{
  "abstract": "Ethics is central to medical practice, guiding the moral obligations of both researchers and clinicians.1 Elite sport intensifies ethical risk through marked power imbalances between athletes and organisations, strong commercial incentives to win and constant public scrutiny. This places personal and professional boundaries under sustained strain, bringing core ethical principles into tension and generating bioethical concerns for athletes and the wider sport ecosystem.2 These risks are particularly salient in mental health research, where findings are highly contextual, stigma-laden and may carry direct consequences for selection, contracts and public reputation.3–5",
  "authors": [
    {
      "affiliations": [
        "Sports Psychiatry Research Group, Center for Psychiatric Research, Department of Adult Psychiatry and Psychotherapy, University Hospital of Psychiatry Zürich, Zürich, Switzerland",
        "Clinic for Depression and Anxiety, Psychiatric Centre Muensingen, Münsingen, Switzerland"
      ],
      "name": "Malte Christian Claussen"
    },
    {
      "affiliations": [
        "Forensic Psychiatry, North London Forensic Service, London, UK"
      ],
      "name": "David Prossor"
    },
    {
      "affiliations": [
        "Department of Psychiatry, University of Oxford, Oxford, UK"
      ],
      "name": "Carolyn Nahman"
    },
    {
      "affiliations": [
        "Department of Psychiatry, Pennsylvania State University, Hershey, Pennsylvania, USA"
      ],
      "name": "Brandon N D’Souza"
    },
    {
      "affiliations": [
        "Vincent Van Gogh Instituut, Venray, Netherlands"
      ],
      "name": "Eline A A Schurer"
    },
    {
      "affiliations": [
        "Regional Affective Disorders Service, Northumberland Tyne and Wear NHS Trust, Newcastle upon Tyne, UK"
      ],
      "name": "Alan Currie"
    },
    {
      "affiliations": [
        "Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, San Francisco, California, USA"
      ],
      "name": "Ira Glick"
    },
    {
      "affiliations": [
        "Division of Neuropsychiatry, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, Western Cape, South Africa",
        "Centre for Behavioural Medicine, Neuroscience Institute, University of Cape Town, Cape Town, South Africa"
      ],
      "name": "James W Burger"
    }
  ],
  "title": "Pressure points: ethical dilemmas in sports mental health research involving athletes",
  "uid": "0ccc6106-8b0a-5251-9dd6-ba3f2f3f48d4"
}