Predicting major mental illness: ethical and practical considerations

An increasing body of genetic and imaging research shows that it is becoming possible to forecast the onset of major psychiatric disorders such as depression and schizophrenia before people become ill with ever improving accuracy. Practical issues such as the optimal combination of clinical and biol...

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Main Authors: Stephen M. Lawrie, Sue Fletcher-Watson, Heather C. Whalley, Andrew M. McIntosh
Format: Article
Language:English
Published: Cambridge University Press 2019-03-01
Series:BJPsych Open
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2056472419000115/type/journal_article
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author Stephen M. Lawrie
Sue Fletcher-Watson
Heather C. Whalley
Andrew M. McIntosh
author_facet Stephen M. Lawrie
Sue Fletcher-Watson
Heather C. Whalley
Andrew M. McIntosh
author_sort Stephen M. Lawrie
collection DOAJ
description An increasing body of genetic and imaging research shows that it is becoming possible to forecast the onset of major psychiatric disorders such as depression and schizophrenia before people become ill with ever improving accuracy. Practical issues such as the optimal combination of clinical and biological variables are being addressed, but the application of predictive algorithms to individuals or in routine clinical settings have yet to be tested. The development of predictive methods in mental health comes with substantial ethical questions, including whether people wish to know their level of risk, as well as individual and societal attitudes to the potential adverse effects of data sharing, early diagnosis and treatment, which so far have been largely ignored. Preliminary data suggests that at least some people think predictive research is valuable and would take part in such studies, and some would welcome knowing the results. Future initiatives should systematically assess opinions and attitudes in conjunction with scientific and technical advances.
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spelling doaj.art-f990c2f09d4c4c5cbf7862ba58a6996e2023-03-09T12:28:48ZengCambridge University PressBJPsych Open2056-47242019-03-01510.1192/bjo.2019.11Predicting major mental illness: ethical and practical considerationsStephen M. Lawrie0https://orcid.org/0000-0002-2444-5675Sue Fletcher-Watson1Heather C. Whalley2Andrew M. McIntosh3Head of Psychiatry, Division of Psychiatry and Patrick Wild Centre, University of Edinburgh, Scotland, UKSenior Lecturer, Division of Psychiatry and Patrick Wild Centre, University of Edinburgh, Scotland, UKSenior Research Fellow, Division of Psychiatry, University of Edinburgh, Scotland, UKProfessor of Biological Psychiatry, Division of Psychiatry and Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, Scotland, UKAn increasing body of genetic and imaging research shows that it is becoming possible to forecast the onset of major psychiatric disorders such as depression and schizophrenia before people become ill with ever improving accuracy. Practical issues such as the optimal combination of clinical and biological variables are being addressed, but the application of predictive algorithms to individuals or in routine clinical settings have yet to be tested. The development of predictive methods in mental health comes with substantial ethical questions, including whether people wish to know their level of risk, as well as individual and societal attitudes to the potential adverse effects of data sharing, early diagnosis and treatment, which so far have been largely ignored. Preliminary data suggests that at least some people think predictive research is valuable and would take part in such studies, and some would welcome knowing the results. Future initiatives should systematically assess opinions and attitudes in conjunction with scientific and technical advances.https://www.cambridge.org/core/product/identifier/S2056472419000115/type/journal_articleBipolar affective disordersdepressive disordersethicsimagingpsychotic disorders
spellingShingle Stephen M. Lawrie
Sue Fletcher-Watson
Heather C. Whalley
Andrew M. McIntosh
Predicting major mental illness: ethical and practical considerations
BJPsych Open
Bipolar affective disorders
depressive disorders
ethics
imaging
psychotic disorders
title Predicting major mental illness: ethical and practical considerations
title_full Predicting major mental illness: ethical and practical considerations
title_fullStr Predicting major mental illness: ethical and practical considerations
title_full_unstemmed Predicting major mental illness: ethical and practical considerations
title_short Predicting major mental illness: ethical and practical considerations
title_sort predicting major mental illness ethical and practical considerations
topic Bipolar affective disorders
depressive disorders
ethics
imaging
psychotic disorders
url https://www.cambridge.org/core/product/identifier/S2056472419000115/type/journal_article
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AT suefletcherwatson predictingmajormentalillnessethicalandpracticalconsiderations
AT heathercwhalley predictingmajormentalillnessethicalandpracticalconsiderations
AT andrewmmcintosh predictingmajormentalillnessethicalandpracticalconsiderations