Abstract
The papers by Cleary et al. and Koran et al. extend the boundaries of psychiatric screening practice in several significant directions. They illustrate procedures for resolving both scientific and practical issues intrinsic to the construction of screening procedures and, thereby, advance the state of the art. It is hoped that ROC analyses will be used more commonly to establish cohort-specific screening cutpoints and that diagnostic prediction rules will increasingly utilize fiscal as well as clinical parameters. If these developments should come to pass, the contributions by these authors are certain to be recalled for the critical impetus they have provided.
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