Suicide in the Context of Terminal Illness

Jankowski, Jane; Campo‐Engelstein, Lisa

doi:10.1080/15265161.2012.760680

Cited by 6 publications

(5 citation statements)

References 1 publication

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“…We feel great sympathy for the woman described in the vignette by Jankowski and Campo-Engelstein (2013). According to our proposal, once in the hospital, this woman's husband would be free to refuse life support for her.…”

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

confidence: 83%

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: 83%

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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“…As mentioned earlier, suicidal thoughts are associated with the lack of decision-making capacity, but do not necessarily preclude a patient from having capacity. 3 For example, a 68-year-old woman in New York with a grade 4 Glioblastoma attempted suicide to relieve her suffering yet was determined by Jankowski and Campo-Engelstein 5 to be reasonable. Considering this logic, it would be ethical to allow a suicidal patient with decision-making capacity to make his or her own decision about continuing life-sustaining treatment.…”

Section: Discussionmentioning

confidence: 99%

A suicidal, dysarthric patient who wishes to discontinue life-sustaining treatments: A case report

Orlins

2018

Int J Psychiatry Med

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Psychiatrists may be among the clinicians to encounter a depressed and suicidal patient who wishes to discontinue life-sustaining treatment. A patient who is suffering from a condition such as dysarthria makes decision-making capacity (a physician's determination of a patient's ability to medically consent) increasingly difficult to assess. The clinician must balance ethical principles of autonomy, non-maleficence, beneficence, and justice in order to achieve a plan of care that is in the patient's best interest.

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“…Was the suicide attempt planned for a while, or was this an impulsive action? There is debate on the concept that patients who attempt suicide are lacking capacity due to an acute psychiatric illness [17,65,66]. Not every patient who attempts suicide automatically means that the patient can't make rational decisions about their healthcare [14,67].…”

Section: Suicide Attempt Details (If Applicable)mentioning

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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Suicide in the Context of Terminal Illness

Cited by 6 publications

References 1 publication

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”

A suicidal, dysarthric patient who wishes to discontinue life-sustaining treatments: A case report

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

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