| (a)
Rating system |
| | | SIPS version 5.0 [8] | CAARMS version 12/2006 [16] |
| | Subscales | P1: Unusual Thought Content/Delusional Ideas
P2: Suspiciousness/Persecutory Ideas
P3: Grandiose Ideas
P4: Perceptual Abnormalities/Hallucinations
P5: Disorganized Communication | P1: Unusual Thought Content
P2: Non-Bizarre Ideas
P3: Perceptual Abnormalities
P4: Disorganized Speech |
| | Frequency | 1: at least several min per d at least 1/mo
2: several min/d at least once/wk in the past mo
3: at least 1 h/d for at least 4 d/wk over 1 mo | 0: absent
1: less than 1/mo
2: 1/mo to 2/wk, <1 h per occasion
3: 1/mo to 2/wk, >1 h per occasion, OR 3 to 6/wk, <1 h per occasion
4: 3 to 6/wk, > 1 h per occasion, OR daily, <1 h per occasion
5: daily, >1 h per occasion, OR several times/d
6: continuous |
| | Substance use | Exclusion criterion if strongly intertwined with symptoms | 0: no relation to substance use noted
1: occurs in relation to substance use and at other times as well
2: noted only in relation to substance use |
| | Distress | Subjective qualifier
Not used to determine an individual’s UHR status | Rated on scale 0–100
Not used to determine an individual’s UHR status |
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| (b)
Attenuated psychotic symptoms |
| | | Attenuated positive symptom psychosis-risk syndrome SIPS version 5.0 [8] | Attenuated psychosis group
CAARMS version 12/2006 [16] |
| | Inclusion criteria | Severity score of 3–5 on at least one of P1–P5
PLUS
Frequency score of 2 on P1, P2, P3, P4, and/or P5 | Subthreshold intensity
Severity score of 3–5 on P1, 3–5 on P2, 3-4 on P3, and/or 4-5 on P4
PLUS
Frequency score of 3–6 on P1, P2, P3, and/or P4
Subthreshold frequency
Severity score of 6 on at least one of P1, P2, and P4 and/or 5-6 on P3
PLUS
Frequency score of 3 on P1, P2, P3, and/or P4 |
| | Onset | Symptoms should have begun within the past year OR currently rate one or more scale points higher compared to 12 months before
Symptoms that occurred over the past month only are rated | Symptoms should have been present in the previous 12 mo AND for not longer than 5 y |
| | Level of functioning | No social/occupational dysfunction requirement | 30% drop in SOFAS score from premorbid level, sustained for a mo, within the past 12 mo OR SOFAS score <50 for the past 12 mo or more |
| | Exclusion criteria | Symptoms are strongly intertwined temporally with substance use episodes (substance-induced psychosis may be considered) | Symptoms occur only during peak intoxication from a substance known to be associated with psychotic experiences (e.g., hallucinogens, amphetamines, and cocaine) | | Symptoms are better accounted for by another DSM diagnosis | — | | Past psychosis ruled in according to information obtained through the initial screen and evaluated using the POPS | The person has had a previous psychotic episode (treated or untreated) |
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| (c)
Brief limited intermittent psychotic symptoms |
| | | Brief intermittent psychotic symptom psychosis-risk syndrome SIPS version 5.0 [8] | Brief limited intermittent psychotic symptoms group
CAARMS version 12/2006 [16] |
| | Inclusion criteria | Severity score of 6 on at least one of P1–P5
PLUS
Frequency score of 1 on P1, P2, P3, P4, and/or P5 | Severity score of 6 on at least one of P1, P2, and P4 and/or 5-6 on P3
PLUS
Frequency score of 4–6 on P1, P2, P3, and/or P4 |
| | Onset | Symptoms should have reached a psychotic level of intensity in the previous 3 mo | Symptoms should have been present in the previous 12 mo and for not longer than 5 y |
| | Duration | Up to 3 mo | Up to 7 d |
| | Level of functioning | No social/occupational dysfunction requirement | 30% drop in SOFAS score from premorbid level, sustained for a mo, within the past 12 mo OR SOFAS score <50 for the past 12 mo or more |
| | Exclusion criteria | Symptoms are strongly intertwined temporally with substance use episodes (substance-induced psychosis may be considered) | Symptoms occur only during peak intoxication from a substance known to be associated with psychotic experiences (e.g., hallucinogens, amphetamines, and cocaine) | | Symptoms are better accounted for by another DSM diagnosis | — | | Past psychosis ruled in according to information obtained through the initial screen and evaluated using the POPS | The person has had a previous psychotic episode (treated or untreated) | | Symptoms are seriously disorganizing and dangerous | — | | — | Symptoms do not resolve spontaneously (without antipsychotic medication) |
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| (d)
Genetic risk and deterioration syndrome |
| | | Genetic risk and deterioration psychosis-risk syndrome
SIPS version 5.0 [8] | Vulnerability group
CAARMS version 12/2006 [16] |
| | Inclusion criteria | The patient meets criteria for Schizotypal Personality Disorder
OR
The patient has a first-degree relative with a psychotic disorder | Schizotypal Personality Disorder in identified patient
OR
Family history of psychosis in a first-degree relative |
| | Level of functioning | 30% drop in GAF score over the last mo as compared to 12 mo before | 30% drop in SOFAS score from premorbid level, sustained for a mo, within the past 12 mo OR SOFAS score <50 for the past 12 mo or more |
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CAARMS, Comprehensive Assessment of At-Risk Mental States; d, day; GAF, Global Assessment of Functioning; h, hour; min, minute; mo, month; SIPS, Structured Interview for Psychosis-Risk Syndrome; SOFAS, Social and Occupational Functioning Assessment Scale; UHR, ultra high risk; wk, week.
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