What Do Psychiatrists Think About Caring for Patients Who Have Extremely Treatment-Refractory Illness?

American Journal of Bioethics Neuroscience 15 (1):51-58 (2024)
  Copy   BIBTEX

Abstract

Questions about when to limit unhelpful treatments are often raised in general medicine but are less commonly considered in psychiatry. Here we describe a survey of U.S. psychiatrists intended to characterize their attitudes about the management of suicidal ideation in patients with severely treatment-refractory illness. Respondents (n = 212) received one of two cases describing a patient with suicidal ideation due to either borderline personality disorder or major depressive disorder. Both patients were described as receiving all guideline-based and plausible emerging treatments. Respondents rated the expected helpfulness and likelihood of recommending each of four types of intervention: hospitalization, additional medication changes, additional neurostimulation, and additional psychotherapy. Across both cases, most respondents said they were likely to provide each intervention, except for additional neurostimulation in borderline personality disorder, while fewer thought each intervention would be helpful. Substantial minorities of respondents indicated that they would provide an intervention they did not think was likely to be helpful. Our results suggest that while most psychiatrists recognize the possibility that some patients are unlikely to be helped by available treatments, many would continue to offer such treatments.

Links

PhilArchive



    Upload a copy of this work     Papers currently archived: 91,219

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

The reality of mental illness.Martin Roth - 1986 - New York: Cambridge University Press. Edited by Jerome Kroll.
The concept of disease in palliative medicine.Joachim Widder & Monika Glawischnig-Goschnik - 2002 - Medicine, Health Care and Philosophy 5 (2):191-197.
Committed: the battle over involuntary psychiatric care.Dinah Miller - 2016 - Baltimore: John Hopkins University Press. Edited by Annette Hanson.
Medication of the mind.Scott Veggeberg - 1996 - New York: H. Holt.
Physicians Should “Assist in Suicide” When it is Appropriate.Timothy E. Quill - 2012 - Journal of Law, Medicine and Ethics 40 (1):57-65.

Analytics

Added to PP
2023-06-30

Downloads
20 (#728,433)

6 months
12 (#183,686)

Historical graph of downloads
How can I increase my downloads?

Author Profiles

Ryan H. Nelson
Abbott Northwestern Hospital
Brent Kious
University of Utah
Bryanna Moore
University of Texas Medical Branch