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

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

doi:10.1016/j.jaclp.2022.11.004

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 journal › Review article › peer-review

Abstract

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 language	English
Pages (from-to)	371-382
Number of pages	12
Journal	Journal of the Academy of Consultation-Liaison Psychiatry
Volume	64
Issue number	4
DOIs	https://doi.org/10.1016/j.jaclp.2022.11.004
State	Published - 1 Jul 2023

Keywords

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

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10.1016/j.jaclp.2022.11.004

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

abstract = "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.",

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T1 - Consultation-Liaison Case Conference

T2 - Suicidal Ideation in a Patient at the End-of-Life

AU - Calagua-Bedoya, Eduardo Andres

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AU - Shalev, Daniel

AU - Bialer, Philip

PY - 2023/7/1

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N2 - 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.

AB - 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.

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KW - depression

KW - end-of-life

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

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Keywords

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