Australian Psychiatrists' Support for Psychiatric Advance Directives: Responses to a Hypothetical Vignette.

Autor: Sellars M; Respecting Patient Choices, Austin Health, Melbourne, Australia.; Sydney Medical School, University of Sydney, Australia., Fullam R; Centre for Forensic Behavioural Science, Swinburne University of Technology and Forensicare, Melbourne, Australia., O'Leary C; Respecting Patient Choices, Austin Health, Melbourne, Australia., Mountjoy R; Respecting Patient Choices, Austin Health, Melbourne, Australia., Mawren D; Orygen, the National Centre of Excellence in Youth Mental Health, Melbourne, Australia., Weller P; Graduate School of Business and Law, RMIT University, Melbourne, Australia., Newton R; Mental Health CSU, Austin Health, Melbourne, Australia.; Department of Psychiatry, University of Melbourne, Australia., Brophy L; Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Australia.; Mind Australia, Melbourne, Australia., McEwan T; Centre for Forensic Behavioural Science, Swinburne University of Technology and Forensicare, Melbourne, Australia., Silvester W; Respecting Patient Choices, Austin Health, Melbourne, Australia.
Jazyk: angličtina
Zdroj: Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law [Psychiatr Psychol Law] 2016 Jul 20; Vol. 24 (1), pp. 61-73. Date of Electronic Publication: 2016 Jul 20 (Print Publication: 2017).
DOI: 10.1080/13218719.2016.1198224
Abstrakt: This study examines whether Australian psychiatrists would support requests in a psychiatric advance directive (PAD) and the reasons underlying their decisions in response to a hypothetical vignette. An online survey was completed by 143 psychiatrists. Fewer than 3 out of 10 psychiatrists supported the patient to create a PAD which requested cessation of pharmacotherapy (27%) or remaining out of hospital and not being subject to an involuntary treatment order (24%) should their depression condition deteriorate. A thematic analysis showed that patient autonomy was the strongest theme among those who supported the patient to create a PAD, whereas the clinical profile of and risk to the patient and the professional or ethical imperative of the psychiatrist were strongest among those who were unsure about supporting the patient or who did not support the patient. These findings provide a challenge about how to fulfil obligations under the United Nations Convention on the Rights of Persons with Disabilities (2006).
Competing Interests: No potential conflict of interest was reported by the authors.
(© 2016 The Australian and New Zealand Association of Psychiatry, Psychology and Law.)
Databáze: MEDLINE
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