[Skip to Content]
[Skip to Content Landing]
Views 1,698
Citations 0
Viewpoint
April 1, 2020

Going Upstream to Advance Psychosis Prevention and Improve Public Health

Author Affiliations
  • 1The City College, Graduate Center of New York, City University of New York, New York
  • 2School of Public Health, Boston University, Boston, Massachusetts
  • 3University of Pittsburgh, Pittsburgh, Pennsylvania
JAMA Psychiatry. 2020;77(7):665-666. doi:10.1001/jamapsychiatry.2020.0142

The idea that we can reduce the incidence of psychotic disorders through detection and intervention in the prodromal stage of illness has generated increasing enthusiasm and research over the past 2 decades. This work has sought largely to identify individual-level changes in subjective experience, functioning, or brain volume or activity that immediately precede acute symptom onset. However, mental illnesses, including psychotic disorders, are particularly sensitive to the social, political, cultural, and economic context within which an individual lives.1 Prioritizing approaches to psychosis prevention that fail to give these social determinants a central role ignores compelling evidence and misses an opportunity to identify specific ways to help vulnerable youth.

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words
    ×