Psychosocial outcome in patients at clinical high risk of psychosis: a prospective follow-up Raimo K. R. SalokangasDorien H. NiemanMarkus HeinimaaTanja SvirskisSinikka Luutonen • Tiina FromHeinrich Graf von ReventlowGeorg JuckelDon LinszenPeter DingemansMax Birchwood • Paul PattersonFrauke Schultze-LutterJoachim KlosterkotterStephan RuhrmannThe EPOS group

Purpose In patients at clinical high risk (CHR) of psychosis, transition to psychosis has been the focus of recent studies. Their broader outcome has received less attention. We studied psychosocial state and outcome in CHR patients. Methods In the European Prediction of Psychosis Study, 244 young help-seeking CHR patients were assessed with the Strauss and Carpenter Prognostic Scale (SCPS) at baseline, and 149 (61.1 %) of them were assessed for the second time at the 18-month follow-up. The followed patients were classified into poor and good outcome groups. Results Female gender, ever-married/cohabitating relationship, and good working/studying situation were associated with good baseline SCPS scores. During follow-up, patients’ SCPS scores improved significantly. Good follow-up SCPS scores were predicted by higher level of education, good working/studying status at baseline, and white ethnicity. One-third of the followed CHR patients