Citation

Gilbert F. Neuroethics 2013; 6(3): 473-481.

Copyright

(Copyright © 2013, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s12152-013-9178-8

PMID

unavailable

Abstract

The goal of this article is to shed light on Deep Brain Stimulation (DBS) postoperative suicidality risk factors within Treatment Resistant Depression (TRD) patients, in particular by focusing on the ethical concern of enrolling patient with history of self-estrangement, suicide attempts and impulsive-aggressive inclinations. In order to illustrate these ethical issues we report and review a clinical case associated with postoperative feelings of self-estrangement, self-harm behaviours and suicide attempt leading to the removal of DBS devices. Could prospectively identifying and excluding patients with suicidality risk factors from DBS experimental trials - such as history of self-estrangement, suicide attempts and impulsive-aggressive inclinations - lead to minimizing the risk of suicidality harm? © 2013 Springer Science+Business Media Dordrecht.

Language: en

Keywords

human; Suicide; quality of life; suicidal ideation; aggression; suicide attempt; risk assessment; risk factor; article; psychologic assessment; automutilation; priority journal; impulsiveness; postoperative period; risk reduction; psychological rating scale; treatment response; brain depth stimulation; Deep Brain Stimulation; device removal; Exclusion; treatment resistant depression; Eligibility; Experimental trial; Feelings of self-estrangement; Impulsive-aggressive disorder; medical device complication; Treatment Resistant Depression