PMID- 27322997
OWN - NLM
STAT- MEDLINE
DCOM- 20170222
LR  - 20181113
IS  - 2376-6980 (Electronic)
VI  - 18
IP  - 6
DP  - 2016 Jun 1
TI  - Ethical and Epidemiological Dimensions of Labeling Psychosis Risk.
PG  - 633-42
LID - journalofethics.2016.18.6.msoc2-1606 [pii]
LID - 10.1001/journalofethics.2016.18.6.msoc2-1606 [doi]
AB  - The past two decades have marked an increase in research on the prodromal stages 
      of schizophrenia that precede a first episode of psychosis. Criteria for a 
      clinical high risk (CHR) state for psychosis have been validated and included in 
      the DSM-5 as the attenuated psychosis syndrome and as requiring further study. 
      This was hotly debated, given the concern of stigmatizing young people who would 
      receive this psychosis risk label. In this article, I review ethical issues 
      related to the psychosis risk label, including the potential harm of stigma and 
      paternalism if risk labels are withheld in the context of the observed low 
      predictive power of the psychosis risk designation. I review data that supports 
      that the psychosis risk label need not be harmful, and could even confer benefit, 
      and set out strategies for reducing stigma through individualized risk assessment 
      and public health education.
CI  - (c) 2016 American Medical Association. All Rights Reserved. ISSN 2376-6980.
FAU - Corcoran, Cheryl M
AU  - Corcoran CM
AD  - Research faculty in the Department of Psychiatry at the New York State 
      Psychiatric Institute (NYSPI) at Columbia University Medical Center in New York 
      City.
LA  - eng
GR  - R01 MH107558/MH/NIMH NIH HHS/United States
GR  - R03 MH108933/MH/NIMH NIH HHS/United States
PT  - Journal Article
PT  - Review
DEP - 20160601
PL  - United States
TA  - AMA J Ethics
JT  - AMA journal of ethics
JID - 101649265
SB  - IM
MH  - *Communication
MH  - Disclosure/*ethics
MH  - *Ethics, Medical
MH  - Humans
MH  - *Prodromal Symptoms
MH  - *Psychotic Disorders/diagnosis
MH  - *Schizophrenia/diagnosis
MH  - *Social Stigma
MH  - Stereotyping
PMC - PMC5070460
MID - NIHMS822793
EDAT- 2016/06/21 06:00
MHDA- 2017/02/23 06:00
PMCR- 2017/06/01
CRDT- 2016/06/21 06:00
PHST- 2016/06/21 06:00 [entrez]
PHST- 2016/06/21 06:00 [pubmed]
PHST- 2017/02/23 06:00 [medline]
PHST- 2017/06/01 00:00 [pmc-release]
AID - journalofethics.2016.18.6.msoc2-1606 [pii]
AID - 10.1001/journalofethics.2016.18.6.msoc2-1606 [doi]
PST - epublish
SO  - AMA J Ethics. 2016 Jun 1;18(6):633-42. doi: 
      10.1001/journalofethics.2016.18.6.msoc2-1606.