Evidence map›Paper›PMID 42366423›Full record

ArticleEarly intervention in psychiatry2026

Documentation of Psychosis Risk Screening in Same-Day Adolescent Behavioural Health Consultations.

Julia A Plumb, Kelsey A Johnson, Cailin Ryrie, Kristen A Woodberry, Lydia A Shrier

Abstract read
In one paragraph

Article in Early intervention in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Julia A PlumbDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-1446-8769
Kelsey A JohnsonDepartment of Psychiatry, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Cailin RyrieDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.
Kristen A WoodberryCenter for Clinical and Translational Science, Maine Health Institute of Research, Portland, Maine, USA.ORCID https://orcid.org/0000-0001-8282-1803
Lydia A ShrierDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.

Funding

Maine Health Institute for Research
6 · The paper itself

Abstract

backgroundEarly detection of psychosis is associated with improved outcomes for patients with serious mental illness.

methodsPsychosis screening items were added to an electronic medical record template used for same-day consultations by behavioural health clinicians in an adolescent/young adult medical clinic. We conducted a retrospective chart review to characterise psychosis prevalence and documentation of psychosis screening.

resultsDocumentation of any responses to psychosis screening items was present in 28% of consultations (n = 116). Among consultations where providers directly inquired about psychosis (14%; n = 59), 20% (n = 12) documented ≥ 1 psychosis risk item, representing 10 unique patients. For three of these patients, this was an initial identification of psychosis concern.

conclusionsDespite inclusion of psychosis screening items on a consultation template, most behavioural health consultations did not include documentation of psychosis risk assessment. Documented direct clinician inquiry into psychosis risk was associated with the discovery of previously unidentified psychosis risk factors and symptoms.

Indexed as

DocumentationPsychotic DisordersReferral and ConsultationAdolescentEarly DiagnosisElectronic Health RecordsFemaleHumansMaleRetrospective StudiesRisk AssessmentRisk FactorsYoung Adultadolescentspsychosisriskscreening

Identifiers

PMID42366423
PMCPMC13349520

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