Abstract
Background: Some psychiatric patients develop severe and persistent mental illness (SPMI), which, for a variety of reasons, can be therapy-refractory. Sometimes, treatment is not considered helpful by the patients themselves and does not improve their subjective quality of life. Furthermore, many SPMI patients experience compulsory interventions such as seclusion, restraint, or treatment against their will, which can cause harm. Methods: In a cross-sectional survey of 1,311 German-speaking psychiatrists in Switzerland, participants were asked about the care of SPMI patients in general, and about their attitudes with regard to compulsory interventions in particular, using three case vignettes of patients with severe and persistent anorexia nervosa, schizophrenia and depression. Results: Out of 1,311 contacted psychiatrists, 457 (34.9%) returned the completed survey. In general, 91.0% found it important or very important to respect SPMI patients' autonomy in decision making. However, based on three different clinical case vignettes, 36.8% of psychiatrists would act against the wishes of the patient with severe and persistent schizophrenia, 34.1% against the wishes of the patient with severe and persistent depression, and 21.1% ag...Continue Reading
References
Jan 1, 1990·Schizophrenia Bulletin·H D BrennerK K Midha
Mar 18, 1982·The New England Journal of Medicine·E J Cassel
May 1, 1996·Acta Psychiatrica Scandinavica·G KullgrenI Levav
Oct 12, 2000·The British Journal of Psychiatry : the Journal of Mental Science·M RuggeriM Tansella
Mar 31, 2004·European Psychiatry : the Journal of the Association of European Psychiatrists·Peter LeppingHanns Rüdiger Röttgers
Sep 1, 2005·Social Psychiatry and Psychiatric Epidemiology·Tilman SteinertHerbert Leherr
Dec 5, 2006·International Journal of Law and Psychiatry·Vanessa RaymontMatthew Hotopf
Oct 2, 2007·The British Journal of Psychiatry : the Journal of Mental Science·David OkaiMatthew Hotopf
Feb 1, 2008·Nordic Journal of Psychiatry·Rolf WynnTrond Bratlid
Feb 7, 2008·Bioethics·Manne Sjöstrand, Gert Helgesson
Dec 19, 2008·Child and Adolescent Psychiatry and Mental Health·Jacinta O A TanTony Hope
Jul 3, 2010·Social Psychiatry and Psychiatric Epidemiology·Tonje Lossius HusumTorleif Ruud
Aug 26, 2010·Nordic Journal of Psychiatry·Rolf WynnTorfinn Hynnekleiv
Jan 19, 2013·Journal of Medical Ethics·Jan SchildmannGerald Neitzke
Jul 11, 2013·International Journal of Law and Psychiatry·Jeanette Hewitt
Sep 14, 2013·The American Journal of Psychiatry·Raman Baweja, Ravi Singareddy
Aug 6, 2014·Nursing Ethics·Marit Helene HemBert Molewijk
Oct 9, 2014·Psychiatrische Praxis·Stella Reiter-Theil, Volker Dittmann
Dec 20, 2014·Psychiatrische Praxis·Maria TeichertTania M Lincoln
Jul 7, 2015·The American Journal of Bioethics : AJOB·Manuel TrachselTanja Krones
Mar 5, 2016·Nursing Ethics·Marit Helene HemReidar Pedersen
Mar 8, 2016·The Lancet. Psychiatry·Manuel TrachselFlorian Riese
Jul 28, 2016·BMC Psychiatry·Manuel TrachselFlorian Riese
Sep 30, 2017·Psychiatry Research·Timon ElmerMatthias Jaeger
Oct 1, 2017·International Journal of Law and Psychiatry·Sofia BrissosFernando Vieira
Mar 20, 2018·International Journal of Law and Psychiatry·Olaf Gjerløw AaslandReidar Pedersen
Apr 27, 2018·Swiss Medical Weekly·Florian HotzyMatthias Jäger
Apr 13, 2019·BMC Psychiatry·Manuel TrachselFlorian Riese
Apr 21, 2019·Journal of Clinical Psychology·Ferenc TúryIrena Szumska
May 28, 2019·Palliative & Supportive Care·Martina A HodelManuel Trachsel
Nov 30, 2019·Frontiers in Psychiatry·Paul Hoff
Aug 1, 2020·Frontiers in Psychiatry·Naomi Zumstein, Florian Riese