Demographic and clinical characteristics of young people seeking help at youth mental health services: Baseline findings of the Transitions Study

Rosemary Purcell, Anthony F. Jorm, Ian B. Hickie, Alison R. Yung, Christos Pantelis, G. Paul Amminger, Nick Glozier, Eoin Killackey, Lisa J. Phillips, Stephen J. Wood, Susy Harrigan, Andrew Mackinnon, Elizabeth Scott, Daniel F. Hermens, Adam J. Guastella, Amanda Kenyon, Laura Mundy, Alissa Nichles, Antoinette Scaffidi, Daniela SpiliotacopoulosLara Taylor, Janet P.Y. Tong, Suzanne Wiltink, Natalia Zmicerevska, Patrick D. Mcgorry

Research output: Contribution to journalArticleResearchpeer-review

25 Citations (Scopus)

Abstract

Aim: The Transitions Study was designed to establish a cohort of young people (12-25 years) seeking help for mental health problems, in order to longitudinally explore and refine a clinical staging model of the development and progression of mental disorders. This paper presents the baseline demographic and clinical characteristics of the cohort, particularly the nature and severity of psychopathology. Method: All eligible young people attending one of four headspace clinical services were invited to participate, and completed a battery of self-report and interviewer-administered measures of psychopathology and functional impairment at baseline, which will be repeated at the annual follow up. Results: Of 1615 eligible clients, 802 young people (66% women; mean age=18.3 years) consented to participate and completed baseline assessments (participation rate=50%). The severity of mental health problems varied, with 51% meeting the criteria for probable caseness related to generalized anxiety, 45% presenting with moderate to severe depressive symptoms and over a third experiencing subthreshold psychotic symptomatology. Disordered eating (32%) and problematic tobacco (56%), cannabis (30%) and alcohol (38%) use also affected a significant proportion. Overall, 39% of the cohort were classed as being functionally impaired at baseline. Conclusion: The Transitions Study recruited a heterogeneous cohort at baseline in relation to the nature and severity of mental health problems and levels of functional impairment. The variation in clinical presentations within the cohort, from mild, through moderate to severe levels of psychopathology and impairment, increases the likelihood of the Transitions Study ultimately being able to achieve its aims of empirically testing a clinical staging model for mental disorders.

Original languageEnglish
Pages (from-to)487-497
Number of pages11
JournalEarly Intervention in Psychiatry
Volume9
Issue number6
DOIs
Publication statusPublished - Dec 2015
Externally publishedYes

Keywords

  • Anxiety
  • Clinical staging
  • Depression
  • Early psychosis
  • Youth mental health

