<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Betancourt, T. S.</style></author><author><style face="normal" font="default" size="100%">Smith Fawzi, M. C.</style></author><author><style face="normal" font="default" size="100%">Stevenson, A.</style></author><author><style face="normal" font="default" size="100%">Kanyanganzi, F.</style></author><author><style face="normal" font="default" size="100%">Kirk, C.</style></author><author><style face="normal" font="default" size="100%">Ng, L.</style></author><author><style face="normal" font="default" size="100%">Mushashi, C.</style></author><author><style face="normal" font="default" size="100%">Bizimana, J. I.</style></author><author><style face="normal" font="default" size="100%">Beardslee, W.</style></author><author><style face="normal" font="default" size="100%">Raviola, G.</style></author><author><style face="normal" font="default" size="100%">Smith, S.</style></author><author><style face="normal" font="default" size="100%">Kayiteshonga, Y.</style></author><author><style face="normal" font="default" size="100%">Binagwaho, A.</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Ethics in Community-Based Research with Vulnerable Children: Perspectives from Rwanda</style></title><secondary-title><style face="normal" font="default" size="100%">PLoS One</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">*Vulnerable Populations</style></keyword><keyword><style  face="normal" font="default" size="100%">Acquired Immunodeficiency Syndrome/diagnosis/*epidemiology</style></keyword><keyword><style  face="normal" font="default" size="100%">Adolescent</style></keyword><keyword><style  face="normal" font="default" size="100%">Child</style></keyword><keyword><style  face="normal" font="default" size="100%">Community-Based Participatory Research/*ethics/methods</style></keyword><keyword><style  face="normal" font="default" size="100%">Female</style></keyword><keyword><style  face="normal" font="default" size="100%">Humans</style></keyword><keyword><style  face="normal" font="default" size="100%">Male</style></keyword><keyword><style  face="normal" font="default" size="100%">Mental Health/statistics &amp; numerical data</style></keyword><keyword><style  face="normal" font="default" size="100%">Rwanda</style></keyword><keyword><style  face="normal" font="default" size="100%">Socioeconomic Factors</style></keyword><keyword><style  face="normal" font="default" size="100%">Suicide/statistics &amp; numerical data</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2016</style></year></dates><number><style face="normal" font="default" size="100%">6</style></number><volume><style face="normal" font="default" size="100%">11</style></volume><pages><style face="normal" font="default" size="100%">e0157042</style></pages><isbn><style face="normal" font="default" size="100%">1932-6203 (Electronic)&lt;br/&gt;1932-6203 (Linking)</style></isbn><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">A &quot;risk of harm&quot; protocol to identify youth in need of immediate emergency assistance in a study on mental health and HIV in Rwanda among 680 youth ages 10-17 is described. Cases are presented that describe the experience in using this protocol to ensure safety of participants, with ethical and logistical challenges considered. Among the population of the study, 3.2% were deemed &quot;risk of harm.&quot; The most prevalent presenting problem was non-fatal suicidal behavior (91% of risk of harm cases), with 36% having a history of a reported previous attempt. Challenges included: acute food insecurity/significant poverty; lack of support/adequate supervision from family members; family violence; alcohol abuse; and HIV-related stigma. Development of a &quot;risk of harm&quot; protocol and collaboration between study staff, community leadership, health authorities, and health workers are critical to ensuring participants' safety in research among vulnerable populations.</style></abstract><accession-num><style face="normal" font="default" size="100%">27351337</style></accession-num><notes><style face="normal" font="default" size="100%">Betancourt, Theresa&lt;br/&gt;Smith Fawzi, Mary C&lt;br/&gt;Stevenson, Anne&lt;br/&gt;Kanyanganzi, Fredrick&lt;br/&gt;Kirk, Catherine&lt;br/&gt;Ng, Lauren&lt;br/&gt;Mushashi, Christina&lt;br/&gt;Bizimana, Justin I&lt;br/&gt;Beardslee, William&lt;br/&gt;Raviola, Giuseppe&lt;br/&gt;Smith, Stephanie&lt;br/&gt;Kayiteshonga, Yvonne&lt;br/&gt;Binagwaho, Agnes&lt;br/&gt;eng&lt;br/&gt;R34 MH084679/MH/NIMH NIH HHS/&lt;br/&gt;T32 MH093310/MH/NIMH NIH HHS/&lt;br/&gt;2016/06/29 06:00&lt;br/&gt;PLoS One. 2016 Jun 28;11(6):e0157042. doi: 10.1371/journal.pone.0157042. eCollection 2016.</style></notes><custom2><style face="normal" font="default" size="100%">4924793</style></custom2><auth-address><style face="normal" font="default" size="100%">Harvard T.H. Chan School of Public Health, Department of Global Health and Population, Boston, Massachusetts, United States of America.&lt;br/&gt;Harvard Medical School, Department of Global Health and Social Medicine, Boston, Massachusetts, United States of America.&lt;br/&gt;Partners In Health-Rwanda/ Inshuti Mu Buzima (PIH-IMB), Kigali, Rwanda.&lt;br/&gt;Ministry of Health, Government of Rwanda, Kigali, Rwanda.&lt;br/&gt;Boston Children's Hospital, Boston, Massachusetts, United States of America.&lt;br/&gt;Partners In Health, Boston, Massachusetts, United States of America.&lt;br/&gt;University of Global Health Equity, Kigali, Rwanda.&lt;br/&gt;Rwanda Biomedical Center, Kigali, Rwanda.&lt;br/&gt;Dartmouth College, Hanover, New Hampshire, United States of America.</style></auth-address></record></records></xml>