Mental Health Research in Correctional Settings: Perceptions of Risk and Vulnerabilities.
Mental Health Research in Correctional Settings: Perceptions of Risk and Vulnerabilities.
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DOI：
10.1080/10508422.2015.1011327
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发表时间：
2016
影响因子：
2
通讯作者：
Eldridge GD
中科院分区：
文献类型：
--
作者：
Johnson ME;Kondo KK;Brems C;Ironside EF;Eldridge GD
超过一半的被监禁者有严重的心理健康问题，惩教机构为流行病学，预防和干预研究提供了极好的机会。然而，由于独特的伦理和结构性挑战，这些设置为参与者带来了在研究人群中通常不会遇到的风险和脆弱性。我们调查了1，224名研究人员，IRB成员和IRB囚犯代表，以评估他们对在惩教环境中进行的心理健康研究相关风险的看法。排名最高的风险与隐私、耻辱和保密有关;排名最低的风险与囚犯因参与研究而失去特权或成为暴力目标有关。认知障碍、精神疾病、缺乏自主权和获得服务的机会有限是最大的脆弱性来源;男性、女性、60岁以上、少数民族和怀孕是排名最低的脆弱性来源。具有矫正经验的研究人员认为风险和脆弱性低于所有其他群体，这就提出了一个问题，即这些研究人员是否根据经验准确地评估了风险和脆弱性，或者他们较低的风险和脆弱性感知是否反映了由于既得利益而产生的潜在偏见。通过确定特定风险和脆弱性领域，这项研究为研究人员和研究评论员提供了重要信息。
With over half of individuals incarcerated having serious mental health concerns, correctional settings offer excellent opportunities for epidemiological, prevention, and intervention research. However, due to unique ethical and structural challenges, these settings create risks and vulnerabilities for participants not typically encountered in research populations. We surveyed 1,224 researchers, IRB members, and IRB prisoner representatives to assess their perceptions of risks associated with mental health research conducted in correctional settings. Highest-ranked risks were related to privacy, stigma, and confidentiality; lowest-ranked risks were related to prisoners’ loss of privileges or becoming targets of violence due to having participated in research. Cognitive impairment, mental illness, lack of autonomy, and limited access to services emerged as the greatest sources of vulnerability; being male, being female, being over age of 60, being a minority, and being pregnant were the lowest-ranked sources of vulnerability. Researchers with corrections experience perceived lower risks and vulnerabilities than all other groups, raising the question whether these researchers accurately appraise risk and vulnerability based on experience, or if their lower risk and vulnerability perceptions reflect potential bias due to their vested interests. By identifying areas of particular risk and vulnerability, this study provides important information for researchers and research reviewers alike.