Why hasn't this report been published in a journal?

In 2009 BMC Medicine concurred with the authors that IRB approval and informed consent were not necessary for this type of study, but stated that the specialized content made it more suitable for consideration by its sister publication BMC Psychiatry. Two of the three BMC Psychiatry peer reviewers responded positively to the paper, recommending minor changes, but the third took a strong position that IRB approval and informed consent were required. The paper has since remained unpublished except for the version on this website. Some changes recommended by the peer reviewers have been incorporated in the present version.