Publications

Peer-Reviewed Journal Articles*

  1. Virani, A., Macevicius, C., Jegathesan, T., Laliberte, N., Bharmal, A., Wong, J., McAlduff, M., French, H., & Clark, D. B. A. (in press) Equity in public health ethics in uncertain times: A community-engaged, empirical study of values, principles, and practices. Journal of Public Health.
  2. Clark, D. B. A., Smith, K., Alonso-Prieto, E., & Virani, A. (2025). Addressing Moral Distress During the COVID-19 Pandemic: Insights About Future Directions from Canadian Ethicists and Healthcare Leaders. Nursing Inquiry, 32(4), e70051. https://doi.org/10.1111/nin.70051
  3. Clark, D. B. A., Ji, D., Foran, E., Seburn, K., & Temple, J. (2025). Addressing health information needs and research priorities of transgender, Two-Spirit, and nonbinary youth. International Journal of LGBTQ+ Youth Studies, 1–17. https://doi.org/10.1080/29968992.2025.2523244
  4. Clark, D. B. A., Metzger, D. L., Pang, K. C., St. Amand, C., & Khatchadourian, K. (2025). Individualized and innovative gender healthcare for transgender and nonbinary youth. Nature Reviews Endocrinology, 1–12. https://doi.org/10.1038/s41574-025-01113-z
  5. Alonso-Prieto, E., Swanson, V., Mueller-Prevost, V., Sutter, D., Fee, J., Petropanagos, A., Clark, D. B. A., Banner-Lukaris, D., Virani, A., Ebadi-Cook, V., Blanding, A., & Thomson, K. (2025). Developing a moral empowerment system for healthcare organizations to address moral distress: A case report. Healthcare Management Forum, 38(4), 8404704251322352. https://doi.org/10.1177/08404704251322352
  6. Clark, D. B. A., MacNeil, L., Grieves, G., & Townsend, M. (2023). Gender and sex data practices within electronic health records in a primary care setting: A use case approach. Canadian Journal of Nursing Informatics, 18(1), 1-12. https://cjni.net/journal/?p=10866
  7. Clark, D. B. A. (2023). Trans Youth in Translation: Arts-based knowledge translation for health professions education. Journal of Arts and Humanities, 17(2), 17-31. https://doi.10.18533/jah.v12i02.2334
  8. Townsend, M., & Clark, D. B. A. (2022). Universal gender screening: A simple strategy to enhance primary care for transgender and gender diverse people. Family Practice, online ahead of print. https://doi.org/10.1093/fampra/cmab176
  9. Clark, D. B. A. (2021). Narratives of regret: Resisting cisnormative and bionormative biases in fertility and family counseling for transgender youth. International Journal of Feminist Approaches to Bioethics. https://www.utpjournals.press/doi/abs/10.3138/ijfab-14.2.09
  10. Clark, D. B. A., & Virani, A. (2021). “This wasn’t a split-second decision”: An empirical ethical analysis of transgender youth capacity, rights, and authority to consent to hormone therapy. Journal of Bioethical Inquiry. https://pubmed.ncbi.nlm.nih.gov/33502682/
