Iatrogenic Complications of Compulsory Treatment in a Patient Presenting with an Emotionally Unstable Personality Disorder and Self-Harm

Attempted suicide and deliberate self-harm are common and challenging presentations in the emergency department. A proportion of these patients refuse interventions and this presents the clinical, legal, and ethical dilemma as to whether treatment should be provided against their will. Multiple fact...

Full description

Saved in:
Bibliographic Details
Main Authors: Charlotte Burrin, Natasha Faye Daniels, Rudolf N. Cardinal, Catherine Hayhurst, David Christmas, Jorge Zimbron
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Psychiatry
Online Access:http://dx.doi.org/10.1155/2021/6615723
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832564873059368960
author Charlotte Burrin
Natasha Faye Daniels
Rudolf N. Cardinal
Catherine Hayhurst
David Christmas
Jorge Zimbron
author_facet Charlotte Burrin
Natasha Faye Daniels
Rudolf N. Cardinal
Catherine Hayhurst
David Christmas
Jorge Zimbron
author_sort Charlotte Burrin
collection DOAJ
description Attempted suicide and deliberate self-harm are common and challenging presentations in the emergency department. A proportion of these patients refuse interventions and this presents the clinical, legal, and ethical dilemma as to whether treatment should be provided against their will. Multiple factors influence this decision. It is difficult to foresee the multitude and magnitude of complications that can arise once it has been decided to treat individuals who do not consent. This case illustrates a particularly complex chain of events that occurred after treating someone against their will who presented with self-harm and suicidal ideation. These consequences are contrasted with those of not intervening when similar situations arose with the same patient.
format Article
id doaj-art-26d83edaa4de4480956c0d54a365191b
institution Kabale University
issn 2090-682X
2090-6838
language English
publishDate 2021-01-01
publisher Wiley
record_format Article
series Case Reports in Psychiatry
spelling doaj-art-26d83edaa4de4480956c0d54a365191b2025-02-03T01:09:57ZengWileyCase Reports in Psychiatry2090-682X2090-68382021-01-01202110.1155/2021/66157236615723Iatrogenic Complications of Compulsory Treatment in a Patient Presenting with an Emotionally Unstable Personality Disorder and Self-HarmCharlotte Burrin0Natasha Faye Daniels1Rudolf N. Cardinal2Catherine Hayhurst3David Christmas4Jorge Zimbron5University of Cambridge School of Clinical Medicine, Cambridge, UKUniversity of Cambridge School of Clinical Medicine, Cambridge, UKCambridgeshire and Peterborough NHS Foundation Trust (CPFT), Cambridge, UKEmergency Department, Addenbrooke’s Hospital, Cambridge, UKCambridgeshire and Peterborough NHS Foundation Trust (CPFT), Cambridge, UKCambridgeshire and Peterborough NHS Foundation Trust (CPFT), Cambridge, UKAttempted suicide and deliberate self-harm are common and challenging presentations in the emergency department. A proportion of these patients refuse interventions and this presents the clinical, legal, and ethical dilemma as to whether treatment should be provided against their will. Multiple factors influence this decision. It is difficult to foresee the multitude and magnitude of complications that can arise once it has been decided to treat individuals who do not consent. This case illustrates a particularly complex chain of events that occurred after treating someone against their will who presented with self-harm and suicidal ideation. These consequences are contrasted with those of not intervening when similar situations arose with the same patient.http://dx.doi.org/10.1155/2021/6615723
spellingShingle Charlotte Burrin
Natasha Faye Daniels
Rudolf N. Cardinal
Catherine Hayhurst
David Christmas
Jorge Zimbron
Iatrogenic Complications of Compulsory Treatment in a Patient Presenting with an Emotionally Unstable Personality Disorder and Self-Harm
Case Reports in Psychiatry
title Iatrogenic Complications of Compulsory Treatment in a Patient Presenting with an Emotionally Unstable Personality Disorder and Self-Harm
title_full Iatrogenic Complications of Compulsory Treatment in a Patient Presenting with an Emotionally Unstable Personality Disorder and Self-Harm
title_fullStr Iatrogenic Complications of Compulsory Treatment in a Patient Presenting with an Emotionally Unstable Personality Disorder and Self-Harm
title_full_unstemmed Iatrogenic Complications of Compulsory Treatment in a Patient Presenting with an Emotionally Unstable Personality Disorder and Self-Harm
title_short Iatrogenic Complications of Compulsory Treatment in a Patient Presenting with an Emotionally Unstable Personality Disorder and Self-Harm
title_sort iatrogenic complications of compulsory treatment in a patient presenting with an emotionally unstable personality disorder and self harm
url http://dx.doi.org/10.1155/2021/6615723
work_keys_str_mv AT charlotteburrin iatrogeniccomplicationsofcompulsorytreatmentinapatientpresentingwithanemotionallyunstablepersonalitydisorderandselfharm
AT natashafayedaniels iatrogeniccomplicationsofcompulsorytreatmentinapatientpresentingwithanemotionallyunstablepersonalitydisorderandselfharm
AT rudolfncardinal iatrogeniccomplicationsofcompulsorytreatmentinapatientpresentingwithanemotionallyunstablepersonalitydisorderandselfharm
AT catherinehayhurst iatrogeniccomplicationsofcompulsorytreatmentinapatientpresentingwithanemotionallyunstablepersonalitydisorderandselfharm
AT davidchristmas iatrogeniccomplicationsofcompulsorytreatmentinapatientpresentingwithanemotionallyunstablepersonalitydisorderandselfharm
AT jorgezimbron iatrogeniccomplicationsofcompulsorytreatmentinapatientpresentingwithanemotionallyunstablepersonalitydisorderandselfharm