depressi…”
Self-citationMorrison, A. P., French, P., Stewart, S. L. K., Birchwood, M., Fowler, D., Gumley, A. I., Jones, P. B., Bentall, R. P., Lewis, S. W., Murray, G. K., et al. (2012) · BMJ · doi:10.1136/bmj.e2233 · Cited by 332 · see citing works
McGorry, P. D., Yung, A. R., & Phillips, L. (2003) · Schizophrenia Bulletin · doi:10.1093/oxfordjournals.schbul.a007046 · Cited by 293 · see citing works
“False positives cannot be distinguished from false false positives (Yung et al. 2003).”
BackgroundInfluentialSelf-citationYung, A., Stanford, C., Cosgrave, E., Killackey, E., Phillips, L., Nelson, B., & McGorry, P. (2006) · Schizophrenia Research · doi:10.1016/j.schres.2006.03.014 · Cited by 299 · see citing works
Self-citationCatalán, A., de Pablo, G. S., Vaquerizo‐Serrano, J., Mosillo, P., Baldwin, H., Fernández‐Rivas, A., Moreno, C., Arango, C., Correll, C. U., Bonoldi, I., et al. (2020) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13322 · Cited by 170 · see citing works
Reduced mismatch negativity predates the onset of psychosis
Shaikh, M., Valmaggia, L., Broome, M. R., Dutt, A., Lappin, J., Day, F., Woolley, J., Tabraham, P., Walshe, M., Johns, L., et al. (2011) · Schizophrenia Research · doi:10.1016/j.schres.2011.09.022 · Cited by 150 · see citing works
“Indeed, the better characterisation of the prodrome of psychosis by means of biological investigations is a prerequisite for both prevention and intervention (Broome et al., 2005b; Ruhrmann et al.; Ruhrmann et al., 2010; Yung et al., 2003; Yung et al., 2004).”
BackgroundMethodNelson, B., Yung, A. R., Bechdolf, A., & McGorry, P. D. (2007) · Schizophrenia Bulletin · doi:10.1093/schbul/sbm094 · Cited by 147 · see citing works
“above, overlap with self-disturbance) within the UHR group enhance homogeneity of the sample and prediction of onset of frank psychotic disorder within 12 months.(101,102) A similar strategy in the form of combin-”
MethodSelf-citationThe psychosis threshold in Ultra High Risk (prodromal) research: Is it valid?
Yung, A. R., Nelson, B., Thompson, A. D., & Wood, S. J. (2010) · Schizophrenia Research · doi:10.1016/j.schres.2010.03.014 · Cited by 143 · see citing works
“In this brief paper we aim to summarize the evidence for the CAARMS threshold of psychosis, and to highlight the gaps in evidence.”
InfluentialSelf-citationAssociation between psychotic experiences and depression in a clinical sample over 6 months
Yung, A. R., Buckby, J. A., Cosgrave, E., Killackey, E. J., Baker, K., Cotton, S., & McGorry, P. D. (2007) · Schizophrenia Research · doi:10.1016/j.schres.2006.11.026 · Cited by 141 · see citing works
Self-citationA systematic review on mediators between adversity and psychosis: potential targets for treatment
Alameda, L., Rodríguez, V., Carr, E., Aas, M., Trotta, G., Marino, P., Vorontsova, N., Herane-Vives, A., Gadelrab, R., Spinazzola, E., et al. (2020) · Psychological Medicine · doi:10.1017/s0033291720002421 · Cited by 125 · see citing works
Haarsma, J., Fletcher, P. C., Griffin, J. D., Taverne, H. J., Ziauddeen, H., Spencer, T. J., Miller, C., Katthagen, T., Goodyer, I., Diederen, K. M. J., et al. (2021) · Molecular Psychiatry · doi:10.1038/s41380-020-0803-8 · Cited by 108 · see citing works
“Individuals at-risk for psychosis met At-Risk-Mental-State (ARMS) criteria on the CAARMS interview in the past six months (Yung et al. 2003).”
BackgroundWood, S. J., Kennedy, D., Phillips, L., Seal, M. L., Yücel, M., Nelson, B., Yung, A. R., Jackson, G. D., McGorry, P. D., Velakoulis, D., et al. (2010) · NeuroImage · doi:10.1016/j.neuroimage.2010.04.012 · Cited by 114 · see citing works
“…participants met criteria for at least one of the following groups: (i) State and trait risk factors, (ii) Attenuated psychotic symptoms, and (iii) Brief Limited Intermittent Psychotic Symptoms (BLIPS), as assessed by the Comprehensive Assessment of At-Risk Mental State (CAARMS; Yung et al., 2005).”
