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重新审视研究安全协议:在危机干预中替代执法的紧迫性。

Revisiting Research Safety Protocols: The Urgency for Alternatives to Law Enforcement in Crisis Intervention.

机构信息

Department of Psychology, Yale University, New Haven, Connecticut (Anene); Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, Chicago (Nallajerla); Jane and Terry Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles (Bath, Castillo).

出版信息

Psychiatr Serv. 2023 Mar 1;74(3):325-328. doi: 10.1176/appi.ps.20220084. Epub 2022 Aug 25.

DOI:10.1176/appi.ps.20220084
PMID:36004437
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10027434/
Abstract

Research safety protocols are ubiquitous in mental health research involving human subjects and have the potential to harm research participants from racial-ethnic minority populations. For mental health emergencies, such protocols commonly rely on law enforcement for crisis intervention. The authors review inequities experienced by individuals with mental illness in law enforcement encounters, especially Black, Latinx, and other minoritized populations. They then describe the development of a research safety protocol that uses community-based crisis intervention programs as alternatives to law enforcement and provide a roadmap for researchers and institutional review boards to revisit and revise their human subjects safety protocols.

摘要

研究安全协议在涉及人类受试者的心理健康研究中无处不在,有可能对来自种族少数民族的研究参与者造成伤害。对于心理健康紧急情况,此类协议通常依靠执法部门进行危机干预。作者回顾了在执法人员接触中患有精神疾病的个人所经历的不平等现象,特别是黑人、拉丁裔和其他少数民族。然后,他们描述了一个研究安全协议的制定,该协议使用基于社区的危机干预计划作为执法的替代方案,并为研究人员和机构审查委员会提供了一个重新审视和修改其人类受试者安全协议的路线图。

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本文引用的文献

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Decoupling Crisis Response from Policing - A Step Toward Equitable Psychiatric Emergency Services.将危机应对与警务工作脱钩——迈向公平的精神科急诊服务的一步。
N Engl J Med. 2021 May 6;384(18):1769-1773. doi: 10.1056/NEJMms2035710.
2
Addressing racism and disparities in the biomedical sciences.解决生物医学领域的种族主义和差异问题。
Nat Hum Behav. 2020 Aug;4(8):774-777. doi: 10.1038/s41562-020-0917-7.
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Monitoring, assessing, and responding to suicide risk in clinical research.在临床研究中监测、评估和应对自杀风险。
J Abnorm Psychol. 2020 Jan;129(1):64-69. doi: 10.1037/abn0000489.
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Welfare Checks and Therapeutic Risk Management.福利检查与治疗风险管理
J Psychiatr Pract. 2019 Nov;25(6):470-474. doi: 10.1097/PRA.0000000000000434.
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The case for desegregation.废除种族隔离的理由。
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Deaths of people with mental illness during interactions with law enforcement.患有精神疾病的人在与执法部门互动期间死亡。
Int J Law Psychiatry. 2018 May-Jun;58:110-116. doi: 10.1016/j.ijlp.2018.03.003. Epub 2018 Apr 21.
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Psychiatric advance directives and reduction of coercive crisis interventions.精神科预先指示与减少强制性危机干预
J Ment Health. 2008 Jan 1;17(3):255-267. doi: 10.1080/09638230802052195.