M Michiels, D Steentjes, N Mook-Spermon, S F Lotgering, D van Dijk, R Scholma, L Kalma, C C van Velzen, R F P de Winter
{"title":"[Autonomy promoting policy for complex chronic suicidality].","authors":"M Michiels, D Steentjes, N Mook-Spermon, S F Lotgering, D van Dijk, R Scholma, L Kalma, C C van Velzen, R F P de Winter","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Suicidality is prevalent in mental healthcare settings. A small subset of patients exhibiting severe, chronic suicidal tendencies place a significant demand on healthcare services. Existing guidelines offer insufficient guidance, and crisis interventions often yield counterproductive results. This culminates in a pattern of securing and controlling, lacking adequate prospects for recovery and potentially causing harm to the patient. In order to develop a more effective treatment approach, an autonomy promoting policy (APP) has been formulated by the authors. In this article the background and dilemma’s surrounding the APP will be described based on a fictional patient case, and describes how the guide helps in these situations.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 7","pages":"403-406"},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Tijdschrift voor psychiatrie","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Suicidality is prevalent in mental healthcare settings. A small subset of patients exhibiting severe, chronic suicidal tendencies place a significant demand on healthcare services. Existing guidelines offer insufficient guidance, and crisis interventions often yield counterproductive results. This culminates in a pattern of securing and controlling, lacking adequate prospects for recovery and potentially causing harm to the patient. In order to develop a more effective treatment approach, an autonomy promoting policy (APP) has been formulated by the authors. In this article the background and dilemma’s surrounding the APP will be described based on a fictional patient case, and describes how the guide helps in these situations.