CHILD AND ADOLESCENT PSYCHIATRY: Edited by Richa BhatiaAdvances in early identification of children and adolescents at risk for psychiatric illnessRaballo, Andreaa,b; Poletti, MichelecAuthor Information aDepartment of Medicine, Section of Psychiatry, Clinical Psychology and Rehabilitation, University of Perugia bCenter for Translational, Phenomenological and Developmental Psychopathology, Perugia University Hospital, Perugia cDepartment of Mental Health and Pathological Addiction, Child and Adolescent Neuropsychiatry Unit, AUSL-IRCCS of Reggio Emilia, Reggio Emilia, Italy Correspondence to Andrea Raballo, Section of Psychiatry, Clinical Psychology and Rehabilitation, Department of Medicine, University of Perugia, Piazzale Lucio Severi 1, 06132, Perugia, Italy. E-mail: [email protected] Current Opinion in Psychiatry: November 2020 - Volume 33 - Issue 6 - p 611-617 doi: 10.1097/YCO.0000000000000652 Buy Metrics Abstract Purpose of review Childhood and adolescence are a crucial time window for the early identification of perspectival risk for adult psychopathology. This article reviews current advances in the field. Recent findings Converging developmentally focused and predictive approaches are rapidly expanding in the field of early identification of children and adolescents at risk for psychiatric illness. Although the former emphasizes early phenotypic trajectories emerging in childhood and adolescence, the latter operate in terms of clinical risk staging. Decisive advances in the field include the metaanalytical evidence of the predictive value of clinical high-risk criteria in childhood–adolescence; the systematization of premorbid manifestations of psychotic vulnerability and bipolar prodromes; the corroboration of certain sets of anomalous subjective experiences as transdiagnostic index of familial genetic risk (i.e., basic symptoms) and early developmental expression of schizophrenia spectrum vulnerability (i.e., self-disorders). Summary Childhood phenotypic manifestations of liability to mental disorders are often cooccurrent and undergo a plastic, heterotypic modification along the transition to adolescence. In general, they represent epiphenomenic flags of a broad vulnerability for the subsequent structuration of mental illness. This perspective coheres with the p-factor model of psychopathology and complements the clinical staging model which informs the early detection paradigm of severe mental disorders. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.