From run-to-failure to condition-based care: a multi-domain framework for preventive psychiatry (opens in new tab)

Mental disorders are the leading cause of years lived with disability worldwide, yet the dominant clinical model remains reactive, intervening only after diagnostic thresholds are met. Drawing on the engineering distinction between run-to-failure and condition-based maintenance, this review argues that psychiatry faces a quantifiable intervention threshold gap. Synthesising recent meta-analytic evidence, we show that psychological interventions at subclinical symptom levels reduce major depre...