Citation

Candilis PJ, Foti MEG, Holzer JC. Community Ment. Health J. 2004; 40(1): 3-16.

Copyright

(Copyright © 2004, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1023/b:comh.0000015214.24404.cc

PMID

15077725

Abstract

End-of-life care is often influenced by the stereotyping of patients by age, diagnosis, or cultural identity. Two common stereotypes arise from the presumed incompetence of many patients to contribute to end-of-life decisions, and the fear that the discussions themselves will be de-stabilizing. We present a model for end-of-life discussions that combines competence assessment with healthcare preferences in a psychiatric population that faces identical stereotypes. The model, which draws on clinical research in competence and suicide risk assessment, has important implications for all patients in the community who are marginalized or stereotyped during discussions of end-of-life treatment.

Language: en

Keywords

Bioethics; Chronic Disease; Community Psychiatry; Death and Euthanasia; Decision Making; Health Services Research; Humans; Mental Competency; Mental Disorders; Models, Theoretical; Risk Assessment; Stereotyping; Suicide; Terminal Care; United States