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School of Medicine, Pharmacy and Health

Staff Profiles

Publication details for Dr Paul Tiffin

Welsh, P. & Tiffin, P. A. (2010), Follow-up of the "At Risk Mental State" (FARMS) Study, 4 (Suppl 1): International Conference on Early Psychosis. Amsterdam, John Wiley, 116.

Author(s) from Durham


Over the last decade there have been orchestrated efforts to detect and
intervene during the earliest stages of psychotic illness. Although several
adult-based longitudinal studies already exist, we know very little about
the initial presentation, clinical profi le and short term outcomes of adolescents
with an ‘At-Risk Mental State’.
The aim of the FARMS project is to recruit 25 to 50 adolescents (aged
between 12–18 years old) with an At-Risk Mental State, as defi ned by the
Melbourne criteria. Participants will be recruited from Early Intervention
in Psychosis Services within Northern England. All participants will
undergo an initial assessment upon study entry using the Comprehensive
Assessment of At-Risk Mental States (CAARMS) and the Development and
Well-Being Assessment (DAWBA). Assessments will be repeated after 6, 12
and 24 months. Selected participants will also be approached to take part
in a qualitative interview aimed at investigating the personal experiences
of being labelled ‘at risk’.
In the 4 months of the studies initiation, eight ‘at risk’ adolescents have
been recruited. Early analysis of the data indicates that these adolescents
have a mean age of 15.54 (sd = 1.5), impaired functiong (Mean C-GAS =
56.25; sd = 7.5), with many engaging in self-harming behaviour (n = 4) and
suicide attempts (n = 3) in the previous six months.
By following an adolescent cohort for a period of up to two years we
should be able to answer how these individuals initially present to Early
Intevention services; how they experience their condition and whether
they benefi t from identifi cation over the short/medium term.


Poster Abstract; 7th International Conference on Early Psychosis: Early Psychoses: a Lifetime perspective, 29 November - 1 December, 2010, Amsterdam, The Netherlands.