The study of severe mental disorders has a very relevant place in mental health due to its psychopathological richness and variability, their transfer to behavioral problems (Wykes & Sturt, 1986), and their personal, family, social, and economic impact (Jin & Mosweu, 2017). In this context, gender is a variable which has been acquiring relevance in the study and understanding of severe mental disorders (Jiménez-García-Bóveda & Vázquez-Morejón, 2012; Ordóñez et al., 2016). Due to discrimination undergone by the female population insofar as research on their needs (Goldstein & Tsuang, 1990; Hosang & Bhui, 2018) and the influence which stereotyped roles of males appear to exert (assumption of more risk conduct, use of violence, dominance over others, etc.) on the psychopathology of men (Mahalik et al., 2003; Tager et al., 2010), in recent years a need has arisen to progress in understanding the impact of gender on severe mental disorders. From this perspective, the inclusion of a gendersensitive focus is pertinent for early detection, evaluation, and clinical intervention adjusted to individual needs. Other studies focusing on gender differences have found more externalizing disorders in men and internalizing in women (Zahn-Waxler et al., 2008). Traditionally, study has concentrated on clinical variables (prodromal, duration of untreated psychosis, positive and Clínica y Salud (2021) xx(x) xx-xx