Citation

Burrin C, Daniels NF, Cardinal RN, Hayhurst C, Christmas D, Zimbrón J. Case Rep. Psychiatry 2021; 2021.

Copyright

(Copyright © 2021, Hindawi Publishing)

DOI

10.1155/2021/6615723

PMID

unavailable

Abstract

Attempted suicide and deliberate self-harm are common and challenging presentations in the emergency department. A proportion of these patients refuse interventions and this presents the clinical, legal, and ethical dilemma as to whether treatment should be provided against their will. Multiple factors influence this decision. It is difficult to foresee the multitude and magnitude of complications that can arise once it has been decided to treat individuals who do not consent. This case illustrates a particularly complex chain of events that occurred after treating someone against their will who presented with self-harm and suicidal ideation. These consequences are contrasted with those of not intervening when similar situations arose with the same patient. © 2021 Charlotte Burrin et al.

Language: en

Keywords

adult; human; female; case report; suicidal ideation; bullying; suicide attempt; disease severity; clozapine; emotional disorder; levothyroxine; neuroleptic agent; personality disorder; distress syndrome; clinical article; levomepromazine; sedation; sertraline; automutilation; intensive care unit; lithium carbonate; emergency ward; diazepam; treatment refusal; benzodiazepine derivative; child sexual abuse; olanzapine; hypotension; drug megadose; sodium chloride; agitation; pregabalin; antacid agent; antibiotic agent; sedative agent; midazolam; atenolol; propofol; iatrogenic disease; treatment response; auditory hallucination; inotropic agent; codeine phosphate; Article; omeprazole; promethazine; prazosin; intubation; etonogestrel; salbutamol; skin infection; desogestrel; young adult; stridor; pirenzepine; paliperidone; physical restraint; epinephrine; ferrous fumarate; peptac