InfluentialSelf-citationSocial cognition in clinical “at risk” for psychosis and first episode psychosis populations
Thompson, A. D., Papas, A., Bartholomeusz, C., Allott, K., Amminger, G. P., Nelson, B., Wood, S. J., & Yung, A. R. (2012) · Schizophrenia Research · doi:10.1016/j.schres.2012.08.007 · Cited by 115 · see citing works
“Patients are accepted into the EPPIC program if they have experienced at least 1 week of daily psychotic symptoms based on CAARMS criteria and had less than 6 months previous treatment for a psychotic disorder (Edwards et al., 2002).”
MethodInfluentialSelf-citationErmakova, A. O., Knolle, F., Justicia, A., Bullmore, E. T., Jones, P. B., Robbins, T. W., Fletcher, P. C., & Murray, G. K. (2018) · Neuropsychopharmacology · doi:10.1038/s41386-018-0056-2 · Cited by 91 · see citing works
Prediction of psychosis: setting the stage
Yung, A. R., & McGorry, P. D. (2007) · The British Journal of Psychiatry · doi:10.1192/bjp.191.51.s1 · Cited by 98 · see citing works
“…include impaired concentration and attention, subjectively abnormal emotional experiences, impaired energy and impaired tolerance to stress (Yung et al, 2005), marked impairment in role functioning, anhedonia and asociality (Mason et al, 2004), blunted affect (Mason et al, 2004; Yung et…”
BackgroundSelf-citationLivet, A., Navarri, X., Potvin, S., & Conrod, P. (2020) · Schizophrenia Research · doi:10.1016/j.schres.2020.06.016 · Cited by 88 · see citing works
Varese, F., & Bentall, R. P. (2010) · Clinical Psychology Review · doi:10.1016/j.cpr.2010.12.001 · Cited by 82 · see citing works
Culture, stress and recovery from schizophrenia: lessons from the field for global mental health
Myers, N. L. (2010) · Culture Medicine and Psychiatry · doi:10.1007/s11013-010-9186-7 · Cited by 73 · see citing works
“A ‘‘recovery-oriented mental health system’’ (Anthony 2000) would promote consumer autonomy, empowerment and hope (Davidson 2003; Deegan 1996a, 2003; Dixon et al. 1994; Fisher 2005; Holter 2004; Jacobson 2001; Jacobson and Greenley 2001; Mead and Copeland 2000; Munetz and Frese 2001; Ridgway 2001; Solomon and Draine 1…”
BackgroundRietdijk, J., Dragt, S., Klaassen, R. M. C., Ising, H. K., Nieman, D. H., Wunderink, L., Delespaul, P., Cuijpers, P. J., LINSZEN, D. H., & van der Gaag, M. (2010) · Trials · doi:10.1186/1745-6215-11-30 · Cited by 68 · see citing works
Thompson, A. D., Nelson, B., McNab, C., Simmons, M. B., Leicester, S., McGorry, P. D., Bechdolf, A., & Yung, A. R. (2010) · Psychiatry Research · doi:10.1016/j.psychres.2010.02.011 · Cited by 67 · see citing works
Self-citationPsychotic-Like Experiences at the Healthy End of the Psychosis Continuum
Unterrassner, L., Wyss, T. A., Wotruba, D., Ajdacic-Gross, V., Haker, H., & Rössler, W. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.00775 · Cited by 67 · see citing works
“The dimensional approach to psychosis includes concepts such as psychotic-like experiences (PLE), schizotypal symptoms, psychosis proneness, or at-risk mental states (Meehl, 1962; Claridge, 1997; Van Os et al., 2000; Yung et al., 2003).”
Pathways to psychosis: Help-seeking behavior in the prodromal phase
Rietdijk, J., Hogerzeil, S. J., van Hemert, A. M., Cuijpers, P., Linszen, D. H., & van der Gaag, M. (2011) · Schizophrenia Research · doi:10.1016/j.schres.2011.08.009 · Cited by 64 · see citing works
“…decline, depression and anxiety problems, sleeping problems, cognitive disturbances and psychotic-like experiences (PLEs) often precede the onset of psychosis (Häfner, 2000; Klosterkötter et al., 2001; Häfner et al., 2005b; Krabbendam and VanOs, 2005; Yung et al., 2005; Velthorst et al., 2010).”
