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Improved Ethical Guidance for the Return of Results from Psychiatric Genomics Research
Journal article   Open access   Peer reviewed

Improved Ethical Guidance for the Return of Results from Psychiatric Genomics Research

Gabriel Lázaro-Muñoz, Martilias S Farrell, James J Crowley, Dawn M Filmyer, Rita A Shaughnessy, Richard C Josiassen and Patrick F Sullivan
Molecular psychiatry, v 23(1), pp 15-23
21 Nov 2017
PMID: 29158581
url
https://europepmc.org/articles/pmc5752587View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

There is an emerging consensus that genomic researchers should, at a minimum, offer to return to individual participants clinically valid, medically important, and medically actionable genomic findings (e.g., pathogenic variants in BRCA1 ) identified in the course of research. However, this is not a common practice in psychiatric genetics research. Furthermore, psychiatry researchers often generate findings that do not meet all of these criteria, yet there may be ethically compelling arguments to offer selected results. Here, we review the return of results debate in genomics research and propose that, as for genomic studies of other medical conditions, psychiatric genomics researchers should offer findings that meet the minimum criteria stated above. Additionally, if resources allow, psychiatry researchers could consider offering to return pre-specified “clinically valuable” findings even if not medically actionable – for instance, findings that help corroborate a psychiatric diagnosis, and findings that indicate important health risks. Similarly, we propose offering “likely clinically valuable” findings, specifically, variants of uncertain significance potentially related to a participant’s symptoms. The goal of this Perspective is to initiate a discussion that can help identify optimal ways of managing the return of results from psychiatric genomics research.

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Biochemistry & Molecular Biology
Neurosciences
Psychiatry
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