Evidence map›Paper›PMID 38974070›Full record

ArticleNigerian medical journal : journal of the Nigeria Medical Association

The Ethical Dilemma of Balancing Confidentiality and Duty to Protect: A Case Report of Comorbid Schizophrenia and Cannabis Use Disorder with Homicidal Thoughts.

Delali Fiagbe, Ama Kyerewaa Edwin, Eugene K Dordoye, Dzifa Dellor, Adwoa Gyamera, Emmanuel Dziwornu

Abstract readCase Reports
In one paragraph

Article in Nigerian medical journal : journal of the Nigeria Medical Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Delali FiagbeDepartment of Psychiatry, University of Ghana Medical School, University of Ghana, Ghana.
Ama Kyerewaa EdwinDepartment of Psychological Medicine and Mental Health, School of Medicine, University of Health and Allied Sciences, Ho, Ghana.
Eugene K DordoyeDepartment of Psychological Medicine and Mental Health, School of Medicine, University of Health and Allied Sciences, Ho, Ghana.
Dzifa DellorDepartment of Psychiatry, Korle-Bu Teaching Hospital, Accra, Ghana.
Adwoa GyameraDepartment of Psychiatry, Cape Coast Teaching Hospital, Cape Coast, Ghana.
Emmanuel DziwornuDepartment of Psychological Medicine and Mental Health, School of Medicine, University of Health and Allied Sciences, Ho, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This is a report of a 29-year-old female with a history of Schizophrenia and Cannabis Use Disorder who presented with auditory hallucinations that asked her to kill her immediate supervisor. She presented the ethical dilemma many healthcare providers face in balancing the principles of patient confidentiality with the duty to protect and beneficence. The clinicians breached the patient's right to confidentiality to protect her supervisor by informing the supervisor, their manager, and the police. However, they also ensured her job security, which she risked in an environment where mental illness is highly stigmatized. This case highlights the importance of considering the ethical principles of disclosing confidential information, such as the Tarasoff I and II, and beneficence (as her job was protected) in making clinical decisions. It also summarizes the legal precedents established by the Tarasoff cases and the implications for clinical practice.

Indexed as

BeneficenceDuty to ProtectEthical DilemmaSchizophreniaTarasoff I and II

Identifiers

PMID38974070
PMCPMC11223015

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.