被理解为医疗仪式的自杀风险评估:从社会和医疗伦理角度的功能和影响
1Stockholm Centre for Healthcare Ethics, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden. antoinette.lundahl@ki.se.
Journal of bioethical inquiry
|June 3, 2025
概括
在精神病治疗中,自杀风险评估是仪式性的,在临床上不有效. 它们的持续使用可能会伤害患者,需要基于证据的干预措施,如安全计划和适当的心理健康治疗.
科学领域:
- 精神病学是一个精神病学.
- 医学社会学 医学社会学
- 生物伦理学生物伦理学
背景情况:
- 自杀风险评估是精神病治疗的标准.
- 这些评估的预测准确性较差,临床实用性有限.
研究的目的:
- 分析继续使用自杀风险评估的非医学原因.
- 将自杀风险评估解释为医疗仪式,履行社会功能.
主要方法:
- 作为医疗仪式的自杀风险评估的定性分析.
- 审查拟议的社会功能和潜在的负面后果.
主要成果:
- 自杀风险评估服务于社会功能:团结提供者,创造感知安全,预测问责制,并发出公共行动的信号.
- 潜在的危害包括增加强制入院,有缺陷的患者优先级和防御医学.
结论:
- 自杀风险评估的仪式性使用在伦理上是不可辩护的,因为它会伤害患者.
- 建议基于证据的干预措施:一般安全措施,患者安全计划和基于需求的心理健康治疗.
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