PMID- 37755654 OWN - NLM STAT- MEDLINE DCOM- 20231127 LR - 20231129 IS - 1535-1645 (Electronic) IS - 1523-3812 (Print) IS - 1523-3812 (Linking) VI - 25 IP - 11 DP - 2023 Nov TI - Recent Updates on Predicting Conversion in Youth at Clinical High Risk for Psychosis. PG - 683-698 LID - 10.1007/s11920-023-01456-2 [doi] AB - PURPOSE OF REVIEW: This review highlights recent advances in the prediction and treatment of psychotic conversion. Over the past 25 years, research into the prodromal phase of psychotic illness has expanded with the promise of early identification of individuals at clinical high risk (CHR) for psychosis who are likely to convert to psychosis. RECENT FINDINGS: Meta-analyses highlight conversion rates between 20 and 30% within 2-3 years using existing clinical criteria while research into more specific risk factors, biomarkers, and refinement of psychosis risk calculators has exploded, improving our ability to predict psychotic conversion with greater accuracy. Recent studies highlight risk factors and biomarkers likely to contribute to earlier identification and provide insight into neurodevelopmental abnormalities, CHR subtypes, and interventions that can target specific risk profiles linked to neural mechanisms. Ongoing initiatives that assess longer-term (> 5-10 years) outcome of CHR participants can provide valuable information about predictors of later conversion and diagnostic outcomes while large-scale international biomarker studies provide hope for precision intervention that will alter the course of early psychosis globally. CI - (c) 2023. The Author(s). FAU - Caballero, Noe AU - Caballero N AD - Department of Psychiatry, University of California San Diego, 9500 Gilman Dr., La Jolla, CA, 92093-0810, USA. FAU - Machiraju, Siddharth AU - Machiraju S AD - Department of Psychiatry, University of California San Diego, 9500 Gilman Dr., La Jolla, CA, 92093-0810, USA. FAU - Diomino, Anthony AU - Diomino A AD - Department of Psychiatry, University of California San Diego, 9500 Gilman Dr., La Jolla, CA, 92093-0810, USA. FAU - Kennedy, Leda AU - Kennedy L AD - Department of Psychiatry, University of California San Diego, 9500 Gilman Dr., La Jolla, CA, 92093-0810, USA. FAU - Kadivar, Armita AU - Kadivar A AD - Department of Psychiatry, University of California San Diego, 9500 Gilman Dr., La Jolla, CA, 92093-0810, USA. FAU - Cadenhead, Kristin S AU - Cadenhead KS AUID- ORCID: 0000-0002-5952-4605 AD - Department of Psychiatry, University of California San Diego, 9500 Gilman Dr., La Jolla, CA, 92093-0810, USA. kcadenhead@health.ucsd.edu. LA - eng GR - R01 MH105243/MH/NIMH NIH HHS/United States GR - R01 MH123641/MH/NIMH NIH HHS/United States GR - U01 MH081944/MH/NIMH NIH HHS/United States GR - U01 MH124639/MH/NIMH NIH HHS/United States PT - Journal Article PT - Review DEP - 20230927 PL - United States TA - Curr Psychiatry Rep JT - Current psychiatry reports JID - 100888960 RN - 0 (Biomarkers) SB - IM MH - Humans MH - Adolescent MH - *Psychotic Disorders/diagnosis/therapy MH - Risk Factors MH - Longitudinal Studies MH - Risk Assessment MH - Biomarkers PMC - PMC10654175 OTO - NOTNLM OT - Biomarkers OT - Clinical high risk OT - Conversion OT - Prodome OT - Psychosis OT - Treatment COIS- The authors declare no competing interests. EDAT- 2023/09/27 12:41 MHDA- 2023/11/27 12:43 PMCR- 2023/09/27 CRDT- 2023/09/27 11:12 PHST- 2023/09/05 00:00 [accepted] PHST- 2023/11/27 12:43 [medline] PHST- 2023/09/27 12:41 [pubmed] PHST- 2023/09/27 11:12 [entrez] PHST- 2023/09/27 00:00 [pmc-release] AID - 10.1007/s11920-023-01456-2 [pii] AID - 1456 [pii] AID - 10.1007/s11920-023-01456-2 [doi] PST - ppublish SO - Curr Psychiatry Rep. 2023 Nov;25(11):683-698. doi: 10.1007/s11920-023-01456-2. Epub 2023 Sep 27.