BackgroundRietdijk, J., Ising, H., Dragt, S., Klaassen, R., Nieman, D., Wunderink, L., Cuijpers, P., Linszen, D., & van der Gaag, M. (2013) · Psychiatry Research · doi:10.1016/j.psychres.2013.01.012 · Cited by 63 · see citing works
“, 1976) were assessed with the CAARMS interview (Yung et al., 2005).”
MethodInfluentialHaarsma, J., Knolle, F., Griffin, J. D., Taverne, H., Mada, M., Goodyer, I. M., The NSPN Consortium, Fletcher, P. C., & Murray, G. K. (2020) · Journal of Abnormal Psychology · doi:10.1037/abn0000494 · Cited by 60 · see citing works
“Help-seeking individuals who are at risk for psychosis usually have sub-clinical psychotic symptoms that are not severe or frequent enough to warrant a clinical diagnosis, but are at considerably raised risk of developing a psychotic illness in the short to medium term (Yung et al., 2003).”
BackgroundBechdolf, A., Wood, S. J., Nelson, B., Velakoulis, D., Yücel, M., Takahashi, T., Yung, A. R., Berk, M., Wong, M. T., Pantelis, C., et al. (2012) · Psychiatry Research Neuroimaging · doi:10.1016/j.pscychresns.2011.06.010 · Cited by 55 · see citing works
“We have adopted such an approach to the study of psychosis for the past 15 years (Yung et al., 1996; Yung et al., 2003).”
MethodSelf-citationWalter, A., Suenderhauf, C., Harrisberger, F., Lenz, C., Smieskova, R., Chung, Y., Cannon, T. D., Bearden, C. E., Rapp, C., Bendfeldt, K., et al. (2016) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2016.10.007 · Cited by 51 · see citing works
The Ultra-High-Risk for psychosis groups: Evidence to maintain the status quo.
McHugh, M., McGorry, P., Yuen, H. P., Hickie, I., Thompson, A., de Haan, L., Mossaheb, N., Smesny, S., Lin, A., Markulev, C., et al. (2017) · Schizophrenia Research · doi:10.1016/j.schres.2017.09.003 · Cited by 46 · see citing works
“These included three intervention (Berger et al., 2012; McGorry et al., 2002; Yung et al., 2011) and four cohort studies (Phillips et al., 2009; Thompson et al., 2007; Yung et al., 2003; Yung andMcGorry, 1996a, 1996b).”
BackgroundSelf-citationImpact of cognitive therapy on internalised stigma in people with at-risk mental states
Morrison, A. P., Birchwood, M. J., Pyle, M., Flach, C., Stewart, S., Byrne, R. E., Patterson, P. H., Jones, P. B., Fowler, D. G., Gumley, A. I., et al. (2013) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.112.123703 · Cited by 47 · see citing works
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“It demonstrates good to excellent inter-rater reliability and concurrent validity with other methods of detecting UHR status (Yung et al. 2005).”
MethodSelf-citationExternalized attributional bias in the Ultra High Risk (UHR) for psychosis population
Thompson, A. D., Papas, A., Bartholomeusz, C., Nelson, B., & Yung, A. R. (2012) · Psychiatry Research · doi:10.1016/j.psychres.2012.10.017 · Cited by 41 · see citing works
Self-citationTuarob, S., Tucker, C. S., Kumara, S. R. T., Giles, C. L., Pincus, A. L., Conroy, D. E., & Ram, N. (2017) · Journal of Biomedical Informatics · doi:10.1016/j.jbi.2017.02.010 · Cited by 42 · see citing works
“Tuarob) their appearance or behavior is still advanced psychological science that has not yet been automated, most mental diagnosis solutions involve active participation of patients and medical experts [2,3].”
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“The CAARMS (Yung et al., 2003) was the primary measure of psychotic experiences in the EDIE-2 trial.”
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“presence, type, frequency, and severity of subthreshold and threshold psychotic symptoms (Yung et al., 2003).”
