Autor: |
Theresa Betancourt, Mary C Smith Fawzi, Anne Stevenson, Fredrick Kanyanganzi, Catherine Kirk, Lauren Ng, Christina Mushashi, Justin I Bizimana, William Beardslee, Giuseppe Raviola, Stephanie Smith, Yvonne Kayiteshonga, Agnes Binagwaho |
Jazyk: |
angličtina |
Rok vydání: |
2016 |
Předmět: |
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Zdroj: |
PLoS ONE, Vol 11, Iss 6, p e0157042 (2016) |
Druh dokumentu: |
article |
ISSN: |
1932-6203 |
DOI: |
10.1371/journal.pone.0157042 |
Popis: |
A "risk of harm" protocol to identify youth in need of immediate emergency assistance in a study on mental health and HIV in Rwanda among 680 youth ages 10-17 is described. Cases are presented that describe the experience in using this protocol to ensure safety of participants, with ethical and logistical challenges considered. Among the population of the study, 3.2% were deemed "risk of harm." The most prevalent presenting problem was non-fatal suicidal behavior (91% of risk of harm cases), with 36% having a history of a reported previous attempt. Challenges included: acute food insecurity/significant poverty; lack of support/adequate supervision from family members; family violence; alcohol abuse; and HIV-related stigma. Development of a "risk of harm" protocol and collaboration between study staff, community leadership, health authorities, and health workers are critical to ensuring participants' safety in research among vulnerable populations. |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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