Cite this

Purcell, Rosemary ; Jorm, Anthony F. ; Hickie, Ian B. ; Yung, Alison R. ; Pantelis, Christos ; Amminger, G. Paul ; Glozier, Nick ; Killackey, Eoin ; Phillips, Lisa J. ; Wood, Stephen J. ; Harrigan, Susy ; Mackinnon, Andrew ; Scott, Elizabeth ; Hermens, Daniel F. ; Guastella, Adam J. ; Kenyon, Amanda ; Mundy, Laura ; Nichles, Alissa ; Scaffidi, Antoinette ; Spiliotacopoulos, Daniela ; Taylor, Lara ; Tong, Janet P.Y. ; Wiltink, Suzanne ; Zmicerevska, Natalia ; Mcgorry, Patrick D. / Demographic and clinical characteristics of young people seeking help at youth mental health services : Baseline findings of the Transitions Study. In: Early Intervention in Psychiatry. 2015 ; Vol. 9, No. 6. pp. 487-497.
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title = "Demographic and clinical characteristics of young people seeking help at youth mental health services: Baseline findings of the Transitions Study",
abstract = "Aim: The Transitions Study was designed to establish a cohort of young people (12-25 years) seeking help for mental health problems, in order to longitudinally explore and refine a clinical staging model of the development and progression of mental disorders. This paper presents the baseline demographic and clinical characteristics of the cohort, particularly the nature and severity of psychopathology. Method: All eligible young people attending one of four headspace clinical services were invited to participate, and completed a battery of self-report and interviewer-administered measures of psychopathology and functional impairment at baseline, which will be repeated at the annual follow up. Results: Of 1615 eligible clients, 802 young people (66{\%} women; mean age=18.3 years) consented to participate and completed baseline assessments (participation rate=50{\%}). The severity of mental health problems varied, with 51{\%} meeting the criteria for probable caseness related to generalized anxiety, 45{\%} presenting with moderate to severe depressive symptoms and over a third experiencing subthreshold psychotic symptomatology. Disordered eating (32{\%}) and problematic tobacco (56{\%}), cannabis (30{\%}) and alcohol (38{\%}) use also affected a significant proportion. Overall, 39{\%} of the cohort were classed as being functionally impaired at baseline. Conclusion: The Transitions Study recruited a heterogeneous cohort at baseline in relation to the nature and severity of mental health problems and levels of functional impairment. The variation in clinical presentations within the cohort, from mild, through moderate to severe levels of psychopathology and impairment, increases the likelihood of the Transitions Study ultimately being able to achieve its aims of empirically testing a clinical staging model for mental disorders.",
keywords = "Anxiety, Clinical staging, Depression, Early psychosis, Youth mental health",
author = "Rosemary Purcell and Jorm, {Anthony F.} and Hickie, {Ian B.} and Yung, {Alison R.} and Christos Pantelis and Amminger, {G. Paul} and Nick Glozier and Eoin Killackey and Phillips, {Lisa J.} and Wood, {Stephen J.} and Susy Harrigan and Andrew Mackinnon and Elizabeth Scott and Hermens, {Daniel F.} and Guastella, {Adam J.} and Amanda Kenyon and Laura Mundy and Alissa Nichles and Antoinette Scaffidi and Daniela Spiliotacopoulos and Lara Taylor and Tong, {Janet P.Y.} and Suzanne Wiltink and Natalia Zmicerevska and Mcgorry, {Patrick D.}",
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month = "12",
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Purcell, R, Jorm, AF, Hickie, IB, Yung, AR, Pantelis, C, Amminger, GP, Glozier, N, Killackey, E, Phillips, LJ, Wood, SJ, Harrigan, S, Mackinnon, A, Scott, E, Hermens, DF, Guastella, AJ, Kenyon, A, Mundy, L, Nichles, A, Scaffidi, A, Spiliotacopoulos, D, Taylor, L, Tong, JPY, Wiltink, S, Zmicerevska, N & Mcgorry, PD 2015, 'Demographic and clinical characteristics of young people seeking help at youth mental health services: Baseline findings of the Transitions Study', Early Intervention in Psychiatry, vol. 9, no. 6, pp. 487-497. https://doi.org/10.1111/eip.12133

Demographic and clinical characteristics of young people seeking help at youth mental health services : Baseline findings of the Transitions Study. / Purcell, Rosemary; Jorm, Anthony F.; Hickie, Ian B.; Yung, Alison R.; Pantelis, Christos; Amminger, G. Paul; Glozier, Nick; Killackey, Eoin; Phillips, Lisa J.; Wood, Stephen J.; Harrigan, Susy; Mackinnon, Andrew; Scott, Elizabeth; Hermens, Daniel F.; Guastella, Adam J.; Kenyon, Amanda; Mundy, Laura; Nichles, Alissa; Scaffidi, Antoinette; Spiliotacopoulos, Daniela; Taylor, Lara; Tong, Janet P.Y.; Wiltink, Suzanne; Zmicerevska, Natalia; Mcgorry, Patrick D.

In: Early Intervention in Psychiatry, Vol. 9, No. 6, 12.2015, p. 487-497.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Demographic and clinical characteristics of young people seeking help at youth mental health services

T2 - Baseline findings of the Transitions Study

AU - Purcell, Rosemary

AU - Jorm, Anthony F.