  11. Clark, D. B. A., Marshall, S., Virani, A., & Saewyc, E. (2020). Conditions for shared decision-making in the care of transgender youth in Canada. Health Promotion International. https://doi.org/10.1093/heapro/daaa043
  12. Clark, D. B. A., Marshall, S., & Saewyc, E. (2020). Hormone therapy decision-making processes: Transgender youth and parents. Journal of Adolescence. https://doi.org/10.1016/j.adolescence.2019.12.016
  13. Clark, D. B. A., Virani, A., & Saewyc, E. M. (2019). “The edge of harm and help”: Ethical considerations in the care of transgender youth with complex family situations. Ethics and Behavior, 1–20. https://doi.org/10.1080/10508422.2019.1652097
  14. Coelho, J., Suen, J., & Clark, D. B. A., Marshall, S., Geller, J., & Lam, P-Y. (2019). Eating disorder diagnoses and symptom presentation in transgender youth: A scoping review. Current Psychiatry Reports, 21, 107. https://doi.org/10.1007/s11920-019-1097-x
  15. Watson, R. J., Veale, J. F., Gordon, A. R., Clark, D. B. A., & Saewyc, E. M. (2019). Risk and protective factors for transgender youths’ substance use. Preventive Medicine Reports, 15, 1-6. https//doi.org/10.1016/j.pmedr.2019.100905 
  16. Clark, D. B. A., Veale, J., Townsend, M., Frohard-Dourlent, H., Saewyc, E. (2018). Non-binary youth: Access to gender affirming primary health care. International Journal of Transgenderism, 19(2)158-169. https://doi.org.10.1080/15532739.2017.1394954
  17. Clark, D. B. A., Veale, J. F., Greyson, D., & Saewyc, E. (2017). Primary care access and foregone care: A survey of transgender adolescents and young adults. Family Practice, 35(3), 302-306. https://doi.org/10.1093/fampra/cmx112
  18. Clark, D. B. A., Holsti, L., & Siden, H. (2017). Pediatric palliative music therapy: Pain, distress and contentment in children with developmental delays associated with life-threatening severe neurological impairment. Canadian Journal of Music Therapy, 23, 22-39.
  19. Clark, D. B. A. (2016). Ethics in child and youth care practice with transgender youth. International Journal of Child, Youth and Family Studies, 7(3-4), 74-96. https://doi.org/10.4135/9781412963909.n409
  20. Frohard-Dourlent, H., Dobson, S., Clark, D. B. A., Duoll, M., & Saewyc, E. M. (2016). “I would have preferred more options”: Accounting for non-binary youth in health research. Nursing Inquiry, 24(1), 1-9. Advance online publication. https://onlinelibrary.wiley.com/doi/10.1111/nin.12150
  21. Clark, D. B. A., Siden, H., & Straatman, L. (2015). Paediatric palliative care: Program report on the role of technology-assisted music therapy. Music Therapy Today, 11(1), 20-35.
  22. Clark, D. B. A., Siden, H., & Straatman, L. (2014). An integrative approach to music therapy in pediatric palliative care. Journal of Palliative Care, 30(3), 181-189. https://pubmed.ncbi.nlm.nih.gov/25265742/
  23. Clark, D. B. A., Roth, E. A., Wilson, B. L., & Koebel, C. A. (2013). Music therapy practice with high-risk youth: A clinician survey. Canadian Journal of Music Therapy, 9(1), 66-86.

