“Collateral Damages”: Preparing Residents for Coping With Patient Suicide

Prabhakar, Deepak; Anzia, Joan M.; Balon, Richard; Gabbard, Glen O.; Gray, Emily; Hatzis, Nick; Lanouette, Nicole M.; Lomax, James W.; Puri, Paul; Zisook, Sidney

doi:10.1176/appi.ap.11060110

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…Aunque el suicidio es una conducta humana compleja, su frecuente asociación con patología psiquiátrica y la medicalización de este lo ha convertido en un fenómeno íntimamente asociado a la práctica médica, en particular a la práctica psiquiátrica. Se debe entender que el suicidio es uno de los resultados posibles en el diagnóstico y tratamiento de personas con trastornos mentales, y por ende se debe incluir este aspecto en la formación de los especialistas en psiquiatría 35,36 . Aun con la mejor formación psiquiátrica disponible la ponderación exacta del riesgo suicida ha demostrado no ser posible, y a la fecha no existen protocolos de cuidado que eviten la concreción de actos suicidas.…”

Section: Conclusionesunclassified

Consideraciones acerca de la conducta suicida de pacientes hospitalizados y responsabilidad del médico tratante

Santander¹,

Brokering²,

Ramos³

et al. 2015

Rev. méd. Chile

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Section: Conclusionesunclassified

Consideraciones acerca de la conducta suicida de pacientes hospitalizados y responsabilidad del médico tratante

Santander¹,

Brokering²,

Ramos³

et al. 2015

Rev. méd. Chile

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“…[1][2][3] Institutions, professional associations, and government bodies have outlined policies and strategies for managing suicidal patients, with goals of reducing suicide risk and minimizing or eliminating the occurrence of suicides. In addition, case law has evolved in the past few decades, allowing malpractice suits to be filed against hospitals or clinicians treating patients who die by self-injury deemed due to professional negligence.…”

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confidence: 99%

Suicide: Rationality and Responsibility for Life

2014

Can J Psychiatry

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Objectives: Death by suicide is widely held as an undesirable outcome. Most Western countries place emphasis on patient autonomy, a concept of controversy in relation to suicide. This paper explores the tensions between patients' rights and many societies' overarching desire to prevent suicide, while clarifying the relations between mental disorders, mental capacity, and rational suicide.Methods: A literature search was conducted using search terms of suicide and ethics in the PubMed and LexisNexis Academic databases. Article titles and abstracts were reviewed and deemed relevant if the paper addressed topics of rational suicide, patient autonomy or rights, or responsibility for life. Further articles were found from reference lists and by suggestion from preliminary reviewers of this paper.Results: Suicidal behaviour in a person cannot be reliably predicted, yet various associations and organizations have developed standards of care for managing patients exhibiting suicidal behaviour. The responsibility for preventing suicide tends to be placed on the treating clinician. In cases where a person is capable of making treatment decisionsuninfluenced by any mental disorder-there is growing interest in the concept of rational suicide. Conclusions:There is much debate about whether suicide can ever be rational. Designating suicide as an undesirable event that should never occur raises the debate of who is responsible for one's life and runs the risk of erroneously attributing blame for suicide. While upholding patient rights of autonomy in psychiatric care is laudable, cases of suicidality warrant a delicate consideration of clinical judgment, duty of care, and legal obligations. W W W Suicide : rationalité et responsabilité de la vieObjectifs : La mort par suicide est généralement vue comme un résultat indésirable. La plupart des pays occidentaux mettent l'emphase sur l'autonomie du patient, un concept controversé relativement au suicide. Cet article explore les tensions entre les droits des patients et le désir ardent de nombreuses sociétés de prévenir le suicide, tout en clarifiant les relations entre les troubles mentaux, la capacité mentale, et le suicide rationnel.Méthodes : Une recherche de la littérature a été menée à l'aide des mots clés suicide et éthique, dans les bases de données PubMed et LexisNexis Academic. Les titres et résumés d'articles ont été étudiés et jugés pertinents si l'article abordait les sujets du suicide rationnel, de l'autonomie ou des droits des patients, ou de la responsabilité de la vie. D'autres articles ont été repérés dans des bibliographies et par des suggestions des réviseurs préliminaires du présent article. Résultats :Le comportement suicidaire d'une personne ne peut pas être assurément prédit et pourtant, diverses associations et organisations ont mis au point des normes de soins pour prendre en charge les patients présentant un comportement suicidaire. La responsabilité de prévenir le suicide tend à être imposée au clinicien traitant. Dans les cas où une personne est capable ...

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“…Prabhakar and colleagues [19] evaluated the use of an interactive program that included a video, discussion, and other exercises (for description, see [20]) in 167 residents from eight residency programs. In a post-survey, residents reported increased awareness of issues such as feelings experienced after patient suicide, available support systems, and required documentation.…”

mentioning

confidence: 99%