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This study examined differences in personality characteristics in a sample of youth at\u2010risk of SMI across different clinical stages compared to healthy controls (HCs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Personality characteristics were assessed with the NEO\u2010Five\u2010Factor Inventory\u20103 for 41 non\u2010help seeking asymptomatic youth with risk factors for SMI (Stage 0), 52 youth with early mood and anxiety symptoms and distress (Stage 1a), 108 youth with an attenuated psychiatric syndrome (Stage 1b), and 42 HCs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Symptomatic participants scored significantly higher in neuroticism, and lower in extraversion, and conscientiousness compared to non\u2010symptomatic participants. Compared to published norms, symptomatic participants had ratings of extraversion and conscientiousness in the low range and those with attenuated psychiatric syndromes scored high on neuroticism.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The observed personality profiles of the symptomatic stages were similar to reported profiles for discrete disorders. Early identification of this profile could aid identification of those at risk of SMI.<\/jats:p><\/jats:sec>","DOI":"10.1111\/eip.12921","type":"journal-article","created":{"date-parts":[[2020,1,8]],"date-time":"2020-01-08T00:08:46Z","timestamp":1578442126000},"page":"133-139","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Personality and risk for serious mental illness"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2677-6125","authenticated-orcid":false,"given":"Olga","family":"Santesteban\u2010Echarri","sequence":"first","affiliation":[{"name":"Department of Psychiatry, University of Calgary Hotchkiss Brain Institute  Calgary Alberta Canada"},{"name":"Mathison Centre for Mental Health Research &amp; Education University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3352-6781","authenticated-orcid":false,"given":"Glenda","family":"MacQueen","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Calgary Hotchkiss Brain Institute  Calgary Alberta Canada"},{"name":"Mathison Centre for Mental Health Research &amp; 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