TABLE 2.
Polygenic risk score and psychosis risk in individuals at clinical high risk and unaffected comparison subjectsa
Group and Ancestry | Clinical High-Risk Subjects (N) | Unaffected Comparison Subjects (N) | Odds Ratio | 95% CI | Wald Z | p | AUC | R2 for 2-Year Population Psychosis Risk | R2 for 2-Year Population Psychosis Risk | R2 for 2-Year Population Psychosis Risk |
---|---|---|---|---|---|---|---|---|---|---|
Clinical high risk with psychosis conversion versus clinical high risk with no psychosis conversion | ||||||||||
Risk, 10% | Risk, 20% | Risk, 30% | ||||||||
European | 32 | 92 | 8.21 | 1.57, 43.1 | 2.44 | 0.015 | 0.65 | 0.092 | 0.112 | 0.123 |
Non-European | 48 | 156 | 1.77 | 0.63, 4.94 | 2.00 | 0.046 | 0.59 | 0.035 | 0.043 | 0.048 |
Clinical high risk with psychosis conversion versus unaffected comparison subjects | ||||||||||
Risk, 1% | ||||||||||
European | 32 | 70 | 22.17 | 3.88, 126 | 3.16 | 0.002 | 0.70 | 0.117 | ||
Non-European | 48 | 146 | 2.38 | 0.83, 6.84 | 2.51 | 0.012 | 0.62 | 0.032 | ||
Clinical high risk with no psychosis conversion versus unaffected comparison subjects | ||||||||||
Risk, 5% | ||||||||||
European | 92 | 70 | 1.83 | 0.67, 5.05 | 1.33 | 0.184 | 0.53 | 0.007 | ||
Non-European | 156 | 146 | 1.44 | 0.70, 2.95 | 1.02 | 0.309 | 0.51 | <0.001 |
The main evaluation of polygenic risk score (PRS) risk prediction was prediction of 2-year psychosis in persons at clinical high risk. A secondary analysis compared PRS scores in persons who developed psychosis with those of unaffected comparison subjects. Individuals were considered European if the first principal component was ≥–0.01 and the second was ≤–0.026, and non-European otherwise (see Figure S1 in the online supplement). The PRS odds ratio compared the risk of psychosis conversion in persons in the highest PRS quintiles with the risk in those in the lowest PRS quintiles; p value is for the model containing the PRS alone. Area under the curve (AUC) and R2liability are corrected for optimism with 1,000 bootstrapped resamples. R2liability is adjusted for estimated population risk of psychosis.