Journal Article

The Concept of Population Prevention: Application to Schizophrenia

Ramin Mojtabai, Dolores Malaspina and Ezra Susser

in Schizophrenia Bulletin

Published on behalf of Maryland Psychiatric Research Center

Volume 29, issue 4, pages 791-801
Published in print January 2003 | ISSN: 0586-7614
Published online January 2003 | e-ISSN: 1745-1701 | DOI: http://dx.doi.org/10.1093/oxfordjournals.schbul.a007047
The Concept of Population Prevention: Application to Schizophrenia

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There is currently a debate about the appropriate approach to prevention of schizophrenia. While many argue that prevention efforts should focus on individuals at high risk of developing the illness, others argue for interventions that would reduce the risk in the whole population. This article situates the debate in a historical context. We find its antecedents in a classic 1940s and 1950s debate between British physicians George Pickering and Robert Platt on hypertension and trace a line from Pickering to the influential concept of population prevention formulated by his student Geoffrey Rose. We then discuss the potential application of population prevention to schizophrenia. The article concludes that population and high-risk prevention strategies can be complementary and that it may be feasible and appropriate to use them in combination.

Keywords: Schizophrenia; preventive psychiatry; prevention; population prevention; primary prevention; high-risk strategy; secondary prevention

Journal Article.  0 words. 

Subjects: Child and Adolescent Psychiatry

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