AMA Journal of Ethics^®

While men are diagnosed with depression at half the rate of women, they die by suicide 3 to 4 times as frequently.

As machine learning becomes increasingly common in health care, these systems’ data, algorithms, and recommendations raise critical justice questions.

Veterans at the end of life have special needs due to posttraumatic stress disorder, environmental exposures, and the influence of military culture on their values. Those who die outside the Veterans Affairs health care system, however, can be at increased risk for receiving outpatient palliative care that is not sensitive to these factors.

Risks of off-label medication to treat aggression should be balanced with consequences of not responding to social factors.

Decision-making capacity can be preserved in patients with mental illness and should be formally assessed in the context of their values and past decisions.

Disparities in children’s mental health care could be addressed through expansion of school-based programs via passage of the Mental Health in Schools Act.