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. 2023 Aug 14;28(8):3171–3181. doi: 10.1038/s41380-023-02202-z

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© The Author(s) 2023

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

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Fig. 3 — Diagnostic Models in Youth Mental Health: (A) diagnostic staging model focused on symptoms and functioning. B A transdiagnostic, pluripotential staging model in which variable subthreshold symptoms may overlap but give rise to a range of end-stage disorders. CHR indicates clinical high risk. C Growth Charts: Detection of emerging mental disorders in the general population. Four proposed domains of assessment and their age sex- and age-adjusted norms are displayed. Once a threshold of divergence from normative trajectories is reached, individuals could be offered options of closer tracking, more comprehensive assessments, or preventative or clinical interventions. The latter would range from low-risk preventive interventions when such departures begin to manifest clinically (at earlier stages), or treatment of manifest abnormalities that are functionally relevant and/or lead to distress (at later stages). Panels (A, B) are adapted from [165].