The British Journal of Psychiatry (2009) 194: 296-297. doi: 10.1192/bjp.bp.108.059873
© 2009 The Royal College of Psychiatrists
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EDITORIALS

Prevention of first-episode depression: progress and potential

Robert G. Robinson, MD, DFAPA, FAPM, FACNP, FANPA and Ricardo E. Jorge, MD

Department of Psychiatry, Carver College of Medicine, The University of Iowa, Iowa City, Iowa, USA

Correspondence: Robert G. Robinson, Department of Psychiatry, Carver College of Medicine, The University of Iowa, 200 Hawkins Drive, Iowa City, IA 52242, USA. Email: robert-robinson{at}uiowa.edu

Declaration of interest

None.

Preventive intervention for first-episode depression is an exciting, emerging field. Many questions remain, however. Should we target patients who have sub-syndromal symptom elevations (i.e. indicated intervention) or should we intervene in high-risk groups (i.e. selective intervention)? Furthermore, should primary outcomes be incident depressions or long-term decreases in morbidity or mortality?


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