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Table 1 Clinical staging model (Adapted from Hickie and colleagues [25])

From: ENgage YOung people earlY (ENYOY): a mixed-method study design for a digital transdiagnostic clinical – and peer- moderated treatment platform for youth with beginning mental health complaints in the Netherlands

Stage

Description

Stage 0

Asymptomatic individuals at risk of a disorder who have not yet presented for care

Stage 1a

Help-seeking individuals with mild symptoms and mild functional impairment

Stage 1b

People with attenuated syndromes with partial specificity, often with mixed or ambiguous symptoms and moderate functional impairment

Stage 2

People with discrete disorders: clear episodes of psychotic, manic, or severe depressive symptoms

Stage 3

People with recurrent or persistent disorders

Stage 4

People with severe, treatment-resistant, or unremitting disorder