Priority 24 from the Bipolar PSP

UNCERTAINTY:Can bipolar be prevented in people who are at high risk because they have a family history of bipolar? (JLA PSP Priority 24)
Overall ranking	24
JLA question ID	0041/24
Explanatory note	Not available for this PSP.
Evidence	None identified
Health Research Classification System category	Mental Health

Extra information provided by this PSP
Original uncertainty examples	For full examples, see Category ID P2 on spreadsheet. There has to be quite a big genetic factor plus a pre-disposition but without stress the person may avoid the trigger. How about lessons at school about stress - if we became more insightful early in our lives maybe we could avoid triggers more easily. ~ If you have a parent with bipolar how can you alleviate your genetic susceptibility to the illness? ~ Is there anything I can do to ensure they do not get the illness? As the years progress I get more confident that they won't, they are now 26 & 24, but I didn't develop the illness until I was 31. ~ Can omega 3 fatty acids prevent bipolar in children of parents with bipolar? ~ Why are there no medications or counselling available to those facing the possibility of the illness. For instance women with a history of breast cancer are screened and given choices and have real care taken whereas a depressed child of two parents with mental health problems is ignored or offered antidepressants which send us manic ~ It would be great if there were a list of risks to avoid for people from families where BPD occurs with some frequency to help them try and prevent/postpone as much as possible?
Submitted by	Patients x 97 ~ Carers x 56 ~ Health Professionals x 6 ~ others x 5

Extra information provided by this PSP

Original uncertainty examples

For full examples, see Category ID P2 on spreadsheet. There has to be quite a big genetic factor plus a pre-disposition but without stress the person may avoid the trigger. How about lessons at school about stress - if we became more insightful early in our lives maybe we could avoid triggers more easily. ~ If you have a parent with bipolar how can you alleviate your genetic susceptibility to the illness? ~ Is there anything I can do to ensure they do not get the illness? As the years progress I get more confident that they won't, they are now 26 & 24, but I didn't develop the illness until I was 31. ~ Can omega 3 fatty acids prevent bipolar in children of parents with bipolar? ~ Why are there no medications or counselling available to those facing the possibility of the illness. For instance women with a history of breast cancer are screened and given choices and have real care taken whereas a depressed child of two parents with mental health problems is ignored or offered antidepressants which send us manic ~ It would be great if there were a list of risks to avoid for people from families where BPD occurs with some frequency to help them try and prevent/postpone as much as possible?

Submitted by

Patients x 97 ~ Carers x 56 ~ Health Professionals x 6 ~ others x 5

PSP information
PSP unique ID	0041
PSP name	Bipolar
Total number of uncertainties identified by this PSP.	363 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop	14 June 2016