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Designing Culturally and Contextually Sensitive Protocols for Suicide Risk in Global Mental Health: Lessons From Research With Adolescents in Kenya.

Publication ,  Journal Article
Venturo-Conerly, KE; Wasil, AR; Osborn, TL; Puffer, ES; Weisz, JR; Wasanga, CM
Published in: Journal of the American Academy of Child and Adolescent Psychiatry
September 2022

In cross-cultural psychological treatment research, investigators must ensure that protocols for addressing risk are culturally tailored and feasible, while also protecting against harm. Guidelines including the Belmont Report1 and the Declaration of Helsinki2 emphasize respecting participants' autonomy and right to equitable treatment, minimizing harm and maximizing benefit, while considering unique circumstances, local laws and regulations, and cultures. They highlight the importance of supervision from qualified health professionals,2 and special protections for children.1 Suicide risk poses distinctive challenges for cross-cultural research; actions that protect participants in one cultural context may harm participants in another. For example, because suicide attempts are illegal in many countries (eg, Kenya, Gambia, Nigeria), involving law enforcement, or others who may report to them, can generate penalties and incriminate those at risk. Upholding the Belmont and Helsinki principles can therefore require adapting strategies for different cultural contexts. This Commentary outlines strategies for applying principles of ethical risk management3,4 that prioritize sensitivity to context. We focus on addressing participant suicide risk during clinical research in low-resource and high-stigma settings, presenting the example of risk among adolescents in Kenya.5,6.

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Published In

Journal of the American Academy of Child and Adolescent Psychiatry

DOI

EISSN

1527-5418

ISSN

0890-8567

Publication Date

September 2022

Volume

61

Issue

9

Start / End Page

1074 / 1077

Related Subject Headings

  • Suicide, Attempted
  • Social Stigma
  • Mental Health
  • Kenya
  • Humans
  • Global Health
  • Developmental & Child Psychology
  • Child
  • Adolescent
  • 5201 Applied and developmental psychology
 

Citation

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Venturo-Conerly, K. E., Wasil, A. R., Osborn, T. L., Puffer, E. S., Weisz, J. R., & Wasanga, C. M. (2022). Designing Culturally and Contextually Sensitive Protocols for Suicide Risk in Global Mental Health: Lessons From Research With Adolescents in Kenya. Journal of the American Academy of Child and Adolescent Psychiatry, 61(9), 1074–1077. https://doi.org/10.1016/j.jaac.2022.02.005
Venturo-Conerly, Katherine E., Akash R. Wasil, Tom Lee Osborn, Eve S. Puffer, John R. Weisz, and Christine M. Wasanga. “Designing Culturally and Contextually Sensitive Protocols for Suicide Risk in Global Mental Health: Lessons From Research With Adolescents in Kenya.Journal of the American Academy of Child and Adolescent Psychiatry 61, no. 9 (September 2022): 1074–77. https://doi.org/10.1016/j.jaac.2022.02.005.
Venturo-Conerly KE, Wasil AR, Osborn TL, Puffer ES, Weisz JR, Wasanga CM. Designing Culturally and Contextually Sensitive Protocols for Suicide Risk in Global Mental Health: Lessons From Research With Adolescents in Kenya. Journal of the American Academy of Child and Adolescent Psychiatry. 2022 Sep;61(9):1074–7.
Venturo-Conerly, Katherine E., et al. “Designing Culturally and Contextually Sensitive Protocols for Suicide Risk in Global Mental Health: Lessons From Research With Adolescents in Kenya.Journal of the American Academy of Child and Adolescent Psychiatry, vol. 61, no. 9, Sept. 2022, pp. 1074–77. Epmc, doi:10.1016/j.jaac.2022.02.005.
Venturo-Conerly KE, Wasil AR, Osborn TL, Puffer ES, Weisz JR, Wasanga CM. Designing Culturally and Contextually Sensitive Protocols for Suicide Risk in Global Mental Health: Lessons From Research With Adolescents in Kenya. Journal of the American Academy of Child and Adolescent Psychiatry. 2022 Sep;61(9):1074–1077.
Journal cover image

Published In

Journal of the American Academy of Child and Adolescent Psychiatry

DOI

EISSN

1527-5418

ISSN

0890-8567

Publication Date

September 2022

Volume

61

Issue

9

Start / End Page

1074 / 1077

Related Subject Headings

  • Suicide, Attempted
  • Social Stigma
  • Mental Health
  • Kenya
  • Humans
  • Global Health
  • Developmental & Child Psychology
  • Child
  • Adolescent
  • 5201 Applied and developmental psychology