Evidence map›Paper›PMID 39080008›Full record

ArticleSocial psychiatry and psychiatric epidemiology2025

The full spectrum of clinical stages of psychosis at prison entry: prevalence and concurrent validity of symptom screening.

Natalia Yee, Christie Browne, Prabin Chemjong, Daria Korobanova, Kimberlie Dean

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Article in Social psychiatry and psychiatric epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 · What the graph read from it

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Natalia YeeJustice Health and Forensic Mental Health Network, Roundhouse, Long Bay Complex, PO Box 150, Matraville, NSW, 2036, Australia. natalia.yee@unsw.edu.au.ORCID http://orcid.org/0000-0002-1415-8111
Christie BrowneJustice Health and Forensic Mental Health Network, Roundhouse, Long Bay Complex, PO Box 150, Matraville, NSW, 2036, Australia.
Prabin ChemjongDiscipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, Australia.
Daria KorobanovaWestern Sydney Local Health District, Sydney, Australia.
Kimberlie DeanJustice Health and Forensic Mental Health Network, Roundhouse, Long Bay Complex, PO Box 150, Matraville, NSW, 2036, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDespite the high rates of psychotic disorders amongst people in prison, current prison mental health screening approaches have not included assessment of the full psychosis spectrum to capture those at-risk of an emerging psychosis as well as those with established illness nor assessed the concurrent validity of psychosis symptom screening.

methodsUsing a clinical staging approach to establish the prevalence of Ultra High Risk (UHR), first episode of psychosis (FEP) and established psychosis (EP) groups, 291 adults entering custody in two prison reception centres in NSW completed a two-stage (screening and validation) interview process. The Comprehensive Assessment of At-Risk Mental States (CAARMS) was used to determine the clinical stages of psychosis and concurrent validity of symptom screening in identifying individuals on the psychosis spectrum was formally assessed.

resultsAmongst men and women entering prison, almost one quarter (24.1%) met UHR criteria, 5.1% met the FEP threshold and 10.6% had an established psychosis. Those on the psychosis spectrum reported greater disadvantage across sociodemographic and justice factors. The presence of perceptual disturbance and paranoid beliefs emerged as the two best screening items for identifying those with an underlying psychosis spectrum illness.

conclusionThe prevalence of psychosis spectrum illness, including the UHR state, amongst those entering prison is high. Current prison mental health approaches should include screening for the presence of perceptual disturbances and paranoid beliefs to improve the detection of psychosis spectrum illness.

Indexed as

Mass ScreeningPrisonersPrisonsPsychotic DisordersAdultFemaleHumansMaleMiddle AgedNew South WalesPrevalencePsychiatric Status Rating ScalesReproducibility of ResultsYoung AdultAt-risk mental stateCrimeFirst episode psychosisPrisonersScreeningUltra high risk

Identifiers

PMID39080008
PMCPMC11839845

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