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Neuroimaging Findings in the At-Risk Mental State: A Review of Recent Literature
Wood, S. J., Reniers, R. L. E. P., & Heinze, K. (2013) · The Canadian Journal of Psychiatry · doi:10.1177/070674371305800104 · Cited by 29 · see citing works
Morrison, A. P., Shryane, N. M., Fowler, D. G., Birchwood, M. J., Gumley, A. I., Taylor, H. E., French, P., Stewart, S., Jones, P. B., Lewis, S. W., et al. (2015) · Psychological Medicine · doi:10.1017/s0033291715000689 · Cited by 28 · see citing works
“The CAARMS (Yung et al. 2005) is a standardized clinical interview, which has been developed to determine if an individual meets criteria for an ARMS and to assess psychopathology thought to indicate imminent development of psychotic disorder.”
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Oxytocin modulates hippocampal perfusion in people at clinical high risk for psychosis
Davies, C., Paloyelis, Y., Rutigliano, G., Cappucciati, M., Micheli, A. D., Ramella‐Cravaro, V., Provenzani, U., Antoniades, M., Modinos, G., Oliver, D., et al. (2019) · Neuropsychopharmacology · doi:10.1038/s41386-018-0311-6 · Cited by 28 · see citing works
Distress related to psychotic symptoms in individuals at high risk of psychosis
Wilson, R. S., Shryane, N. M., Yung, A. R., & Morrison, A. P. (2019) · Schizophrenia Research · doi:10.1016/j.schres.2019.11.027 · Cited by 27 · see citing works
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Self-citationScreening for the at‐risk mental state in educational settings: A systematic review
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“Screening tools for ARMS have been identified as being suitably sensitive and specific to detect ARMS within individuals who are help-seeking or already engaging in services (Loewy, Bearden, Johnson, Raine, & Cannon, 2005; Miller et al., 2003; Yung et al., 2005).”
BackgroundMethodInfluentialKristensen, T. D., Glenthøj, L., Ambrosen, K., Syeda, W., Ragahava, J. M., Krakauer, K., Wenneberg, C., Fagerlund, B., Pantelis, C., Glenthøj, B., et al. (2021) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.13355 · Cited by 18 · see citing works
“Clinical data [N = 80]d [N = 8]d [N = 65]d [N = 4]d Number of treatment contactse 27 (16) 39 (21) 48 (29) 65 (42) p < 0.”
Sensory gating deficits in the attenuated psychosis syndrome
Shaikh, M., Dutt, A., Broome, M. R., Vozmediano, A. G., Ranlund, S. M., Díez, Á., Caseiro, O., Lappin, J., Amankwa, S., Carletti, F., et al. (2014) · Schizophrenia Research · doi:10.1016/j.schres.2014.12.021 · Cited by 15 · see citing works
“Transition to psychosis was defined according to the criteria in the CAARMS (i.e., presence of at least 1 positive psychotic symptom at high severity for more than 1 week).”
BackgroundMethodCavelti, M., Thompson, K. N., Hulbert, C. A., Betts, J. K., Jackson, H. J., Francey, S. M., & Chanen, A. M. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00292 · Cited by 15 · see citing works
“Measures Participants were assessed using the positive symptom scales of the CAARMS, a semistructured interview conducted to determine the presence, type, frequency, and severity of subthreshold and threshold psychotic symptoms (32).”
MethodInfluentialSelf-citationHowie, C., Hanna, D., Shannon, C., Davidson, G., & Mulholland, C. (2021) · Early Intervention in Psychiatry · doi:10.1111/eip.13147 · Cited by 15 · see citing works
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Self-citationSubtypes of Psychotic-Like Experiences and Their Significance for Mental Health
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“this study, all participants were reassessed with the CAARMS (Yung et al., 2005) to”
Self-citationAttenuated first‐rank symptoms and conversion to psychosis in a clinical high‐risk cohort
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Self-citationCost Evaluation During Decision-Making in Patients at Early Stages of PsychosisPreprint
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The Impact of Early Intervention in Schizophrenia
Yung, A. R., Killackey, E. J., Nelson, B., & McGorry, P. D. (2009) · Springer eBooks · doi:10.1007/978-1-4419-0913-8_16 · Cited by 4 · see citing works
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ACTUALIZACIÓN EN LA PREVENCIÓN DE LOS TRASTORNOS DEL ESPECTRO PSICÓTICO
Fonseca‐Pedrero, E., Inchausti, F., & Rioja, U. D. L. (2018) · Papeles del Psicólogo - Psychologist Papers · doi:10.23923/pap.psicol2018.2860 · Cited by 3 · see citing works
“…estados mentales de “ultra alto riesgo” provienen de la Structured Interview for Prodromal Syndromes (SIPS) (Miller et al., 2003), mientras que los “estados mentales de alto riesgo de psicosis” (EMARs), derivan de la Comprehensive Assessment of At Risk Mental States (CAARMS) (Yung et al., 2005).”
