2011
DOI: 10.1136/jme.2011.042556
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A fair trial? Assessment of liver transplant candidates with psychiatric illnesses

Abstract: Allocating scarce organs to transplant candidates is only one stage in the long process of organ transplantation.

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Cited by 9 publications
(5 citation statements)
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“…Even pediatric patients may be viewed as less worthy of a transplant when they are perceived as likely having caused their liver to fail by their own actions. The limited literature on liver transplant in adults after a suicide attempt recommends nonjudgmental beneficence and avoidance of bias based on both social standing and a patient’s behavior (Cherkassky, 2011; Rhodes et al, 2011; Willey & Tolchin, 2014). Willey and Tolchin (2014) explicitly state that rejecting a patient for transplant because of tendencies to self-harm or the patient’s contribution to his or her hepatic injury is “contradictory to the principle of beneficence, the historical best practices of the medical community generally, and the ideals of the transplantation community in particular” (p. 683).…”
Section: Ethical Issuesmentioning
confidence: 99%
“…Even pediatric patients may be viewed as less worthy of a transplant when they are perceived as likely having caused their liver to fail by their own actions. The limited literature on liver transplant in adults after a suicide attempt recommends nonjudgmental beneficence and avoidance of bias based on both social standing and a patient’s behavior (Cherkassky, 2011; Rhodes et al, 2011; Willey & Tolchin, 2014). Willey and Tolchin (2014) explicitly state that rejecting a patient for transplant because of tendencies to self-harm or the patient’s contribution to his or her hepatic injury is “contradictory to the principle of beneficence, the historical best practices of the medical community generally, and the ideals of the transplantation community in particular” (p. 683).…”
Section: Ethical Issuesmentioning
confidence: 99%
“…8,66 Grafts of a visible organ impact the patients' self-image, ideas regarding the allograft, and the patients' psychological reactions to the allograft. 96 If the patients do not succeed in psychologically accepting the allograft, the consequences can be serious such as a poorly integrated sense of self and incorporation. 97…”
Section: Multicenter Research and Standardizationmentioning
confidence: 99%
“…This in turn may prematurely exclude them from transplantation (60). Reliance on questionnaires to detect mental health disorders is limited because those with psychiatric disease may not be able to communicate with the transplant assessment team as effectively as those unaffected by psychiatric disease.…”
Section: Ethical Challenges Of Transplantation In People With Mental mentioning
confidence: 99%