Paul Appelbaum
@appelbap
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Dollard Professor of Psychiatry, Medicine & Law @ColumbiaPsych Legal and ethical issues in medicine, forensic psychiatry, genetic ethics
Joined March 2011
New Publication from our faculty affiliate, @appelbap Can a person still claim the insanity defense if their mental state was affected by not taking prescribed medication? 📘Read: https://t.co/s3IaCDu1ra
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“...the available data do not suggest that SSRIs make them more likely to engage in mass shootings. Indeed, to the extent that SSRIs alleviate their distress, they may reduce the risk of violence.” https://t.co/XW4KUnY6us via @factcheckdotorg
factcheck.org
A day after a shooting at a school in Minnesota, Health and Human Services Secretary Robert F. Kennedy Jr. claimed, as he has before, that certain antidepressant drugs, known as SSRIs, “might be...
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🚨Mark your calendars! 📖 The next online @elsihub Journal Club will discuss a recent AJHG paper!! 🗓 October 31, 2025 | 🕛 12–1 pm ET 📍 Register here: https://t.co/kcdEBF37o7
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An excellent overview of laws on involuntary commitment of drug users. As I said, “Passing a law doesn’t create a system. Treatment of addiction is difficult and takes time. It is not something that’s going to be solved in 30 days.”
nytimes.com
The president wants to enforce involuntary commitment laws for severe drug use. But rehab is expensive, without enough beds for those who seek it.
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New publication! 📢 Co-authored by Ruth Ottman & @appelbap , this systematic review explores the psychosocial impacts of autism-related genetic testing Findings show mixed emotional responses, from relief and peace of mind to stress and frustration Read: https://t.co/56UDdkegre
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Our latest editorial: "The Hopkins-Oxford Psychedelics Ethics (HOPE) Working Group Consensus Statement" The first Hopkins-Oxford Psychedelic Ethics (HOPE) workshop convened to discuss ethical matters relating to psychedelics in Aug 2023 at U of Oxford. https://t.co/9IyQcOPVzx
tandfonline.com
Published in The American Journal of Bioethics (Vol. 24, No. 7, 2024)
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Mendelian imputation is a promising method for imputing missing parental genotypes and estimating direct genetic effects. But so far there has been little reflection on its legal and ethical implications, which we consider here:
osf.io
Mendelian imputation is a promising method for imputing missing parental genotypes and estimating direct genetic effects. While the method has clear scientific benefits, so far there has been little...
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🧬 What happens when a genetic therapy is made for just one patient? How do we support and regulate development? In @JME_BMJ , @sandrasoojinlee @appelbap from our Division along with other authors @WendyKChung , discuss the “research-treatment hybrids”. 🔗 https://t.co/KqRdTgNH4Q
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An important alert on the implications of an Executive Order on "gold standard science" that many of us may have missed:
thehastingscenter.org
The United States has never had a situation in which political and ideological nonscientists got the last word about what is credible science. The direct political oversight of science represented in...
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What do we know about how mental illness affects pretrial defendants' chances of reoffending or failing to appear for trial? Answer: Not very much. See our new article: A Scoping Literature Review of Mental Illness in Decisions Regarding Pretrial Release
jaapl.org
Judges generally make pretrial release decisions based on the risk that a defendant will miss court appearances or pose a danger to the community; for criminal cases initiated in state courts, this...
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🆕 New from affiliated faculty Prof. Paul Appelbaum @appelbap in Psychiatric Services: "Medical Malpractice: Coming Changes and Their Impact on Psychiatry" A major shift in malpractice standards may move away from customary care toward reasonable care. 🔗 https://t.co/QCxm4zOz5e
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"There is an urgent need for research on strategies to manage psychiatric disorders associated with restricted reproductive health services." Learn more in this Special Communication. https://t.co/hQiwVgJrTB
@appelbap @ibzpsychphd
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Our analysis of the impact of abortion restrictions on mental health in pregnancy, just out today:
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Our systematic review or the literature on the psychosocial impacts of autism-related genetic testing is now online (in preprint format) at JAACAP:
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The capacity of newborn genomic screening to identify risks for conditions without effective treatments, along with diseases that may develop much later in life, can create challenges for parents and offspring alike:
nytimes.com
Screening can now determine their risk for an ever-growing list of conditions — including ones we can’t do much about.
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The new American Law Institute Restatement on Medical Malpractice portends changes in how the courts assess clinician liability, with more emphasis on evidence-based care. Neil Kaye and I discuss here:
psychiatryonline.org
In 2024, the American Law Institute revised its influential Restatement of the Law for medical malpractice. The most important change is an updated standard for determining when a clinician is...
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Most firearms used in mass shootings in the US are legally acquired--and legal guns are associated with higher number of fatalities. Another reason why focusing exclusively on illegal possession won't stop the violence epidemic.
onlinelibrary.wiley.com
Understanding the relationship between firearm regulations and the lethality of mass murder involving firearms has implications for prevention efforts. We examined 625 incidents of mass murder...
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Flying under the radar, HHS announces it no longer intends to enforce mental health insurance parity rules. The inevitable result: markedly reduced access to treatment. https://t.co/GHVSz1BFsq via @statnews
statnews.com
Access to care could be affected, following HHS indication that it will not enforce updates adopted in 2024 to the mental health parity law.
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📷 No one dies of "complications of schizoaffective disorder." Disturbing questions about the quality of care rendered people in ICE custody, including people with mental illness:
miamiherald.com
Top medical experts reviewed records and questioned the treatment two immigrants received before their deaths. “That’s certainly substandard care,” said one neurologist.“That’s certainly substandard...
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In this new article, @StephRolinMD and I review the expansion of liability for colleges and universities in addressing students with mental health issues:
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