Consultation-Liaison Case Conference: Suicidal Ideation in a Patient at the End-of-Life

Eduardo Andres Calagua-Bedoya, Carrie Ernst, Daniel Shalev, Philip Bialer

Research output: Contribution to journalReview articlepeer-review


Psychiatric comorbidities are common among patients approaching the end of life, often necessitating the involvement of consultation-liaison psychiatrists. We present the case of a patient with advanced metastatic prostate cancer and a complicated hospital course who made suicidal remarks and requested a hastened death. This common and challenging clinical scenario requires a multidisciplinary approach. In this article, experts in consultation psychiatry, palliative care, and psycho-oncology describe helpful diagnostic and therapeutic strategies for such cases. The key learning points are the differential diagnoses in end-of-life patients endorsing suicidal ideation, the psychiatric management of oncological and palliative care patients, the implementation of a safe discharge plan, and the role of the consultation-liaison psychiatrist in hospice care.

Original languageEnglish
Pages (from-to)371-382
Number of pages12
JournalJournal of the Academy of Consultation-Liaison Psychiatry
Issue number4
StatePublished - 1 Jul 2023


  • cancer
  • depression
  • end-of-life
  • hastened death
  • palliative care
  • suicidal ideation


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