Evidence map›Paper›PMID 31094226›Full record

ArticleClinical child psychology and psychiatry2019

Using the K-SADS psychosis screen to identify people with early psychosis or psychosis risk syndromes.

Thomas Tsuji, Peter Phalen, Pamela Rakhshan Rouhakhtar, Zachary Millman, Kristin Bussell, Elizabeth Thompson, Caroline Demro, Caroline Roemer, Gloria Reeves, Jason Schiffman

Open access · greenAbstract read
In one paragraph

Article in Clinical child psychology and psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 47% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Thomas TsujiUniversity of Maryland, Baltimore County, USA.
Peter PhalenSchool of Medicine, University of Maryland, USA.ORCID https://orcid.org/0000-0002-4219-3475
Pamela Rakhshan RouhakhtarUniversity of Maryland, Baltimore County, USA.
Zachary MillmanUniversity of Maryland, Baltimore County, USA.
Kristin BussellSchool of Medicine, University of Maryland, USA.
Elizabeth ThompsonBrown University, USA.
Caroline DemroUniversity of Minnesota, USA.
Caroline RoemerUniversity of Maryland, Baltimore County, USA.
Gloria ReevesSchool of Medicine, University of Maryland, USA.
Jason SchiffmanUniversity of Maryland, Baltimore County, USA.
University of Maryland, Baltimore County · USUniversity of Maryland, Baltimore · USJohn Brown University · USUniversity of Minnesota · US

Funding

Administrative Supplement - 3/3: Community Psychology Risk Screening: An Instrument Development StudyR01MH112612 · NIMH · UNIVERSITY OF MARYLAND BALTIMORE COUNTY · PI PITTS, STEVEN C, SCHIFFMAN, JASON E · 2017 to 2022
$1.3M
Social Work Training to Reduce Duration of Untreated PsychosisR34MH110506 · NIMH · UNIVERSITY OF MARYLAND BALTIMORE · PI BUCHANAN, ROBERT W, DEVYLDER, JORDAN · 2017 to 2019
$681k
NIMH NIH HHS R01 MH112612NIMH NIH HHS R34 MH110506
6 · The paper itself

Abstract

backgroundCurrent methods to identify people with psychosis risk involve administration of specialized tools such as the Structured Interview for Psychosis-Risk Syndromes (SIPS), but these methods have not been widely adopted. Validation of a more multipurpose assessment tool-such as the Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS)-may increase the scope of identification efforts.

methodsWe assessed the correspondence between SIPS-determined clinical high risk/early psychosis (CHR/early psychosis) status and K-SADS psychosis screen (child and parent reports and their combination) in a sample of 147 help-seeking individuals aged 12-25. Detailed classification results are reported.

resultsBoth the child and parent interviews on the K-SADS psychosis screen were strongly predictive of CHR/early psychosis status, although parent reports contributed no significant additional information beyond child reports. Across informants, the presence of either subthreshold hallucinations or subthreshold delusions was highly suggestive of CHR/early psychosis status as determined by SIPS interview (78% (child) and 74% (parent) accuracy).

conclusionsSubthreshold scores on the two-item K-SADS psychosis screen may be good indicators of the presence or absence of early signs of psychosis. The option of using a non-specialized assessment such as the K-SADS as a staged approach to assess for CHR/early psychosis status could increase rates of early psychosis screening and treatment.

Indexed as

Psychiatric Status Rating ScalesAdolescentAdultChildDelusionsFemaleHallucinationsHumansMaleParentsPrognosisPsychotic DisordersRiskSelf ReportYoung AdultClinical high-riskearly psychosispsychosisschizophreniaultrahigh risk

Identifiers

PMID31094226
PMCPMC7263389
OpenAlexW2946514603

What OpenQuestion holds

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Registered trials

None linked

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.