ArticlePsychological medicine2019
'At risk mental state' clinics for psychosis - an idea whose time has come - and gone!
Article in Psychological medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 4 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
35 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- A Systematic Review of the Impact of Admission to a Psychiatric Hospital on Quality of Life in Patients With a First Episode Psychosis.Early intervention in psychiatry · 2026Pooled it
- Sensitivity of the clinical high-risk and familial high-risk approaches for psychotic disorders - a systematic review and meta-analysis.Psychological medicine · 2025Pooled it
- On the proportion of patients who experience a prodrome prior to psychosis onset: A systematic review and meta-analysis.Molecular psychiatry · 2024Pooled it
- Public health primary prevention implemented by clinical high-risk services for psychosis.Translational psychiatry · 2022Pooled it
- Baseline data of a sequential multiple assignment randomized trial (STEP study).Early intervention in psychiatry · 2022Trial
- Reimagining psychosis prevention: responding to the accessibility issues of At-Risk Mental State (ARMS) services through a selective public health approach.BJPsych bulletin · 2025Article
- Mental health status of the European population and its determinants: A cross-national comparison study.European psychiatry : the journal of the Association of European Psychiatrists · 2025Article
- Preferences for Psychological Therapy or Support Within an ARMS Psychological Therapies Trial: The Importance of Targeted Intervention for Unusual Sensory Experiences.Early intervention in psychiatry · 2025Article
- Clinical utility of the at-risk for psychosis state beyond transition: A multidimensional network analysis.European child & adolescent psychiatry · 2025Article
- Article
- Ethical challenges in contemporary psychiatry: an overview and an appraisal of possible strategies and research needs.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2024Article
- Article
- Prevalence and predictors of admission at the time of presentation in first episode psychosis.Social psychiatry and psychiatric epidemiology · 2024Article
- An exploratory study of psychosis risk factors in individuals who are referred but do not meet criteria for an early intervention in psychosis service.BJPsych open · 2024Article
- Harmonizing early intervention strategies: scoping review of clinical high risk for psychosis and borderline personality disorder.Frontiers in psychology · 2024Article
- We need to talk: a qualitative inquiry into pathways to care for young men at ultra-high risk for psychosis.Frontiers in psychology · 2024Article
- The association between transient childhood psychotic experiences and psychosocial outcomes in young adulthood: Examining the role of mental disorders and adult attachment.Early intervention in psychiatry · 2023Article
- The School of Hard Talks: A telehealth parent training group for caregivers of adolescents and young adults.Early intervention in psychiatry · 2023Article
- Development and Validation of Predictive Model for a Diagnosis of First Episode Psychosis Using the Multinational EU-GEI Case-control Study and Modern Statistical Learning Methods.Schizophrenia bulletin open · 2023Article
- Potential for prediction of psychosis and bipolar disorder in Child and Adolescent Mental Health Services: a longitudinal register study of all people born in Finland in 1987.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2022Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
At Risk Mental State (ARMS) clinics are specialised mental health services for young, help-seeking people, thought to be at ultra-high risk of developing psychosis. Their stated purpose is to reduce transitions from the ARMS state to clinical psychotic disorder. Reports of ARMS clinics provide 'evidence-based recommendations' or 'guidance' for the treatment of such individuals, and claim that such clinics prevent the development of psychosis. However, we note that in an area with a very well-developed ARMS clinic (South London), only a very small proportion (4%) of patients with first episode psychosis had previously been seen at this clinic with symptoms of the ARMS. We conclude that the task of reaching sufficient people to make a major contribution to the prevention of psychosis is beyond the power of ARMS clinics. Following the preventative approaches used for many medical disorders (e.g. lung cancer, coronary artery disease), we consider that a more effective way of preventing psychosis will be to adopt a public health approach; this should attempt to decrease exposure to environmental factors such as cannabis use which are known to increase risk of the disorder.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.