Duties When an Anonymous Student Health Survey Finds a Hot Spot of Suicidality.

Autor: Levinson AH; University of Colorado | Anschutz Medical Campus.; Colorado School of Public Health., Crepeau-Hobson MF; University of Colorado Denver., Coors ME; University of Colorado | Anschutz Medical Campus.; Center for Bioethics and Humanities., Glover JJ; University of Colorado | Anschutz Medical Campus.; Center for Bioethics and Humanities., Goldberg DS; University of Colorado | Anschutz Medical Campus.; Center for Bioethics and Humanities., Wynia MK; University of Colorado | Anschutz Medical Campus.; Center for Bioethics and Humanities.
Jazyk: angličtina
Zdroj: The American journal of bioethics : AJOB [Am J Bioeth] 2020 Oct; Vol. 20 (10), pp. 50-60.
DOI: 10.1080/15265161.2020.1806374
Abstrakt: Public health agencies regularly survey randomly selected anonymous students to track drug use, sexual activities, and other risk behaviors. Students are unidentifiable, but a recent project that included school-level analysis discovered a school with alarmingly prevalent student suicidality. Given confidentiality protocols typical of surveillance, the surveyors were uncertain whether and how to intervene. We searched literature for duties to warn at-risk groups discovered during public health surveillance, but we found no directly applicable guidance or cases. Reasoning by analogy, we conclude that surveyors should contact the school's leaders to call attention to its outlier status, but public warning is unwarranted. However, such an ad hoc decision to issue a warning, even if only to school leaders, raises significant practical, legal and ethical issues. National public health and education associations should produce guidance that clarifies ethical and legal duties owed to schools and students involved in population health-risk surveillance.
Databáze: MEDLINE
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