Practical ethics in suicide: research, policy and clinical decision making
Gespeichert in:
| Hauptverfasser: | , |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Cambridge ; New York
Cambridge University Press
2024
|
| Schriftenreihe: | Cambridge medicine
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis Klappentext |
| Beschreibung: | xiii, 222 Seiten |
| ISBN: | 9781009414906 |
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Contents Preface Acknowledgements 1 2 xi xiv Ethical Perspectives to Guide Decision-Making 1 1.1 In the Name of Morality 3 1.2 Self-Styled Libertarianism 5 1.3 The Umbrella of Relativism 6 1.4 The Rationality of Suicide 10 1.5 The Rational Obligation to Suicide 14 1.6 The Right to Be Protected from Committing Suicide 20 1.7 Good Samaritan Law 21 Moral Dilemmas in Helpline Rescue Policies 27 2.1 Positions of Telephone Helpline Organisations 28 2.2 The American Association of Suicidology and the US National Suicide Prevention Lifeline Network Positions 30 2.3 Legal Imperatives, Jurisprudence, and Leeway Given to Helpers 31 3 2.4 Imminent But Not Immediate Acts 32 2.5 Salient Questions 34 Ethical Challenges in Suicide Research 37 3.1 Vulnerability 37 3.2 Experimental Methodologies 38 3.3 Rescue Procedures 41 3.4 Obtaining Informed Consent 42
Contents 3.5 Deception and Disclosure 44 3.6 Innovative and Unproven Interventions 46 3.7 Choice of Participants 47 3.8 Disclosure of Information Concerning Suicide Risk of Third Parties 47 3.9 At-Risk and Vulnerable Populations 3.10 Indigenous Participants in Research 3.11 The Interpretation and Dissemination of Results 4 5 49 ; 5° 1 3.12 Special Issues in Evaluation Research 531 54 | 3.13 New Technologies, Artificial Intelligence, and Moral Redefinition 581 3.14 Conclusions and Recommendations 64 I The Control of Suicide Promotion over the Internet 67 4.1 Media Reports on Internet Encouragement of Suicide 68 4.2 Legal Provisions and Law Reform Projects 69 4.3 Ethical Presuppositions 75 4.4 Suicide and the Darknet 78 4.5 Conclusions 79 Genetic Testing for Suicide Risk Assessment 82 5.1 Genetics and the Heritability of Suicide 83 5.2 The Promise of GWAS 85 5.3 Are There Intrinsic Limitations of Genetics Research to Predict Human Behavioural Traits? 86 5.4 The Assumption of Commonalities in Suicide and Implications for Prediction 87 5.5 Possible Reasons for Genetic Testing as Related to Suicide Risk 89 5.6 Guidelines for Determining If Genetic Testing Is Ethically Acceptable in Relation to Suicide 90
Contents 5.7 A Contemporary Challenge: Lay Use of Genetic Tests to Identify Suicide Risk 95 5.8 The Obligation for Clinicians to Test and to Inform Individuals and Families of Results (with or Without Consent) 95 5.9 Specific Issues Concerning Testing Children for Risk of Suicide Later in Life 5.10 General Discussion and Conclusions 6 Suicide and Civil Commitment 96 98 102 6.1 The Transition from Paternalistic Mass Incarceration, to Limiting Forced Hospitalisation, to Considering ‘Dangerousness' 6.2 Defining 'Dangerousness' 103 104 6.3 Critiques of the Criterion of Dangerousness and the Focus on Competency 105 6.4 Extrajudicial Practices When There Is Danger to Self: The Case of Helplines 6.5 Force-Feeding at Guantanamo Bay 107 108 6.6 Protection of Vulnerable People and the Right to Choose Death over Suffering: Medical Assistance in Dying (MAiD) 7 109 6.7 Arguments for MAiD for People with Mental Disorders 111 6.8 Conclusions 115 The Legal Status of Suicide 7.1 Punishment for Attempted Suicide 118 118 7.2 Punishment for Abetting, Aiding, or Encouraging Suicide 122 7.3 Impact of Décriminalisation of Attempted Suicide 123 7.4 Why Punish Suicide Attempters? 124 7.5 Recommendations for Décriminalisation of Attempted Suicide 128
8 9 7.6 Moral Justifications of Criminal Penalties for Assisting, Inciting, and Encouraging Suicide 129 7.7 Conclusions 130 The Rhetoric of Assisted Suicide and Euthanasia ('Medical Assistance in Dying’) 131 8.1 Introduction 131 8.2 Threshold Vocabularies in Debates About Ending Life 132 8.3 Legalisation of Euthanasia in Quebec as ‘Medical Aid in Dying' (MAiD): Social Marketing and Legal Manoeuvring 134 8.4 The Constitutional Sword: A Double-Edged Conundrum 137 8.5 Autonomy: An Intense and Elusive Value 144 8.6 Legalism and Autonomy 146 8.7 Human Dignity 147 8.8 Shoring Up the Slippery Slope 150 8.9 Towards a Best-Policy Model 152 8.10 Euthanasia and Assisted Suicide: Ethical and Practical Distinctions 154 8.11 Rational Suicide: Between Logic and Reality 155 8.12 The Duty to Die: Contemporary Conceptions 157 8.13 The Commodification of Life and the Customising of Death 159 8.14 End-of-Life Practices in an Ideal Universe 161 8.15 A Thought Experiment: A Society with 'Ideal' End-of-Life Practises? 163 8.16 Conclusions 165 Suicide Prevention and the Expansion of Medical Assistance in Dying 167 9.1 Introduction 167 9.2 Suicide Prevention in Theory and in Practice 168
