Zusammenfassung
Suizidgedanken kommen in palliativen Begleitungen bei etwa 10 % der betreuten Menschen zur Sprache, über verübte Suizide in diesem Kontext wurde bisher erst vereinzelt berichtet. In einem Fallbeispiel wird von der Begleitung eines Patienten mit Bronchuskarzinom berichtet, der nur wenige Behandlungsvorschläge des begleitenden Palliativdienstes aufnahm und seinem Leben und Leiden durch eine Medikamentenintoxikation ein Ende setzte. Es werden ethische Aspekte ärztlichen Handelns besprochen und Varianten der Entscheidungsfindung im Behandlungsprozess erörtert.
Summary
Suicidal thoughts are a common phenomenon in palliative care which can be seen in around 10 % of the patients. There is very little knowledge about attempted and committed suicide. This article is a case report about a patient with lung cancer in a terminal state of illness who ingested drugs in a toxic dose while receiving palliative home care. This article deals with ethical issues in medical treatment and various ways of decision-making.
Literatur
Müller-Busch HC. [End-of-life-care and euthanasia. medical assistance in dying or help to die]. Z Evid Fortbild Qual Gesundhwes. 2008;102(3):167–70.
Filiberti A, Ripamonti C, Totis A, et al. Characteristics of terminal cancer patients who committed suicide during a home palliative care program. J Pain Symptom Manage. 2001;22(1):544–53.
Marks S, Heinrich TW, Rosielle D. Case report: are clinicians obligated to medically treat a suicide attempt in a patient with a prognosis of weeks? J Palliat Med. 2012;15(1):134–7.
Kapusta N, Sonneck G. [Suicides in Austria: update on present state and recent trends]. Neuropsychiatr. 2012;26(3):103–5.
Miller M, Mogun H, Azrael D, et al. Cancer and the risk of suicide in older Americans. J Clin Oncol. 2008;26(29):4720–4.
Grzybowska P, Finlay I. The incidence of suicide in palliative care patients. Palliat Med. 1997;11(4):313–6.
Walker J, Waters RA, Murray G, et al. Better off dead: suicidal thoughts in cancer pateints. J Clin Oncol. 2008;26(29):4725–30.
Misono S, Weiss NS, Fann JR, et al. Incidence of suicide in persons with cancer. J Clin Oncol. 2008;26(29):4731–8.
Spencer RJ, Ray A, Pirl WF, et al. Clinical correlates of suicidal thoughts in patients with advanced cancer. Am J Geriatr Psychiatry. 2012;20(4):327–36.
Akechi T, Okuyama T, Sugawara Y, et al. Suicidality in terminally ill Japanese patients with cancer. Cancer. 2004;100(1):183–91.
Oregon Public Health Division. Evaluation Research Death with Dignity Act year 14: 1–2. 2011. http://public.health.oregon.gov/ProviderPartnerResources/EvaluationResearch/DeathwithDignityAct/Documents/year14.pdf. Zugegriffen: 23. Feb. 2013.
Onwuteaka-Philipsen BD, Brinkman-Stoppelenburg A, Penning C, et al. Trends in end-of-life practices before and after the enactment of the euthanasia law in the Netherlands from 1990 to 2010: a repeated cross-sectional survey. Lancet. 2012;380(9845):908–15.
Wallner J. Health Care zwischen Ethik und Recht. Wien: Facultas-Wuv; 2007. S. 34–8.
Emanuel EJ, Emanuel LL. 4 models of the physician-patient relationship. JAMA. 1992;267(16):2221–6.
Meran JG. [Autonomy and decision making in medicine]. WMW. 2003;153(17–18):371.
Marks S, Rosielle DA. Suicide attempts in the terminally ill #210. J Palliat Med. 2012;15(9):1037–8.
Khanna P, Bulow K. Attempted suicide by a terminally ill patient. J Palliat Med. 2003;6(4):629–32.
Interessenkonflikt
Veronika Mosich und H. Christof Müller-Busch erklären hiermit, dass kein Interessenkonflikt besteht.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Mosich, V., Müller-Busch, H. Suizid durch Intoxikation während einer mobilen palliativen Begleitung eines Patienten mit Bronchuskarzinom. Wien Med Wochenschr 164, 184–188 (2014). https://doi.org/10.1007/s10354-014-0273-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10354-014-0273-1