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Clinical high‐risk state does not predict later psychosis in a delinquent adolescent population
Author(s) -
Manninen Marko,
Lindgren Maija,
Therman Sebastian,
Huttunen Matti,
Ebeling Hanna,
Moilanen Irma,
Suvisaari Jaana
Publication year - 2014
Publication title -
early intervention in psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.087
H-Index - 45
eISSN - 1751-7893
pISSN - 1751-7885
DOI - 10.1111/eip.12045
Subject(s) - psychosis , psychiatry , mood disorders , conduct disorder , psychology , population , clinical psychology , mood , mental health , medicine , anxiety , environmental health
Abstract Aim Adolescents with severe disruptive behaviour have an elevated risk for adult psychosis. We investigated whether the S tructured I nterview for P rodromal S yndromes ( SIPS ) is a useful psychosis risk‐screening tool for adolescents with disruptive behaviour. Method Fifty‐three adolescents residing in a reform school due to severe behavioural problems were interviewed with SIPS to ascertain clinical high‐risk ( CHR ) state. CHR status was compared to self‐reported psychiatric problems, and to registry data on hospital treatments for mental health disorders during a 5‐year follow‐up time. Results CHR was associated with self‐reported internalizing problems and thought problems. It failed to predict psychoses but was associated with hospital treatment for mood and conduct disorders. Conclusion The SIPS interview has limited power for predicting psychosis among adolescents with severe behavioural problems. However, SIPS appears to be useful for screening and predicting other psychiatric problems.