Consent, decisional capacity and guardianship in mental health research.

Wellcome Open Res

Department of Bioethics, NIH Clinical Center, Bethesda, MD, 20892, USA.

Published: June 2023

AI Article Synopsis

  • Research involving adults who cannot consent is valuable but raises ethical issues, especially in low and middle-income countries (LMICs).
  • There is a need for clear guidelines on how to assess decisional capacity and identify when it's appropriate to include these individuals in research.
  • Researchers must implement protections for vulnerable participants while being mindful of limited resources and ethical concerns in LMICs.

Article Abstract

: 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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10318371PMC
http://dx.doi.org/10.12688/wellcomeopenres.18003.2DOI Listing

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