Incidence and 12-month outcome of childhood non-affective psychoses: British national surveillance study.

Br J Psychiatry

Paul A. Tiffin, MD, MBBS, BmedSci(Hons), FRCPsych, FHEA, Charlotte E. W. Kitchen, BSc(Hons), PGCert, School of Medicine, Pharmacy and Health, Durham University, Queen's Campus, Stockton-on-Tees, UK.

Published: June 2015

The schizophrenias are uncommon before the age of 14 but incidence/prevalence figures are lacking. The 1-year incidence, clinical features and short-term outcomes in childhood-onset schizophrenia spectrum disorder were evaluated via the Child and Adolescent Psychiatry Surveillance System. Fifteen children with a provisional diagnosis were reported. Outcome data were obtained for 12 individuals, 8 of whom met the diagnostic criteria, equating to an estimated incidence of 0.21/100 000 (95% CI 0.08-0.34). Delusions and thought disorder were a more consistent predictor of 'caseness' than hallucinations. Illness outcomes at 1 year were generally poor. Childhood-onset schizophrenia appears to be a rare but serious disorder.

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http://dx.doi.org/10.1192/bjp.bp.114.158493DOI Listing

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