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38%, respectively; p value= 1× 10 ) and more often outpatient primary care (6% vs. 18%; p value= .032) and mental health (32% vs. 49%; p value= .045) services. However, dangerousness indicators were similar (29% vs. 28%; p value= 1). Dangerousness indicators increased to 54% (p value= .002) by the time of eventual diagnosis for those requiring multiple care episodes. Clinicians were important contributors to delays in diagnosis and treatment of psychosis. Interventions targeting outpatient health care providers may be fruitful in redu