{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:06:39Z","timestamp":1777521999819,"version":"3.51.4"},"reference-count":52,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T00:00:00Z","timestamp":1751846400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T00:00:00Z","timestamp":1751846400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Ontario Ministry of Research, Innovation, and Science","award":["Early Researcher Award"],"award-info":[{"award-number":["Early Researcher Award"]}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["Project Grant (PJT 153022)"],"award-info":[{"award-number":["Project Grant (PJT 153022)"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Psychiatry"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The objectives of this study were (1) to describe the symptoms noted by family physicians during help-seeking visits for early psychosis, relative to a validated screening tool for early psychosis in primary care, and (2) to examine the referral disposition of patients meeting the screening tool cut-off.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We constructed a retrospective cohort of Ontario residents aged 14\u201335 years with an incident diagnosis of non-affective psychotic disorder between 2005\u20132015 in health administrative data, and at least one visit in the Electronic Medical Record Primary Care database during the 6 months prior to the date of psychotic disorder diagnosis (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009572). We abstracted symptoms of psychosis noted by the family physician in the electronic medical records and compared these to the Primary Care Checklist (PCCL) for early psychosis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The most frequent PCCL items noted were \u201ctension or nervousness\u201d (13.3%), \u201cdepressive mood\u201d (12.5%), \u201cincreased stress or deterioration in functioning\u201d (7.5%), and \u201csleep difficulties\u201d (6.6%). The PCCL cut-off was met by 187 patients (33%) across 327 visits (8%). A greater proportion of visits meeting the PCCL cut-off had psychosis noted as the main presenting issue (55.4% vs. 6.8%) and resulted in referral to mental health services (33.3% vs. 6.0%) than those not meeting the cut-off. However, two in three visits where the screening cut-off for early psychosis was met did not result in a referral to mental health services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The findings of this study suggest that family physicians may benefit from a screening tool when early psychosis is suspected to improve identification and guide referral practices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/07067437251355637","type":"journal-article","created":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T03:11:03Z","timestamp":1751857863000},"page":"713-722","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Early Psychosis Symptoms Noted by Family Physicians in Electronic Medical Records During Help-Seeking Visits in Primary Care: Sympt\u00f4mes pr\u00e9coces de psychose relev\u00e9s par les m\u00e9decins g\u00e9n\u00e9ralistes dans les dossiers m\u00e9dicaux \u00e9lectroniques lors de consultations en soins primaires pour demande d\u2019aide"],"prefix":"10.1177","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4559-4098","authenticated-orcid":false,"given":"Joshua C.","family":"Wiener","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Schulich School of Medicine &amp; Dentistry, Western University, London, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Schulich School of Medicine &amp; Dentistry, Western University, London, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer N.S.","family":"Reid","sequence":"additional","affiliation":[{"name":"ICES, Toronto, Ontario, Canada"},{"name":"ICES Western, London Health Sciences Centre Research Institute, London, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1345-0468","authenticated-orcid":false,"given":"Suzanne","family":"Archie","sequence":"additional","affiliation":[{"name":"Department of Psychiatry &amp; Behavioural Neurosciences, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saadia Hameed","family":"Jan","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Schulich School of Medicine &amp; 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