Consent, decisional capacity and guardianship in mental health research.

Journal: Wellcome open research

Volume: 7

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Neurology and Psychiatry, Faculty of Medicine, Clínica Alemana Universidad del Desarroll, Santiago, Chile. Center for Innovative Drug Development and Therapeutic Trials for Africa, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia. Department of Bioethics, NIH Clinical Center, Bethesda, MD, , USA.

Abstract summary 

: Research with adults who cannot give informed consent has important social value. However, enrolling adults who cannot consent in research raises significant ethical concerns.  : To evaluate how researchers in low and middle-income countries (LMICs) can assess individuals' decisional capacity, and the conditions under which it is appropriate, and the conditions under which it is not appropriate to include individuals who lack decisional capacity.  : In LMICs, where resources may be limited, implementing protections for adults with decisional incapacity can be especially challenging. Recognition of the ethical concerns, and awareness of the circumstances and available resources, offers the means to protect these vulnerable participants. : Researchers in low and middle-income countries should be aware of steps they can take to ensure appropriate protections for subjects with decisional impairments while conducting clinical trials on methods to improve their clinical care.

Authors & Co-authors:  Undurraga Juan J Negussie Hanna H Wendler David D

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Whiteford HA, Degenhardt L, Rehm J, et al. : Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010. Lancet. 2013;382(9904):1575–1586. 10.1016/S0140-6736(13)61611-6
Authors :  3
Identifiers
Doi : 183
SSN : 2398-502X
Study Population
Male,Female
Mesh Terms
Other Terms
clinical trials;decisional capacity;informed consent;surrogates
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
England