Communicating suicide risk to families of chronically suicidal borderline personality disorder patients to mitigate malpractice risk.

作者: Oommen Mammen , James Tew , Tiffany Painter , Elizabeth Bettinelli , Jennifer Beckjord

DOI: 10.1016/J.GENHOSPPSYCH.2020.08.014

关键词:

摘要: Abstract Objective The distinction between acute and chronic suicidality is important, because interventions designed to address can worsen suicidality, resulting in an escalating cycle of suicide threats, attempts, futile hospitalizations. Though most chronically suicidal borderline personality disorder patients improve do not complete suicide, the potential for contributes these hospitalizations a paucity outpatient services due treaters' concern over malpractice lawsuits case suicide. Communicating with patients' families about risk has been suggested as means mitigate this risk, but approach such communication described. Method Once identified, stepwise communicating patient's family Results benefits are described, patients, families, treaters, healthcare systems, health insurers. Conclusion It helps develop alliance around shared understanding outcomes – eventually better, completed real. This enables make more fully informed choice treatment, which turn reduce litigation minority cases where patient completes

参考文章(68)
Angelo Antoci, Alessandro Fiori Maccioni, Paolo Russu, The Ecology of Defensive Medicine and Malpractice Litigation. PLOS ONE. ,vol. 11, pp. 1- 15 ,(2016) , 10.1371/JOURNAL.PONE.0150523
D.P. Kessler, Medical Malpractice, Defensive Medicine, and Physician Supply Encyclopedia of Health Economics. pp. 260- 262 ,(2014) , 10.1016/B978-0-12-375678-7.01106-8
Nancy H. Halleck, Seymour L. Halleck, Law in the Practice of Psychiatry: A Handbook for Clinicians ,(1980)
Norman Daniels, Health Care Needs and Distributive Justice Philosophy & Public Affairs. ,vol. 10, pp. 1- 41 ,(1983) , 10.1007/978-1-4684-4424-7_1
John T. Maltsberger, Calculated risks in the treatment of intractably suicidal patients. Psychiatry MMC. ,vol. 57, pp. 199- 212 ,(1994) , 10.1080/00332747.1994.11024685
Wendy L. Packman, Tracy O'Connor Pennuto, Bruce Bongar, Jennifer Orthwein, Legal issues of professional negligence in suicide cases Behavioral Sciences & The Law. ,vol. 22, pp. 697- 713 ,(2004) , 10.1002/BSL.613
D. Kessler, M. McClellan, Do Doctors Practice Defensive Medicine Quarterly Journal of Economics. ,vol. 111, pp. 353- 390 ,(1996) , 10.2307/2946682