Early dementia diagnosis and the risk of suicide and euthanasia

Draper, Brian; Peisah, Carmelle; Snowdon, John; Brodaty, Henry

doi:10.1016/j.jalz.2009.04.1229

Cited by 117 publications

(84 citation statements)

References 60 publications

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“…12 In their review, Draper et al found evidence that people with mild cognitive change and early dementia are at risk of suicidal behaviour. 29 Many GPs consider dementia diagnosis and care to be in the specialist domain, 2,3 especially since a longitudinal approach is required for timely, accurate diagnosis. 27,30 However, specialist referral requires a disclosure that dementia is a possibility, which raises many of the issues above.…”

Section: Resultsmentioning

confidence: 99%

Difficulties in disclosing the diagnosis of dementia: a qualitative study in general practice

Phillips

Pond²,

Paterson³

et al. 2012

Br J Gen Pract

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Section: Resultsmentioning

confidence: 99%

Difficulties in disclosing the diagnosis of dementia: a qualitative study in general practice

Phillips

Pond²,

Paterson³

et al. 2012

Br J Gen Pract

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“…The distress of getting a diagnosis may also result in suicide or euthanasia. 60 For many older patients with multiple comorbidities, dementia is part of their end of life process. Preventive interventions become therapeutically irrelevant.…”

Section: Risks Harms and Costs Of Early Diagnosismentioning

confidence: 99%

Political drive to screen for pre-dementia: not evidence based and ignores the harms of diagnosis

Couteur

Doust

Creasey

et al. 2013

BMJ

166

123

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“…(Draper et al 2010) In diesem Fall wäre Basistherapie, die "somatische, internistische, psychiatrisch-psychotherapeutische und soziotherapeutische Aspekte" umfasst, von der Krisenintervention zu differenzieren (Krüger-Rainer und Rainer (2014).…”

Section: Diskussion Zu Den Ergebnissenunclassified

Hilfe auf jedem Weg? Von der Herausforderung des Therapeuten durch die Suizidplanung eines Klienten mit Demenzdiagnose

Endler

2014

Psychotherapie Forum

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Zusammenfassung Ausgehend von einer Übersicht zur Suizidproblematik beim alten Menschen, insbesondere nach Demenzdiagnose, betrifft diese Fallgeschichte eine psychoanalytische Krisenintervention bzw. Fokaltherapie. Der Plan eines 72jährigen Klienten, einen assistierten Suizid zu organisieren, wird vom Therapeuten ernstgenommen: in der Hoffnung, dass diese Möglichkeit den Klienten mental entlastet und ihm hilft, sein weiteres Leben zu gestalten, aber auch, indem eine bilanzierte Entscheidung des Klienten zu respektieren wäre, selbst wenn diese einem Berufs-und privaten Ethos des Therapeuten nicht entsprechen würde. In der gemeinsamen Arbeit steht das Aufbauen einer vertrauensvollen Beziehung im Vordergrund, in der Übertragungs-und Gegenübertragungsphänomene genutzt werden. Nach einem halben Jahr scheint der Klient entlastet, positiv auf das weitere Zusammenleben mit seiner Frau eingestimmt und in realistischer Weise selbstsicher. Auch die Rechenfähigkeit und die Fähigkeit zum abstrakten Denken haben sich deutlich verbessert. Psychiatrisch gesehen bleibt die Demenzdiagnose bestehen, eine anfäng-lich ebenfalls gefundene Depression wurde nicht mehr diagnostiziert. Einen wichtigen Teil der Arbeit nimmt die Selbstreflexion des Therapeuten ein.Schlüsselwörter Alter · Demenz · Suizid · Psychoanalyse · Krisenintervention · Gegenübertragung Help on the way? How a therapist met the challenge of a client diagnosed with dementia and the client's ensuing plan for suicide Abstract Starting from an overview on the problem of suicide among the elderly, in particular in cases where dementia has been diagnosed, this case history deals with a psychoanalytic crisis intervention, or focal therapy. The therapist of a 72-year-old man diagnosed with dementia took this client's plan to arrange for assisted suicide seriously. For one he hoped that this possibility would offer a source of mental relief and help the client shape his future life, but the therapist also felt that a balanced decision on the part of his client should be respected even if it did not comply with his own professional and personal ethos. Joint work focused on building a relationship of trust for which transference and counter-transference phenomena were utilized. After 6 months the client seemed relieved, exhibiting a positive outlook on his future with his wife and a realistic sense of self-assurance. His numeracy skills and capacity for abstract thought had improved considerably. From a psychiatric perspective the dementia diagnosis was confirmed but the initial diagnosis of depression was no longer upheld. Self-reflection on the part of the therapist constituted an important aspect of the work.

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Early dementia diagnosis and the risk of suicide and euthanasia

Cited by 117 publications

References 60 publications

Difficulties in disclosing the diagnosis of dementia: a qualitative study in general practice

Difficulties in disclosing the diagnosis of dementia: a qualitative study in general practice

Political drive to screen for pre-dementia: not evidence based and ignores the harms of diagnosis

Hilfe auf jedem Weg? Von der Herausforderung des Therapeuten durch die Suizidplanung eines Klienten mit Demenzdiagnose

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