Contents 9.3 The Advent of Medical Assistance in Dying 169 9,4 Are There Justified Distinctions Between Howto Respond to People Requesting MAiD and Suicidal Individuals? 170 9.5 Is There a Difference Between MAiD and Suicide? 173 9.6 Suicide Prevention and the Liberal Zeitgeist 175 10 Conclusion: My Brother's Keeper References Index 176 181 213
When and how forcefully must we intervene to save a life, and when should we respect the will to die? This book presents alternative ethical paradigms to understand contemporary challenges in suicide research, prevention, practices, and policies, including challenges in the expanding legalization of euthanasia and assisted suicide ("medical assistance in dying"). Drawing on case studies and philosophical approaches, analysis focuses on decision-making when we are faced with questions about obligations to help and intervene in suicidal situations. Chapters cover the moral dilemmas in rescue policies, the ethical challenges in suicide research, civil and legal considerations, as well as similarities and differences with accessing medical assistance in dying. Discussion is grounded in contemporary debates, addressing important issues concerning if we should continue to hospitalize people to protect them from self-harm, or control access to 'dangerous' suicide content online? This book is unique in its focus on the practical concerns of mental health professionals, helplines, researchers, policy makers and programme planners who are faced with ethical challenges in suicidology and suicide prevention. |
| adam_txt |
Contents Preface Acknowledgements 1 2 xi xiv Ethical Perspectives to Guide Decision-Making 1 1.1 In the Name of Morality 3 1.2 Self-Styled Libertarianism 5 1.3 The Umbrella of Relativism 6 1.4 The Rationality of Suicide 10 1.5 The Rational Obligation to Suicide 14 1.6 The Right to Be Protected from Committing Suicide 20 1.7 Good Samaritan Law 21 Moral Dilemmas in Helpline Rescue Policies 27 2.1 Positions of Telephone Helpline Organisations 28 2.2 The American Association of Suicidology and the US National Suicide Prevention Lifeline Network Positions 30 2.3 Legal Imperatives, Jurisprudence, and Leeway Given to Helpers 31 3 2.4 Imminent But Not Immediate Acts 32 2.5 Salient Questions 34 Ethical Challenges in Suicide Research 37 3.1 Vulnerability 37 3.2 Experimental Methodologies 38 3.3 Rescue Procedures 41 3.4 Obtaining Informed Consent 42
Contents 3.5 Deception and Disclosure 44 3.6 Innovative and Unproven Interventions 46 3.7 Choice of Participants 47 3.8 Disclosure of Information Concerning Suicide Risk of Third Parties 47 3.9 At-Risk and Vulnerable Populations 3.10 Indigenous Participants in Research 3.11 The Interpretation and Dissemination of Results 4 5 49 ; 5° 1 3.12 Special Issues in Evaluation Research 531 54 | 3.13 New Technologies, Artificial Intelligence, and Moral Redefinition 581 3.14 Conclusions and Recommendations 64 I The Control of Suicide Promotion over the Internet 67 4.1 Media Reports on Internet Encouragement of Suicide 68 4.2 Legal Provisions and Law Reform Projects 69 4.3 Ethical Presuppositions 75 4.4 Suicide and the Darknet 78 4.5 Conclusions 79 Genetic Testing for Suicide Risk Assessment 82 5.1 Genetics and the Heritability of Suicide 83 5.2 The Promise of GWAS 85 5.3 Are There Intrinsic Limitations of Genetics Research to Predict Human Behavioural Traits? 86 5.4 The Assumption of Commonalities in Suicide and Implications for Prediction 87 5.5 Possible Reasons for Genetic Testing as Related to Suicide Risk 89 5.6 Guidelines for Determining If Genetic Testing Is Ethically Acceptable in Relation to Suicide 90
Contents 5.7 A Contemporary Challenge: Lay Use of Genetic Tests to Identify Suicide Risk 95 5.8 The Obligation for Clinicians to Test and to Inform Individuals and Families of Results (with or Without Consent) 95 5.9 Specific Issues Concerning Testing Children for Risk of Suicide Later in Life 5.10 General Discussion and Conclusions 6 Suicide and Civil Commitment 96 98 102 6.1 The Transition from Paternalistic Mass Incarceration, to Limiting Forced Hospitalisation, to Considering ‘Dangerousness' 6.2 Defining 'Dangerousness' 103 104 6.3 Critiques of the Criterion of Dangerousness and the Focus on Competency 105 6.4 Extrajudicial Practices When There Is Danger to Self: The Case of Helplines 6.5 Force-Feeding at Guantanamo Bay 107 108 6.6 Protection of Vulnerable People and the Right to Choose Death over Suffering: Medical Assistance in Dying (MAiD) 7 109 6.7 Arguments for MAiD for People with Mental Disorders 111 6.8 Conclusions 115 The Legal Status of Suicide 7.1 Punishment for Attempted Suicide 118 118 7.2 Punishment for Abetting, Aiding, or Encouraging Suicide 122 7.3 Impact of Décriminalisation of Attempted Suicide 123 7.4 Why Punish Suicide Attempters? 124 7.5 Recommendations for Décriminalisation of Attempted Suicide 128
