BackgroundLittle is known about patients with a first episode of psychosis (FEP) who had first presented to prodromal services with an “at risk mental state” (ARMS) before making the transition to psychosis. We set out to identify the proportion of patients with a FEP who had first presented to prodromal services in the ARMS state, and to compare these FEP patients with FEP patients who did not have prior contact with prodromal services.MethodsIn this study information on 338 patients aged ≤37 years who presented to mental health services between 2010 and 2012 with a FEP was examined. The data on pathways to care, clinical and socio-demographic characteristics were extracted from the Biomedical Research Council Case Register for the South London and Maudsley NHS Trust.ResultsOver 2 years, 14 (4.1% of n = 338) young adults presented with FEP and had been seen previously by the prodromal services. These ARMS patients were more likely to enter their pathway to psychiatric care via referral from General Practice, be born in the UK and to have had an insidious mode of illness onset than FEP patients without prior contact with the prodromal services.ConclusionsIn the current pathways to care configuration, prodromal services are likely to prevent only a few at-risk individuals from transitioning to psychosis even if effective preventative treatments become available.Electronic supplementary materialThe online version of this article (doi:10.1186/s12888-017-1468-y) contains supplementary material, which is available to authorized users.

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The goal of the current study was to assess the effects of self-labeling on attitudes related to victim- and self-blaming and self-compassion outcomes in 85 participants (75 women, 10 men) who have experienced sexual assault. Participants classified themselves as either a survivor, victim, or neither survivor nor victim of sexual assault. Regardless of self-classification, groups did not differ in victim-blaming (rape myth acceptance), self-blaming, or levels of self-compassion. Implications for language and forced labels of those who have experienced sexual assault are discussed.

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