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Ethical Challenges in Conducting Psychiatric or Mental Health Research in Correctional Settings

机译：在矫正场所进行精神或心理健康研究的伦理挑战

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Background:We explored ethical challenges in conducting psychiatric or mental health research with incarcerated people. Methods: Semistructured interviews were conducted with 87 people who were researchers; institutional review board (IRB) chairs, members, and prisoner representatives; research ethicists; and prison administrators with experience in and knowledge about the conduct of research in correctional settings. NVivo 9.0 was used to conduct grounded theory analysis of responses to the question: "What would you say are the top three ethical challenges to conducting psychiatric or mental health research with incarcerated people?" Results: Key informants identified autonomy and consent, balancing the potential for direct benefit with the risk for harm, and access to and standards of psychiatric care in correctional facilities as the three most important ethical challenges. The characteristics of incarcerated individuals, the nature of correctional systems, and federal regulations for oversight of prisoner research provided the contextual framework for these challenges. Conclusions: Findings from this study provide insights into ethical challenges affecting the conduct of psychiatric and mental health research with incarcerated individuals. Given the potential benefit to incarcerated people from access to participation in research, these ethical challenges should be addressed.
机译：背景：我们探讨了在与被监禁者进行精神病或精神健康研究方面的道德挑战。方法：对87名研究人员进行半结构式访谈。机构审查委员会（IRB）的主席，成员和囚犯代表;研究伦理学家;和监狱管理人员，他们在教养场所的研究工作方面具有经验和知识。 NVivo 9.0用于对以下问题的回答进行扎根的理论分析：“您说对被监禁的人进行精神病或心理健康研究的三大道德挑战是什么？”结果：主要信息提供者确定了自主权和同意权，将直接受益的可能性与伤害的风险以及在矫正设施中获得精神病治疗和获得标准之间的平衡是三个最重要的道德挑战。被监禁者的特征，惩戒系统的性质以及联邦对囚犯研究进行监督的法规为应对这些挑战提供了背景框架。结论：这项研究的发现提供了关于伦理挑战的见解，这些伦理挑战影响了被关押者的精神和精神健康研究的开展。鉴于被监禁的人们从参与研究中获得的潜在利益，应解决这些道德挑战。

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