8 9 7.6 Moral Justifications of Criminal Penalties for Assisting, Inciting, and Encouraging Suicide 129 7.7 Conclusions 130 The Rhetoric of Assisted Suicide and Euthanasia ('Medical Assistance in Dying’) 131 8.1 Introduction 131 8.2 Threshold Vocabularies in Debates About Ending Life 132 8.3 Legalisation of Euthanasia in Quebec as ‘Medical Aid in Dying' (MAiD): Social Marketing and Legal Manoeuvring 134 8.4 The Constitutional Sword: A Double-Edged Conundrum 137 8.5 Autonomy: An Intense and Elusive Value 144 8.6 Legalism and Autonomy 146 8.7 Human Dignity 147 8.8 Shoring Up the Slippery Slope 150 8.9 Towards a Best-Policy Model 152 8.10 Euthanasia and Assisted Suicide: Ethical and Practical Distinctions 154 8.11 Rational Suicide: Between Logic and Reality 155 8.12 The Duty to Die: Contemporary Conceptions 157 8.13 The Commodification of Life and the Customising of Death 159 8.14 End-of-Life Practices in an Ideal Universe 161 8.15 A Thought Experiment: A Society with 'Ideal' End-of-Life Practises? 163 8.16 Conclusions 165 Suicide Prevention and the Expansion of Medical Assistance in Dying 167 9.1 Introduction 167 9.2 Suicide Prevention in Theory and in Practice 168
Contents 9.3 The Advent of Medical Assistance in Dying 169 9,4 Are There Justified Distinctions Between Howto Respond to People Requesting MAiD and Suicidal Individuals? 170 9.5 Is There a Difference Between MAiD and Suicide? 173 9.6 Suicide Prevention and the Liberal Zeitgeist 175 10 Conclusion: My Brother's Keeper References Index 176 181 213
When and how forcefully must we intervene to save a life, and when should we respect the will to die? This book presents alternative ethical paradigms to understand contemporary challenges in suicide research, prevention, practices, and policies, including challenges in the expanding legalization of euthanasia and assisted suicide ("medical assistance in dying"). Drawing on case studies and philosophical approaches, analysis focuses on decision-making when we are faced with questions about obligations to help and intervene in suicidal situations. Chapters cover the moral dilemmas in rescue policies, the ethical challenges in suicide research, civil and legal considerations, as well as similarities and differences with accessing medical assistance in dying. Discussion is grounded in contemporary debates, addressing important issues concerning if we should continue to hospitalize people to protect them from self-harm, or control access to 'dangerous' suicide content online? This book is unique in its focus on the practical concerns of mental health professionals, helplines, researchers, policy makers and programme planners who are faced with ethical challenges in suicidology and suicide prevention. |
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| spelling | Mishara, Brian L. Verfasser (DE-588)1064970656 aut Practical ethics in suicide research, policy and clinical decision making Brian L. Mishara, David N. Weisstub Cambridge ; New York Cambridge University Press 2024 xiii, 222 Seiten txt rdacontent n rdamedia nc rdacarrier Cambridge medicine Suizid (DE-588)4054423-0 gnd rswk-swf Medizinische Ethik (DE-588)4074672-0 gnd rswk-swf Suizid (DE-588)4054423-0 s Medizinische Ethik (DE-588)4074672-0 s DE-604 Weisstub, David N. 1944- Verfasser (DE-588)172446554 aut Erscheint auch als Online-Ausgabe 978-1-009-41489-0 Digitalisierung UB Augsburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=034922131&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis Digitalisierung UB Augsburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=034922131&sequence=000003&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Klappentext |
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| title | Practical ethics in suicide research, policy and clinical decision making |
| title_auth | Practical ethics in suicide research, policy and clinical decision making |
| title_exact_search | Practical ethics in suicide research, policy and clinical decision making |
| title_exact_search_txtP | Practical ethics in suicide research, policy and clinical decision making |
| title_full | Practical ethics in suicide research, policy and clinical decision making Brian L. Mishara, David N. Weisstub |
| title_fullStr | Practical ethics in suicide research, policy and clinical decision making Brian L. Mishara, David N. Weisstub |
| title_full_unstemmed | Practical ethics in suicide research, policy and clinical decision making Brian L. Mishara, David N. Weisstub |
| title_short | Practical ethics in suicide |
| title_sort | practical ethics in suicide research policy and clinical decision making |
| title_sub | research, policy and clinical decision making |
| topic | Suizid (DE-588)4054423-0 gnd Medizinische Ethik (DE-588)4074672-0 gnd |
| topic_facet | Suizid Medizinische Ethik |
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