自杀倾向的临床表现与死亡医疗援助有关
Peter Baylis1,2, Jessica Shaw2, Ella-Jean Schatzmann1
1Alberta Health Services, Canmore, Alberta, Canada.
Suicide & life-threatening behavior
|August 30, 2023
概括
心理健康临床医生评估自杀倾向的患者,要求医疗协助死亡 (MAiD). 调查结果区分了因无法治愈的疾病而产生的MAiD请求与可治疗的心理痛苦.
科学领域:
- 精神病学是一个精神病学.
- 心理健康 心理健康
- 在生命末期的护理.
背景情况:
- 探讨心理健康临床医生对要求死亡医疗援助 (MAiD) 的自杀患者的评估.
- 检查了影响严重精神健康状况的个人中MAiD请求的复杂因素.
研究的目的:
- 区分由无法治愈的精神障碍驱动的MAiD请求和由可治疗的心理痛苦引起的MAiD请求.
- 为临床实践提供有关评估正在考虑MAiD的有自杀念头的患者的信息.
主要方法:
- 在线调查问卷给心理健康临床医生,评估与自杀患者的经验.
- 对227名患者 (44人申请MAiD,183人没有) 的比较分析,使用奇平方和t测试.
主要成果:
- 与未申请MAiD (SP组) 患者相比,要求MAiD (SPM组) 的患者年龄较大,有更多的身体健康问题,慢性疼痛和存在困境.
- SPM群体对心理健康护理的参与不同,自杀计划较少,有些人缺乏自杀尝试的历史.
- 在SPM和SP组之间观察到希望水平的差异.
结论:
- 临床医生必须区分基于无法治愈的精神障碍的MAiD请求与与有限的心理痛苦相关的MAiD请求.
- 识别可治疗的心理痛苦对于提供替代干预和支持至关重要.
- 这种差异化对于生命末期的伦理和有效的患者护理至关重要.
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