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

Bibliographic Details
Main Authors: Charlotte Burrin, Natasha Faye Daniels, Rudolf N. Cardinal, Catherine Hayhurst, David Christmas, Jorge Zimbron
Format: Article
Language:English
Published: Hindawi Limited 2021-01-01
Series:Case Reports in Psychiatry
Online Access:http://dx.doi.org/10.1155/2021/6615723
id doaj-26d83edaa4de4480956c0d54a365191b
record_format Article
spelling doaj-26d83edaa4de4480956c0d54a365191b2021-06-07T02:12:41ZengHindawi LimitedCase Reports in Psychiatry2090-68382021-01-01202110.1155/2021/6615723Iatrogenic 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 MedicineUniversity of Cambridge School of Clinical MedicineCambridgeshire and Peterborough NHS Foundation Trust (CPFT)Emergency DepartmentCambridgeshire and Peterborough NHS Foundation Trust (CPFT)Cambridgeshire and Peterborough NHS Foundation Trust (CPFT)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.http://dx.doi.org/10.1155/2021/6615723
collection DOAJ
language English
format Article
sources DOAJ
author Charlotte Burrin
Natasha Faye Daniels
Rudolf N. Cardinal
Catherine Hayhurst
David Christmas
Jorge Zimbron
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
author_facet Charlotte Burrin
Natasha Faye Daniels
Rudolf N. Cardinal
Catherine Hayhurst
David Christmas
Jorge Zimbron
author_sort Charlotte Burrin
title 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_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_sort iatrogenic complications of compulsory treatment in a patient presenting with an emotionally unstable personality disorder and self-harm
publisher Hindawi Limited
series Case Reports in Psychiatry
issn 2090-6838
publishDate 2021-01-01
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.
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
_version_ 1721393308727508992