Applying clinical staging to young people who present for mental health care

I B Hickie; E M Scott; Daniel F Hermens; S L Naismith; A J Guastella; M Kaur; A Sidis; B Whitwell; N Glozier; T Davenport; C Pantelis; S J Wood; P D McGorry

doi:10.1111/j.1751-7893.2012.00366.x

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Applying clinical staging to young people who present for mental health care

Journal article

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Applying clinical staging to young people who present for mental health care

I B Hickie, E M Scott, Daniel F Hermens, S L Naismith, A J Guastella, M Kaur, A Sidis, B Whitwell, N Glozier, T Davenport, …

Early Intervention in Psychiatry, Vol.7(1), pp.31-43

2013

DOI: https://doi.org/10.1111/j.1751-7893.2012.00366.x

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Abstract

clinical staging

diagnosis

early intervention

mental health

youth

Aim: The study aims to apply clinical staging to young people who present for mental health care; to describe the demographic features, patterns of psychological symptoms, disability correlates and clinical stages of those young people; and to report longitudinal estimates of progression from less to more severe stages. Methods: The study uses cross-sectional and longitudinal assessments of young people managed in specialized youth clinics. On the basis of clinical records, subjects were assigned to a specific clinical 'stage' (i.e. 'help-seeking', 'attenuated syndrome', 'discrete disorder' or 'persistent or recurrent illness'). Results: Young people (n=209, mean age=19.9years (range=12-30years), 48% female) were selected from a broader cohort of n=1483 subjects. Ten percent were assigned to the earliest 'help-seeking' stage, 54% to the 'attenuated syndrome' stage, 25% to the 'discrete disorder' stage and 11% to the later 'persistent or recurrent illness' stage. The interrater reliability of independent ratings at baseline was acceptable (κ=0.71). Subjects assigned to the 'attenuated syndrome' stage reported symptom and disability scores that were similar to those assigned to later stages. Longitudinally (median=48weeks), transition to later clinical stages were 11% of the 'help-seeking', 19% of the 'attenuated syndrome' and 33% of the 'discrete disorder' groups. Conclusion: Among young people presenting for mental health care, most are clinically staged as having 'attenuated syndromes'. Despite access to specialized treatment, a significant number progress to more severe or persistent disorders. © 2012 Wiley Publishing Asia Pty Ltd.

Details

Title: Applying clinical staging to young people who present for mental health care
Authors: I B Hickie (Author) - University of Sydney
E M Scott (Author) - University of Sydney
Daniel F Hermens (Author) - University of Sydney
S L Naismith (Author) - University of Sydney
A J Guastella (Author) - University of Sydney
M Kaur (Author) - University of Sydney
A Sidis (Author) - University of Sydney
B Whitwell (Author) - University of Sydney
N Glozier (Author) - University of Sydney
T Davenport (Author) - University of Sydney
C Pantelis (Author) - University of Melbourne
S J Wood (Author) - University of Melbourne
P D McGorry (Author) - University of Melbourne
Publication details: Early Intervention in Psychiatry, Vol.7(1), pp.31-43
Publisher: Wiley-Blackwell Publishing Asia
DOI: 10.1111/j.1751-7893.2012.00366.x
ISSN: 1751-7885
Organisation Unit: University of the Sunshine Coast, Queensland; Thompson Institute
Language: English
Record Identifier: 99450546102621
Output Type: Journal article

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Collaboration types: Domestic collaboration; International collaboration
Web Of Science research areas: Psychiatry

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