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Assessment and Developing a Formulation
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Self-citationMcGorry, P. D., Yung, A. R., & Phillips, L. (2004) · Steinkopff eBooks · doi:10.1007/978-3-7985-1953-4_28 · Cited by 2 · see citing works
Self-citationEarly Intervention in the Treatment of Psychosis
Weiss, A. L., Chaudhry, S., Marhefka, A., & Khunkhun, V. (2024) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2024.07.001 · Cited by 1 · see citing works
Gifford, G., Avila, A., Kempton, M. J., Fusar‐Poli, P., McCutcheon, R. A., Coutts, F., Tognin, S., Valmaggia, L., de Haan, L., van der Gaag, M., et al. (2024) · Schizophrenia Bulletin · doi:10.1093/schbul/sbae133 · Cited by 1 · see citing works
“39 Symptom measures used in the current study included the CAARMS, 40 the Scale for the Assessment of Negative Symptoms (SANS), 41 and the Schizophrenia Proneness Instrument-Adult version (SPI-A) to assess basic symptoms.”
Genetic Testing and Neuroimaging for Youth at Risk for Mental Illness: Trading off Benefit and Risk
Lee, G., Mizgalewicz, A., Borgelt, E., & Illes, J. (2014) · Current topics in behavioral neurosciences · doi:10.1007/7854_2014_335 · Cited by 1 · see citing works
Identification of the Population
Yung, A. R. (2005) · doi:10.1002/9780470712979.ch2 · Cited by 1 · see citing works
Self-citationGreen, H. (2017) · CUNY Academic Works (City University of New York) · Cited by 1 · see citing works
Genetic Testing and Neuroimaging: Trading off Benefit and Risk for Youth with Mental Illness.
Lee, G., Mizgalewicz, A., Borgelt, E., & Illes, J. (2014) · PubMed
Hui, C. L. M., Chang, W. C., Chan, S. K. W., Lee, E. H. M., & Chen, E. Y. H. (2023) · doi:10.1093/med/9780198735588.003.0017
Jongeneel, M. J. (2024) · doi:10.5463/thesis.667
Psychosis and Bipolar Disorder
Fairclough, L., & Foster, C. (2025) · Springer eBooks · doi:10.1007/978-3-031-84532-1_4
Subtle impairments of facial emotion expressions in individuals at ultra-high risk for psychosis
Kristensen, T. D., Ebdrup, B. H., Ambrosen, K. S., Nordentoft, M., Glenthøj, L. B., & Graßhof, S. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1743609
“AU, Action Units; CAARMS, the Comprehensive Assessment of At-Risk Mental States; HiSoC, High-Risk Social Challenge; SANS, Scale for the Assessment of Negative Symptoms.”
InfluentialHoppstock, P., Foerster, E., Schauer, N., Berger, M., Fiebig, N., Mossaheb, N., Baumgartner, J. S., & Friedrich, F. (2026) · Neuropsychiatrie · doi:10.1007/s40211-026-00595-1
- Authors
- Yung, A. R., Yuen, H. P., Phillips, L. J., Francey, S., & McGorry, P. D.
- Venue
- Schizophrenia Research
- Publisher
- Elsevier BV
- Published
- 2003-03
- Volume
- 60
- Issue
- 1
- Pages
- 30-31
- ISSN
- 0920-9964 (ISSN-L)
- OpenAlex
- W2137646181
- Cited by
- 84
- References
- 0
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2023: 1 · 2022: 4 · 2021: 4 · 2020: 10 · 2019: 7 · 2018: 6 · 2017: 5 · 2016: 2 · 2015: 3 · 2014: 3 · 2013: 5 · 2012: 6
- FWCI
- 1.47
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Licence
- Locations
- Schizophrenia Research (publishedVersion)
- Figshare (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- transition to psychosis, clinical high risk for psychosis
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