Barnard Emma, Dempster Georgia, Krysinska Karolina, Reifels Lennart, Robinson Jo, Pirkis Jane, Andriessen Karl
Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Parkville, VIC, 3010, Australia.
Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Parkville, VIC, 3010, Australia.
BMC Med Ethics. 2021 Apr 7;22(1):41. doi: 10.1186/s12910-021-00609-3.
Suicide research aims to contribute to a better understanding of suicidal behaviour and its prevention. However, there are many ethical challenges in this research field, for example, regarding consent and potential risks to participants. While studies to-date have focused on the perspective of the researchers, this study aimed to investigate the views and experiences of members of Human Research Ethics Committees (HRECs) in dealing with suicide-related study applications.
This qualitative study entailed a thematic analysis using an inductive approach. We conducted semi-structured interviews with a purposive sample (N = 15) of HREC Chairs or their delegates from Australian research-intensive universities. The interview guide included questions regarding the ethical concerns and challenges in suicide-related research raised by HREC members, how they dealt with those challenges and what advice they could give to researchers.
The analysis identified four main themes: (1) HREC members' experiences of reviewing suicide-related study applications, (2) HREC members' perceptions of suicide, suicide research, and study participants, (3) Complexity in HREC members' decision-making processes, and (4) HREC members' relationships with researchers.
Reliance on ethical guidelines and dialogue with researchers are crucial in the assessment of suicide-related study applications. Both researchers and HREC members may benefit from guidance and resources on how to conduct ethically sound suicide-related studies. Developing working relationships will be likely to help HRECs to facilitate high quality, ethical suicide-related research and researchers to conduct such research.
自杀研究旨在促进对自杀行为及其预防的更好理解。然而,该研究领域存在许多伦理挑战,例如,关于同意问题以及对参与者的潜在风险。虽然迄今为止的研究主要关注研究人员的视角,但本研究旨在调查人类研究伦理委员会(HRECs)成员在处理与自杀相关的研究申请时的观点和经验。
这项定性研究采用归纳法进行主题分析。我们对来自澳大利亚研究密集型大学的HREC主席或其代表进行了有目的抽样(N = 15)的半结构化访谈。访谈指南包括关于HREC成员在与自杀相关研究中提出的伦理问题和挑战、他们如何应对这些挑战以及他们能给研究人员提供哪些建议的问题。
分析确定了四个主要主题:(1)HREC成员审查与自杀相关研究申请的经验,(2)HREC成员对自杀、自杀研究和研究参与者的看法,(3)HREC成员决策过程的复杂性,以及(4)HREC成员与研究人员的关系。
在评估与自杀相关的研究申请时,依赖伦理准则和与研究人员的对话至关重要。研究人员和HREC成员都可能从关于如何进行符合伦理的自杀相关研究的指导和资源中受益。建立工作关系可能有助于HRECs推动高质量、符合伦理的自杀相关研究,也有助于研究人员开展此类研究。