%0 Journal Article
%T Suicidal attempts in emergency medicine: "My will be done"--ethical aspects
%J Notfall + Rettungsmedizin
%D 2018
%A Krones, T.
%V 21
%N 3
%P 177-185
%X BACKGROUND: Emergency physicians are often confronted with patients after a suicidal attempt or who want to forgo or not initiate life-sustaining treatments. <br><br>OBJECTIVES: In order to adequately deal with these cases, a systematic approach is also crucial in emergency situations, which is developed in the article. <br><br>MATERIALS AND METHODS: Based on a systematic ethical approach for dealing with difficult clinical ethics decisions in emergency situations and paradigmatic cases, ethically unambiguous constellations are presented, which are helpful when dealing with more complex cases. <br><br>RESULTS: Suicidal attempts and wishes to die also have to be considered in a differentiated manner in emergency situations. <br><br>CONCLUSIONS: Even if preventive and life-saving measures are reasonable approaches after a suicidal attempt and the initiation or continuation of life-saving procedures can be justified in specific cases although patients demand the opposite, palliative/supportive goals and measures are sometimes ethically more justified in emergency medicine. Strengthening advance care planning approaches might prevent some emergency calls in critical situations in the future. © 2018, Springer Medizin Verlag GmbH, ein Teil von Springer Nature.<p /><p>Language: de</p>
%G de
%I Holtzbrinck Springer Nature Publishing Group
%@ 1434-6222
%U http://dx.doi.org/10.1007/s10049-018-0448-1