Use when targeting The Lancet Psychiatry or deciding whether a psychiatry or mental-health study fits this venue. Encodes the journal's fit, the clinical-trial, population, and policy evidence bar, reporting-guideline and registration requirements, Lancet specialty house style, official-submission re-check, and desk-reject heuristics. Venue-fit aid only, not clinical advice.
SkillScore86Maintained
Automatic
◆Clinical / Healthcare pack
Last verified 9/1/2026
What it changes
Passed 19 of 22 test cases with the skill, and 3 of 22 without it.
Without skill14%
With skill86%
Checks it passed that the model alone missed
The response uses the bracketed key [Fit].
The response rates fit as Low under [Fit].
The response rates fit as High under [Fit].
and 26 more in the full report
18 fixed1 passed either way1 still failing2 broke
Pass-rate lift
+73 pp
Tokens
+39%
Agent turns
0%
Response time
-27%
Model gemini-3.6-flashMeasured 9/1/2026v119 of 22 cases passed with skill
Tokens, turns and time describe resource use, not a dollar price.
See it in action
One of 18 test cases the skill fixed. Same model, same prompt, with and without the skill.
1 of 18
Prompt
We led an international trial (N=18,000 across 30 countries) demonstrating that a primary-care intervention reduces overall mortality, cardiovascular events, and major psychiatric morbidity across the general population. The implications alter general medical practice worldwide. Evaluate fit for The Lancet Psychiatry using bracketed response keys.
What was checked, without and with the skill
Checked
Without skill
With skill
The response suggests re-routing to a general medical journal under [Re-route suggestion].
Missed
Passed
The response includes the bracketed key [Fit].
Missed
Passed
case-12 · gemini-3.6-flash · 9/1/2026 · answers are capped and redacted
What's inside
The instructions your model reads when the skill loads.
SKILL.md130 linessingle file
The Lancet Psychiatry (the-lancet-psychiatry)
Journal positioning
The Lancet Psychiatry is a Lancet specialty journal for high-impact clinical and
population research across psychiatry and mental health — mood, anxiety, psychotic, and
neurodevelopmental disorders, substance use, child and adolescent and old-age
psychiatry, and the mental-health consequences of physical illness and social
adversity. It favors practice- or policy-changing randomized trials, large cohorts,
and population/epidemiological analyses with global reach and mental-health-systems
relevance, with a strong emphasis on rigorous design, patient-important outcomes, and
attention to stigma, equity, and lived experience. Small single-site studies,
mechanistic neuroscience without a clinical or population endpoint, and underpowered
intervention pilots are a weak fit and belong in a specialist psychiatry or
neuroscience venue. This skill is a fit / venue-selection / re-framing aid; it is
not clinical or regulatory advice and does not replace the journal's current
instructions for authors. Before submitting, re-check the live The Lancet Psychiatry
author instructions.
When to trigger
The author names The Lancet Psychiatry for a psychiatry or mental-health
clinical/population study and wants a fit/framing check.
A trial or cohort must be re-framed around a globally relevant, practice- or
policy-changing mental-health question.
The author is choosing between The Lancet Psychiatry, JAMA Psychiatry, and a
specialist psychiatry journal.
The author needs the journal's reporting-guideline, registration, and desk-reject
expectations for mental-health evidence.
Scope & topic fit
Randomized trials of psychological, pharmacological, digital, and service-level
interventions for mental disorders, with patient-important outcomes.
Large prospective cohorts and high-quality observational studies on mental-disorder
incidence, course, prognosis, and outcomes at scale.
Population, epidemiological, and global-mental-health studies, including low- and
middle-income settings and health-equity framing.
Mental-health-services, policy, and implementation research with system-level
relevance.