Factors contributing to breaking confidentiality with adolescent clients: A survey of pediatric psychologists Academic Article uri icon


  • A common ethical dilemma experienced by professional psychologists involves deciding whether to break confidentiality with risk-taking adolescent clients. However, our understanding of the factors that contribute to this decision-making process is limited. The present study surveyed 200 pediatric psychologists (resulting in 74 usable surveys) and identified several items that are perceived to be important to clinicians when they consider the decision to break confidentiality in order to report potentially dangerous behaviors to the parents of adolescent clients. The present study also used exploratory factor analysis to identify 2 underlying factors - Negative Nature of the Behavior and Maintaining the Therapeutic Process - as crucial to the decision-making process.

published proceedings


author list (cited authors)

  • Sullivan, J. R., Ramirez, E., Rae, W. A., Razo, N. P., & George, C. A.

citation count

  • 21

complete list of authors

  • Sullivan, Jeremy R||Ramirez, Eleazar||Rae, William A||Razo, Nancy Reña||George, Carrie A

publication date

  • August 2002