title: Primary prevention of psychiatric illness in special populations.
abstract: BACKGROUND
  Some populations appear to be particularly vulnerable to the development of psychiatric symptomatology related to life events and biologic or social/cultural factors. Such groups include individuals who have experienced traumatic events, military personnel, individuals with serious medical conditions, postpartum women, and immigrants. This study reviews the literature regarding primary prevention of psychiatric disorders in special populations and identifies a variety of universal, selective, and indicated prevention measures aimed at minimizing the psychiatric sequelae in these groups.
  
  
  METHODS
  The authors reviewed the literature regarding the prevention of psychiatric symptoms in trauma/abuse victims, individuals in the military, oncology patients, patients with diabetes, pregnant/postpartum women, and immigrants.
  
  
  RESULTS
  The literature on primary prevention of psychiatric illness in the special populations identified is rather limited. Universal prevention may be beneficial in some instances through public awareness campaigns and disaster planning. In other instances, more specific and intensive interventions for individuals at high risk of psychiatric illness may improve outcomes, for example, crisis counseling for those who have experienced severe trauma.
  
  
  CONCLUSIONS
  Primary prevention of psychiatric illness may be an attainable goal via implementation of specific universal, selected, and indicated primary prevention measures in special populations.
authors.affiliation: Case Western Reserve University, School of Medicine, Department of Psychiatry, Neurological Outcomes Center, Cleveland, OH 44106, USA. martha.sajatovic@uhhospitals.org
authors.forename: Martha
authors.initials: M
authors.lastname: Sajatovic
authors.forename: Renata
authors.initials: R
authors.lastname: Sanders
authors.forename: Lada
authors.initials: L
authors.lastname: Alexeenko
authors.forename: Subramoniam
authors.initials: S
authors.lastname: Madhusoodanan
mesh_terms: D019052:Depression, Postpartum / Q000517:prevention & control; D003920:Diabetes Mellitus / Q000523:psychology; D004190:Disasters; D017579:Domestic Violence / Q000523:psychology; D054242:Emigrants and Immigrants / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000517:prevention & control*; D008889:Military Personnel / Q000523:psychology; D009369:Neoplasms / Q000523:psychology; D011316:Preventive Psychiatry; D011322:Primary Prevention; D017741:Survivors / Q000523:psychology