{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T04:11:03Z","timestamp":1776831063583,"version":"3.51.2"},"reference-count":54,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,7,18]],"date-time":"2023-07-18T00:00:00Z","timestamp":1689638400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100020336","name":"Massachusetts Department of Mental Health","doi-asserted-by":"publisher","award":["CHR\u2010P\u20103051\u201001"],"award-info":[{"award-number":["CHR\u2010P\u20103051\u201001"]}],"id":[{"id":"10.13039\/100020336","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100001479","name":"Sidney R. Baer, Jr. Foundation","doi-asserted-by":"publisher","award":["SCDMH82101008006"],"award-info":[{"award-number":["SCDMH82101008006"]}],"id":[{"id":"10.13039\/100001479","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Early Intervention Psych"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Although research has documented the marked disparities in rates of psychosis\u2010spectrum diagnoses in various socially marginalized populations, there is limited research addressing the needs of gender expansive individuals in the context of psychosis\u2010spectrum illnesses using a minority stress lens. As clinical high\u2010risk for psychosis (CHR\u2010p) assessment and treatment becomes accessible to increasingly diverse populations, there is a need for clinicians to demonstrate greater clinical competency working with individuals across diverse social backgrounds and identities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We examined rates of gender expansive (GE) patients seeking evaluation at an urban\u2010based CHR\u2010p clinic and compared the diagnostic profile of GE individuals to cisgender patients. Post\u2010hoc analyses were conducted on clinical variables with significant differences between the cisgender and GE groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The proportion of GE patients seeking evaluation increased from 2017 (9.3%) to 2021 (16.7%). Compared to cisgender youth, GE patients had significantly higher depressive, social anxiety, borderline personality disorder symptoms, higher levels of suicidality and non\u2010suicidal self\u2010injurious behaviour, and lower role functioning. Gender identity was predictive of suicidality controlling for social anxiety, borderline symptoms, and role functioning.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We review implications for CHR\u2010p treatment and discuss ways to integrate minority stress theory and gender\u2010affirming practices into coordinated specialty care for CHR\u2010p patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/eip.13456","type":"journal-article","created":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T02:33:52Z","timestamp":1689734032000},"page":"207-216","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Gender\u2010affirming care in the assessment and treatment of psychosis risk: Considering minority stress in current practice and future research"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7252-7141","authenticated-orcid":false,"given":"Christopher J.","family":"Ceccolini","sequence":"first","affiliation":[{"name":"Department of Psychiatry Weill Cornell Medicine  New York New York USA"},{"name":"Department of Psychiatry NewYork\u2010Presbyterian Hospital  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8671-3631","authenticated-orcid":false,"given":"James B.","family":"Green","sequence":"additional","affiliation":[{"name":"Department of Counseling, Developmental, &amp; Educational Psychology Boston College  Chestnut Hill Massachusetts USA"},{"name":"Department of Psychiatry Harvard Medical School  Boston Massachusetts USA"},{"name":"Massachusetts Mental Health Center Beth Israel Deaconess Medical Center  Boston Massachusetts USA"},{"name":"CEDAR Clinic Brookline Center for Community Mental Health  Brookline Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle S.","family":"Friedman\u2010Yakoobian","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Harvard Medical School  Boston Massachusetts USA"},{"name":"Massachusetts Mental Health Center Beth Israel Deaconess Medical Center  Boston Massachusetts USA"},{"name":"CEDAR Clinic Brookline Center for Community Mental Health  Brookline Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,7,18]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11013-014-9408-5"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2016.10.003"},{"key":"e_1_2_10_4_1","first-page":"588","article-title":"Beck depression inventory\u2013II","volume":"67","author":"Beck A. 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