Paul Appelbaum
@appelbap
Dollard Professor of Psychiatry, Medicine & Law @ColumbiaPsych Legal and ethical issues in medicine, forensic psychiatry, genetic ethics
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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: psychiatryonline.org/doi/10.1176/ap…
“...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.” factcheck.org/2025/10/rfk-jr… via @factcheckdotorg
🚨Mark your calendars! 📖 The next online @elsihub Journal Club will discuss a recent AJHG paper!! 🗓 October 31, 2025 | 🕛 12–1 pm ET 📍 Register here: tinyurl.com/bmnmkek5
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/2025/09/17/hea…
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: sciencedirect.com/science/articl…
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. tandfonline.com/doi/full/10.10…
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/7pkhj_v1
🧬 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”. 🔗jme.bmj.com/content/51/5/j…
An important alert on the implications of an Executive Order on "gold standard science" that many of us may have missed: thehastingscenter.org/gold-dust/
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/content/early/…
🆕 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. 🔗 psychiatryonline.org/doi/10.1176/ap…
"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. ja.ma/4kGFSPG @appelbap @ibzpsychphd
Our analysis of the impact of abortion restrictions on mental health in pregnancy, just out today: jamanetwork.com/journals/jamap…
Our systematic review or the literature on the psychosocial impacts of autism-related genetic testing is now online (in preprint format) at JAACAP: sciencedirect.com/science/articl…
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/2025/06/05/hea…
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/doi/epdf/10.11…
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/doi/10.1111/15…
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. statnews.com/2025/05/13/hhs… via @statnews
📷 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/news/local/imm…
miamiherald.com
Two men in ICE custody died of ‘natural’ causes. Were their deaths preventable?
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...
In this new article, @StephRolinMD and I review the expansion of liability for colleges and universities in addressing students with mental health issues: rdcu.be/ekaDC
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