Psychosis and schizophrenia in adults: prevention and management

National Institute for Health and Care Excellence

This Guidelines summary includes recommendations on Preventing psychosis, First episode psychosis, and Promoting recovery and possible future care that are relevant to the primary care setting. Please refer to the full guideline for the complete set of recommendations

Preventing psychosis

Referral from primary care

  • If a person is distressed, has a decline in social functioning and has:
    • transient or attenuated psychotic symptoms or
    • other experiences or behaviour suggestive of possible psychosis or
    • a first-degree relative with psychosis or schizophrenia
  • Refer them for assessment without delay to a specialist mental health service or an early intervention in psychosis service because they may be at increased risk of developing psychosis

Specialist assessment

  • A consultant psychiatrist or a trained specialist with experience in at-risk mental states should carry out the assessment

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