The Reply.

Am J Med

Division of Gastroenterology, University of Arizona College of Medicine, Tucson.

Published: December 2017

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http://dx.doi.org/10.1016/j.amjmed.2017.07.036DOI Listing

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We appreciate Reierson's thoughtful commentary on our 2019 paper, which described our experiences, ethical process, judgment calls, and lessons from a 2016-2017 data-sharing pilot between Crisis Text Line and academic researchers. The commentary raises important questions about the ethical conduct of health research in the digital age, particularly regarding informed consent, potential conflicts of interest, and the protection of vulnerable populations. Our article focused specifically on the noncommercial use of Crisis Text Line data for research purposes, so we restrict our reply to points relevant to such usage.

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