Evidence map›Paper›PMID 41050266›Full record

ArticleSchizophrenia bulletin open2025

Obstacles, Opportunities, and Ethical Considerations for Genomic Investigations of Individuals Continuously Hospitalized with Treatment-resistant Schizophrenia.

Richard C Josiassen, Rose Mary Xavier, Tyler E Dietterich, Matthew K Harner, Dawn M Filmyer, Cassie Houpt, Maya L Lichtenstein, Martilias Farrell, Rita A Shaughnessy, Gabriel Lazaro-Munoz and 2 more

Abstract read
In one paragraph

Article in Schizophrenia bulletin open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Increasing participation of people with thought disorder in clinical research.European psychiatry : the journal of the Association of European Psychiatrists · 2026
    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

12 authors.

Richard C JosiassenTranslational Neuroscience, Philadelphia, PA 19119, United States.ORCID https://orcid.org/0000-0002-2572-975X
Rose Mary XavierDepartment of Research, UTHealth Houston Cizik School of Nursing, Houston, TX 77030, United States.
Tyler E DietterichTranslational Neuroscience, Philadelphia, PA 19119, United States.
Matthew K HarnerTranslational Neuroscience, Philadelphia, PA 19119, United States.
Dawn M FilmyerTranslational Neuroscience, Philadelphia, PA 19119, United States.
Cassie HouptDepartment of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, United States.
Maya L LichtensteinDepartment of Neurology, Geisinger Health System, Wilkes Barre, PA 18765, United States.
Martilias FarrellDepartment of Natural and Applied Science, Cheyney University, Philadelphia, PA 19319, United States.
Rita A ShaughnessyTranslational Neuroscience, Philadelphia, PA 19119, United States.
Gabriel Lazaro-MunozCenter for Bioethics, Harvard Medical School, Boston, MA 02115, United States.
Jonathan S BergDepartment of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States.
Patrick F SullivanDepartment of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Hypothesis: The overarching objective when studying schizophrenia is the development of generalizable knowledge that improves patient health and/or increases our comprehension of their illness. To fully achieve this objective, investigations need to reflect the Study Design: This article provides brief reviews of (1) ethical considerations when recruiting individuals with severely treatment-resistant psychotic symptoms for research, (2) the impact their condition has on decision-making capacity, and finally (3) we provide a first-hand narrative of our experience conducting a genomic study of involuntarily hospitalized individuals and the opportunities/obstacles we encountered. Study Results: Evidence from published literature shows that cognitive impairment, rather than severity of psychopathology, is the greatest threat to decisional capacity. Ethical safeguards and practical considerations have been developed, including (1) institutional/local research committee review and approval, (2) confidentiality, (3) informed consent, (4) assessment of capacity, and (5) community engagement. Our experience demonstrates that carefully selected involuntarily committed individuals can be included in research. Conclusions: With ethical safeguards, these individuals deserve the opportunity to volunteer for research regarding the mental illness that has profoundly shaped their lives-to do otherwise is discriminatory.

Indexed as

continuously hospitalized-TRScopy number variantsdecision-making capacityextreme phenotype samplingrare variantsschizophreniaschizophrenia research ethicstreatment-resistant psychosis

Identifiers

PMID41050266
PMCPMC12496010

What OpenQuestion holds

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Registered trials

None linked

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.