RIGHTCARE-PR: Reporting guidelines for human rights in child and adolescent psychiatry

IF 1.3 4区 医学 Q1 LAW
Elvira Pértega , Christopher Holmberg
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引用次数: 0

Abstract

Background

Historically, global mental health has struggled between an evidence based biomedical model and a rights-based approach focusing on user perspectives. A particularly problematic global mental health challenge is the use of restraints in psychiatry, highly regulated but controversial and risky, often deemed incompatible with human rights. Despite calls for an absolute ban, inconsistent terms, definitions, and reporting requirements complicate an accurate understanding. Effective research reporting in light of human rights is crucial for knowledge dissemination and ethical integrity.

Aim

This paper aims to provide reporting guidance for the neglected area of restraints in child inpatient psychiatric care, integrating scientific evidence and human rights to enhance mental health service quality.

Methods

This study builds upon a previous literature review by Pértega and Holmberg (2023) on child restraints in psychiatric settings that found a lack of human rights considerations in scientific literature in four domains: study context, stakeholders, restraint phenomena, and regulations. Relevance for reporting on these items were consulted through a Delphi process involving international experts from law, psychiatry, and social sciences, providing a comparative perspective on legal and psychiatric practices to refine the guidelines.

Results

To ensure evidence-based mental health interventions align with human rights principles, this paper proposes reporting standards that integrate human rights into research on child psychiatric care restraints. The RIGHTCARE-PR guidelines consist of 14 items across four domains, enhancing the clarity and comprehensiveness of research reporting.
These guidelines provide a robust and practical tool for researchers to improve the quality and ethical integrity of psychiatric research, benefiting authors, editors, reviewers, and readers.
RIGHTCARE-PR:儿童和青少年精神病学人权报告指南
历史上,全球精神卫生一直在以证据为基础的生物医学模式和以用户观点为重点的基于权利的方法之间挣扎。一个特别成问题的全球精神卫生挑战是在精神病学中使用限制,这种限制受到严格管制,但存在争议和风险,往往被认为与人权不相容。尽管呼吁绝对禁止,但不一致的术语、定义和报告要求使准确理解复杂化。基于人权的有效研究报告对于知识传播和道德操守至关重要。目的针对儿童住院精神科监护中束缚行为被忽视的领域提供报告指导,将科学证据与人权相结合,提高精神卫生服务质量。方法:本研究建立在p rtega和Holmberg(2023)先前关于精神病院儿童约束的文献综述的基础上,该文献发现在四个领域的科学文献中缺乏对人权的考虑:研究背景、利益相关者、约束现象和法规。通过涉及法律、精神病学和社会科学的国际专家的德尔菲程序,对这些项目报告的相关性进行了咨询,提供了法律和精神病学实践的比较观点,以完善指南。为了确保基于证据的心理健康干预措施与人权原则保持一致,本文提出了将人权纳入儿童精神病护理限制研究的报告标准。RIGHTCARE-PR指南包括四个领域的14个项目,提高了研究报告的清晰度和全面性。这些指南为研究人员提供了一个强大而实用的工具,以提高精神病学研究的质量和道德完整性,使作者、编辑、审稿人和读者受益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.70
自引率
8.70%
发文量
54
审稿时长
41 days
期刊介绍: The International Journal of Law and Psychiatry is intended to provide a multi-disciplinary forum for the exchange of ideas and information among professionals concerned with the interface of law and psychiatry. There is a growing awareness of the need for exploring the fundamental goals of both the legal and psychiatric systems and the social implications of their interaction. The journal seeks to enhance understanding and cooperation in the field through the varied approaches represented, not only by law and psychiatry, but also by the social sciences and related disciplines.
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