Suicidality, Refractory Suffering, and the Right to Choose Death

Rich, Ben A.

doi:10.1080/15265161.2012.760675

Cited by 4 publications

(2 citation statements)

References 8 publications

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“…We are grateful for Rich's (2013) thoughtful response and agree with most of his content though not entirely with his framing. We believe that longer biological life is a reasonable and important default setting in discussions about the merits of life support therapy.…”

Section: Downloaded By [Inasp -Pakistan (Peri)] At 23:13 18 November mentioning

confidence: 80%

Response to Open Peer Commentaries on “Withdrawal of Nonfutile Life Support After Attempted Suicide”

Brown

Elliott

Paine

2013

The American Journal of Bioethics

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Section: Downloaded By [Inasp -Pakistan (Peri)] At 23:13 18 November mentioning

confidence: 80%

Response to Open Peer Commentaries on “Withdrawal of Nonfutile Life Support After Attempted Suicide”

Brown

Elliott

Paine

2013

The American Journal of Bioethics

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“…Considering the fundamentals of ethics (autonomy, beneficence, nonmaleficence, justice) and physician responsibility are essential in all of these cases [13,15]. Opinions on what should be done vary widely [103]. Even having advance directives can still involve ethical uncertainties [104][105][106][107].…”

Section: Ethicsmentioning

confidence: 99%

Managing a Suicidal or Gravely Disabled Patient on an Involuntary Psychiatric Hold and Who Has End-ofLife Orders: Key Factors to Consider in an Emergency Room Setting

Kalapatapu

2023

Curr Res Psychol Behav Sc

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Management of patients who have end-of-life orders may be complicated by the presence of an involuntary psychiatric hold for suicidality or grave disability. Decision-making factors that have been previously described include principles of medical ethics, laws and legal precedent, and examination of the motivations for end-of-life orders. However, management remains difficult, especially in time-limited settings such as the emergency room due to the wide-ranging existence of patient factors, individual ethics, and policies at governmental and hospital levels. We examined existing literature on the topic and created a structured conceptual model of key considerations for end-of-life issues during involuntary psychiatric holds in an emergency room setting, grouped into patient, involuntary psychiatric hold, system, and provider factors. These encompass the range of factors most likely to guide decision making on individual cases that emergency clinicians will face.

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Ethical challenges faced by healthcare professionals who care for suicidal patients: a scoping review

Saigle

Racine

2018

Monash Bioeth. Rev.

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For each one of the approximately 800,000 people who die from suicide every year, an additional twenty people attempt suicide. Many of these attempts result in hospitalization or in contact with other healthcare services. However, many personal, educational, and institutional barriers make it difficult for healthcare professionals to care for suicidal individuals. We reviewed literature that discusses suicidal patients in healthcare settings in order to highlight common ethical issues and to identify knowledge gaps. A sample was generated via PubMed using keywords "[(ethics OR *ethic*) AND suicid*] AND [English (Language) OR French (Language)]" (final N = 52), ethics content was extracted according to scoping review methodology, and categorized thematically. We identified three main areas posing ethical challenges for health professionals caring for suicidal individuals and their families. These were: (1) making clinical decisions for patients in acute care or when presented with specific circumstances; (2) issues arising from therapeutic relationships in chronic care, and (3) organizational factors. There is considerable uncertainty about how to resolve ethical issues when caring for someone who is suicidal. The stigma associated with suicide and mental illness, problems associated with risk-benefit assessments, and the fear of being held liable for malpractice should a patient die by suicide were overarching themes present across these three categories. Caring for suicidal patients is clinically and ethically challenging. The current literature highlights the complexity and range of decisions that need to be made. More attention should be paid to the difficulties faced by healthcare professionals and the development of solutions.

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Suicidality, Refractory Suffering, and the Right to Choose Death

Cited by 4 publications

References 8 publications

Response to Open Peer Commentaries on “Withdrawal of Nonfutile Life Support After Attempted Suicide”

Response to Open Peer Commentaries on “Withdrawal of Nonfutile Life Support After Attempted Suicide”

Managing a Suicidal or Gravely Disabled Patient on an Involuntary Psychiatric Hold and Who Has End-ofLife Orders: Key Factors to Consider in an Emergency Room Setting

Ethical challenges faced by healthcare professionals who care for suicidal patients: a scoping review

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