AU - Hickie, Ian B.

AU - Yung, Alison R.

AU - Pantelis, Christos

AU - Amminger, G. Paul

AU - Glozier, Nick

AU - Killackey, Eoin

AU - Phillips, Lisa J.

AU - Wood, Stephen J.

AU - Harrigan, Susy

AU - Mackinnon, Andrew

AU - Scott, Elizabeth

AU - Hermens, Daniel F.

AU - Guastella, Adam J.

AU - Kenyon, Amanda

AU - Mundy, Laura

AU - Nichles, Alissa

AU - Scaffidi, Antoinette

AU - Spiliotacopoulos, Daniela

AU - Taylor, Lara

AU - Tong, Janet P.Y.

AU - Wiltink, Suzanne

AU - Zmicerevska, Natalia

AU - Mcgorry, Patrick D.

PY - 2015/12

Y1 - 2015/12

N2 - Aim: The Transitions Study was designed to establish a cohort of young people (12-25 years) seeking help for mental health problems, in order to longitudinally explore and refine a clinical staging model of the development and progression of mental disorders. This paper presents the baseline demographic and clinical characteristics of the cohort, particularly the nature and severity of psychopathology. Method: All eligible young people attending one of four headspace clinical services were invited to participate, and completed a battery of self-report and interviewer-administered measures of psychopathology and functional impairment at baseline, which will be repeated at the annual follow up. Results: Of 1615 eligible clients, 802 young people (66% women; mean age=18.3 years) consented to participate and completed baseline assessments (participation rate=50%). The severity of mental health problems varied, with 51% meeting the criteria for probable caseness related to generalized anxiety, 45% presenting with moderate to severe depressive symptoms and over a third experiencing subthreshold psychotic symptomatology. Disordered eating (32%) and problematic tobacco (56%), cannabis (30%) and alcohol (38%) use also affected a significant proportion. Overall, 39% of the cohort were classed as being functionally impaired at baseline. Conclusion: The Transitions Study recruited a heterogeneous cohort at baseline in relation to the nature and severity of mental health problems and levels of functional impairment. The variation in clinical presentations within the cohort, from mild, through moderate to severe levels of psychopathology and impairment, increases the likelihood of the Transitions Study ultimately being able to achieve its aims of empirically testing a clinical staging model for mental disorders.

AB - Aim: The Transitions Study was designed to establish a cohort of young people (12-25 years) seeking help for mental health problems, in order to longitudinally explore and refine a clinical staging model of the development and progression of mental disorders. This paper presents the baseline demographic and clinical characteristics of the cohort, particularly the nature and severity of psychopathology. Method: All eligible young people attending one of four headspace clinical services were invited to participate, and completed a battery of self-report and interviewer-administered measures of psychopathology and functional impairment at baseline, which will be repeated at the annual follow up. Results: Of 1615 eligible clients, 802 young people (66% women; mean age=18.3 years) consented to participate and completed baseline assessments (participation rate=50%). The severity of mental health problems varied, with 51% meeting the criteria for probable caseness related to generalized anxiety, 45% presenting with moderate to severe depressive symptoms and over a third experiencing subthreshold psychotic symptomatology. Disordered eating (32%) and problematic tobacco (56%), cannabis (30%) and alcohol (38%) use also affected a significant proportion. Overall, 39% of the cohort were classed as being functionally impaired at baseline. Conclusion: The Transitions Study recruited a heterogeneous cohort at baseline in relation to the nature and severity of mental health problems and levels of functional impairment. The variation in clinical presentations within the cohort, from mild, through moderate to severe levels of psychopathology and impairment, increases the likelihood of the Transitions Study ultimately being able to achieve its aims of empirically testing a clinical staging model for mental disorders.

KW - Anxiety

KW - Clinical staging

KW - Depression

KW - Early psychosis

KW - Youth mental health

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U2 - 10.1111/eip.12133

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