2011
DOI: 10.1111/j.1556-4029.2010.01669.x
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Ethical and Legal Consideration of Prisoner’s Hunger Strike in Serbia*

Abstract: Hunger strike of prisoners and detainees remains a major human rights and ethical issue for medical professionals. We are reporting on a case of a 48-year-old male sentenced prisoner, intravenous heroin user, who went on a hunger strike and died 15 days later. Throughout the fasting period, the prisoner, who was capable of decision making, refused any medical examination. Autopsy findings were not supporting prolonged starvation, while toxicology revealed benzodiazepines and opiates in blood and urine. Cause o… Show more

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Cited by 9 publications
(6 citation statements)
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“…Typically, this appeared to be related to wanting transfers to other prisons for reasons such as being closer to family (Erkul, 2020; Reeves et al , 2017; Larkin, 1991; Ansbacher, 1983; Kleinman, 1986), wanting better care or provisions for services (Erkul, 2020; Garcia-Guerrero and Vera-Remartinez, 2015) and wanting responses from prison/custodial staff regarding issues they have raised (Ansbacher, 1983; Durmaz, et al , 2020; Miller, 1986). In one article, the prisoner in question initiated his food refusal because he perceived that prison staff had broken his wheelchair and demanded that they fix it (Alempijevic et al , 2011).…”
Section: Resultsmentioning
confidence: 99%
“…Typically, this appeared to be related to wanting transfers to other prisons for reasons such as being closer to family (Erkul, 2020; Reeves et al , 2017; Larkin, 1991; Ansbacher, 1983; Kleinman, 1986), wanting better care or provisions for services (Erkul, 2020; Garcia-Guerrero and Vera-Remartinez, 2015) and wanting responses from prison/custodial staff regarding issues they have raised (Ansbacher, 1983; Durmaz, et al , 2020; Miller, 1986). In one article, the prisoner in question initiated his food refusal because he perceived that prison staff had broken his wheelchair and demanded that they fix it (Alempijevic et al , 2011).…”
Section: Resultsmentioning
confidence: 99%
“…Deaths due to malnutrition in prisoners have occurred (81, 82). If they are due to intentional refusal of nutrition by the prisoner (e.g., a hunger strike), the manner of death may be affected.…”
Section: Discussionmentioning
confidence: 99%
“…Cerebral edema of uncertain origin has been described in one hunger striker who died after 15 days of fasting. 6 Peripheral nervous system involvement appears to be more discrete, but diminished amplitude of compound action muscle potentials in the fibular and median nerve and reduced sensory nerve action potentials in the sural nerve have been described. In addition, visual-evoked potentials may also be prolonged.…”
Section: Neurologic Effectsmentioning
confidence: 97%
“…Detainees may use hunger strikes to make a political statement, gain attention from the media, exercise control, communicate dissatisfaction with prison conditions, or reduce tension. 6 Most hunger strikers are trying to obtain political change or change detention conditions, rather than trying to die as martyrs for a cause or commit suicide. 1 Refusal of food is conditional to a favor request to another party (ie, prison authority).…”
Section: Motivation For Hunger Strikesmentioning
confidence: 99%