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  1. Do Suicide Attempters Have a Right Not to Be Stabilized in an Emergency?Aleksy Tarasenko-Struc - forthcoming - Hastings Center Report.
    The standard of care in the United States favors stabilizing any adult who arrives in an emergency department after a failed suicide attempt, even if he appears decisionally capacitated and refuses life-sustaining treatment. I challenge this ubiquitous practice. Emergency clinicians generally have a moral obligation to err on the side of stabilizing even suicide attempters who refuse such interventions. This obligation reflects the fact that it is typically infeasible to determine these patients’ level of decisional capacitation—among other relevant information—in this (...)
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  • Do Suicide Attempters Have a Right Not to Be Stabilized in an Emergency?Aleksy Tarasenko Struc - 2024 - Hastings Center Report 54 (2):22-33.
    The standard of care in the United States favors stabilizing any adult who arrives in an emergency department after a failed suicide attempt, even if he appears decisionally capacitated and refuses life‐sustaining treatment. I challenge this ubiquitous practice. Emergency clinicians generally have a moral obligation to err on the side of stabilizing even suicide attempters who refuse such interventions. This obligation reflects the fact that it is typically infeasible to determine these patients’ level of decisional capacitation—among other relevant information—in this (...)
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  • (1 other version)Withdrawal of Nonfutile Life Support After Attempted Suicide.Samuel M. Brown, C. Gregory Elliott & Robert Paine - 2013 - American Journal of Bioethics 13 (3):3-12.
    End-of-life decision making is fraught with ethical challenges. Withholding or withdrawing life support therapy is widely considered ethical in patients with high treatment burden, poor premorbid status, or significant projected disability even when such treatment is not “futile.” Whether such withdrawal of therapy in the aftermath of attempted suicide is ethical is not well established in the literature. We provide a clinical vignette and propose criteria under which such withdrawal would be ethical. We suggest that it is appropriate to withdraw (...)
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  • (1 other version)Response to Open Peer Commentaries on “Withdrawal of Nonfutile Life Support After Attempted Suicide”.Samuel M. Brown, C. Gregory Elliott & Robert Paine - 2013 - American Journal of Bioethics: 13 (3):W3 - W5.
    We are grateful for the careful reading and insightful responses of the several peer commentaries to our proposed approach to requests to withhold or withdraw life support therapies among patients...
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