Suicidal ideation at end-of-life: The palliative care team's 
role

Goelitz, Ann

doi:10.1017/s1478951503030244

Cited by 7 publications

(4 citation statements)

References 7 publications

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“…Naturally, the desire for a hastened death depends on numerous factors. This desire may fluctuate over time (Goelitz, 2003) and may be influenced by interventions made by palliative care clinicians (Seale, 2010; Goelitz, 2003). As well, prior studies have revealed concerns about patients requesting a hastened death in order to avoid being a burden to others (Lee et al, 1996; Cavalieri et al, 2002) or when they felt familial, institutional, or social pressures (Battin, 2008).…”

Section: Discussionmentioning

confidence: 99%

The use of palliative sedation: A comparison of attitudes of French-speaking physicians from Quebec and Switzerland

et al. 2014

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Section: Discussionmentioning

confidence: 99%

The use of palliative sedation: A comparison of attitudes of French-speaking physicians from Quebec and Switzerland

et al. 2014

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“…A patient's desire to end one's life when anticipating or experiencing intolerable symptoms due to life-limiting illness is fundamentally different than using medications to alleviate pain that have the potential to accelerate death; in MAID, the intent is to end suffering by hastening death. While some scholars argue that robust palliative care can alleviate symptoms so effectively that MAID becomes unnecessary, 23 others argue that patients can experience such severe suffering from their illness that forcing them to continue living is contrary to the principle of nonmaleficence. 24 It is important to understand the legal requirements of each state's MAID laws and follow all institutional guidelines if prescribing medication with the intention of aiding a patient's death.…”

Section: Beneficence and Nonmaleficencementioning

confidence: 99%

Exploring Ethical Dimensions in Neuropalliative Care

Gula,

Walter,

Morrison

et al. 2024

Semin Neurol

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Neurologic illnesses can be challenging to diagnose, involve changes in consciousness, and are often complicated by prognostic uncertainty. These disorders can affect how individuals interact with their environment, and as a result, many ethical concerns may arise related to their medical care. Key ethical issues in neuropalliative care include shared decision-making, evolving autonomy and capacity, best interest and harm principles, beneficence and nonmaleficence, futile and inappropriate care, justice and equity, and ableism. The four core principles of medical ethics, beneficence, nonmaleficence, justice, and autonomy, are foundational in considering approaches to these ethical challenges. Shared decision-making is rooted in the principle of autonomy. Evolving autonomy and capacity evoke autonomy, beneficence, and nonmaleficence. The best interest and harm principles are rooted in beneficence and nonmaleficence. Questions of futility and inappropriate care are founded in the principles of nonmaleficence, autonomy, and justice. Ableism invokes questions of nonmaleficence, autonomy, and justice. Practitioners of neurology will encounter ethical challenges in their practice. Framing decisions around the core ethical principles of beneficence, nonmaleficence, autonomy, and justice will help clinicians navigate challenging situations while acknowledging and respecting each patient's individual story.

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“…Some patients with terminal illnesses have the desire for hastened death, and some request assisted suicide or exhibit signs of suicidal ideation (SI). 9 Suicidal ideation is correlated with psychiatric disorders that adversely affect the patient's emotional and psychological behaviour. 10 Patients with cancer have higher prevalence of psychiatric disorders.…”

Section: Evaluation and Treatment Of Patients With Suicidal Ideationmentioning

confidence: 99%

Helping a patient with suicidal ideation: an ethical perspective

Fong

2022

Hong Kong Med J

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To be or not to be" is a well-known monologue from Shakespeare's play Hamlet. The monologue reflects the internal mental conflicts that many people face in complex situations. Although we are not all protagonists of a play, everyone faces plenty of ethical dilemmas in their daily life. Ethical dilemma occurs when a moral problem involving two or more mutually exclusive, morally correct actions. 1 Indeed, healthcare practitioners also face plenty of ethical dilemmas in practice. It is crucial for healthcare practitioners to have a mindset that is legal, ethical, and socially responsible, 2 because their decisions influence the outcome. Very often healthcare practitioners and patients have different perspectives of views on the same issue. Bioethics is a set of moral principles that practitioners should follow, but these principles can conflict with patient autonomy. An example case 3 has been selected from the literature because it provides an example of a common encounter of ethical dilemma in clinical practice (Box).

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Suicidal ideation at end-of-life: The palliative care team's role

Abstract: This case highlights the observation that desire for hastened death fluctuates for patients at end-of-life and may be influenced by factors under the control of the palliative care team.

Cited by 7 publications

References 7 publications

The use of palliative sedation: A comparison of attitudes of French-speaking physicians from Quebec and Switzerland

The use of palliative sedation: A comparison of attitudes of French-speaking physicians from Quebec and Switzerland

Exploring Ethical Dimensions in Neuropalliative Care

Helping a patient with suicidal ideation: an ethical perspective

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