*ICJME guidance is followed for authorship decisions. In cases of multiple authors, first authorship is granted to the author who made the most substantive contributions to the paper and last authorship is granted to the senior author.

Book Chapters

  1. Virani, A., & Clark, D. B. A. (2023). Genetics and identity: Ethical considerations in practice, policy, and research. In J. L. Storch, P. Rodney, & R. Starzomski (Eds.), Toward a moral horizon: Nursing ethics for leadership and practice (3rd ed.). https://dspace.library.uvic.ca/items/b94e7193-a7dd-42ef-b551-5f31808291fb

Non-refereed Publications

  1. Clark, D. B. A., Macevicius C, Jegathesan T, & Virani A. (2025). A public health ethics guide for British Columbia. Vancouver, BC: The University of British Columbia. https://nursing-heet-2024.sites.olt.ubc.ca/files/2025/10/PublicHealth-Ethics-Guide.pdf
  2. Clark, D. B. A., Virani, A., Jegathesan, T., Olmos Pérez, A., & Preto, N. (2025). Provincial Health Services Authority Ethical Practice Guide. Vancouver, BC: Provincial Health Services Authority. http://www.phsa.ca/our-services/programs-services/ethics-service#Resources
  3. Ji., D., Foran, E., Seburn, K., & Clark, D. B. A. (2024). Just be yourself: A wellness guide for transgender, Two-Spirit, and nonbinary youth. Vancouver, BC: Healthcare Ethics & Equity Team, School of Nursing, The University of British Columbia. https://heet.nursing.ubc.ca/projects/just-be-yourself/resources/
  4. Ji., D., Foran, E., Seburn, K., & Clark, D. B. A. (2024). Just be yourself: The Community Report. Vancouver, BC: Healthcare Ethics & Equity Team, School of Nursing, The University of British Columbia. https://heet.nursing.ubc.ca/projects/just-be-yourself/resources/
  5. Botkin, C., Goldman, L., Cosio, I., & Clark, D. B. A. (2024). Gender-affirming, anatomy-based cancer screening for transgender, Two-Spirit, and non-binary people. Journal of Family Practice Oncology, 43, 1-5, 7. http://www.bccancer.bc.ca/family-oncology-network-site/Documents/2024%20Fall%20FPONjournal%20Sep16.pdf [invited publication]
  6. Clark, D. B. A., Virani, A., Olmos Pérez, A., & Preto, N. (2022). Provincial Health Services Authority Ethical Practice Guide. Vancouver, BC: Provincial Health Services Authority. http://www.phsa.ca/our-services/programs-services/ethics-service#Resources
  7. Pang, K., Notini, L., Clark, D. B. A., Gillam, L., Savalescu, J., McDougall, R., Wilkinson, D., Telfer, M., Olson-Kennedy, J., & Lantos, J. (2020). Ethics Rounds: Long-term puberty suppression for a non-binary teen. Pediatrics, 145(2), e20191606. https://doi.org/10.1542/peds.2019-1606 [Invited publication]
  8. Clark, D. B. A., & Virani, A. (2019). Words matter in the lives of transgender youth: Response to: “Family discordance regarding fertility preservation for a transgender teen: An ethical case study”. Journal of Clinical Ethics, 30(3), 297-299. [Commentary]
  9. Clark, D. B. A., Virani, A., Ehrensaft, D., & Olson-Kennedy, J. (2019). Resisting the Post-Truth Era: Maintaining a Commitment to Science and Social Justice in Bioethics. The American Journal of Bioethics, 19(7), W1–W3. https://doi.org/10.1080/15265161.2019.1618951 [Commentary]
  10. Clark, D. B. A., Preto, N., Everett, B., Young, J. M., & Virani, A. (2018). An ethical perspective on the use of secure care for youth with severe substance use. CMAJ. http://www.cmaj.ca/content/ethical-perspective-use-secure-care-youth-severe-substance-use [letter to the editor]
  11. Clark, D. B. A., & Preto, N. (2018). Exploring the concept of vulnerability in health care. CMAJ, 190(11), E308-E309. https://doi.org/10.1503/cmaj.180242 [Invited commentary]
  12. Barron, V., & Clark, D. B. A. (2015). Trans Care BC. BC Provincial Health Services Authority.
  13. Veale, J., Saewyc, E., Frohard-Dourlent, H., Dobson, S., & Clark, D. B. A. (2015). Being safe, being me: Results of the Canadian trans youth health survey. The University of British Columbia. Funding Sources: Canadian Institutes of Health Research (CIHR) – MOP 119472.

Online Learning Modules

  1. Ethics in Practice: Exploring Public Health Ethics in BC (2025). UBC Continuing Professional Development.
  2. Ethics in Practice: Introduction to Conflicts of Interest (2025). PHSA Learning Hub.
  3. Addressing Online Health Misinformation. (2024). We Are Allies
  4. PHSA Ethical Practice Guide: An Introduction. (2022). PHSA Learning Hub.
  5. Ethics in Practice: Parental Decision Making in the Care of Youth Children. (2022). PHSA Learning Hub.
  6. Ethics Service: An Introduction. (2021). PHSA Learning Hub.