Consultation-Liaison Case Conference: Suicidal ideation in a patient at the end-of-life Review


Authors: Calagua-Bedoya, E. A.; Ernst, C.; Shalev, D.; Bialer, P.
Review 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. © 2022 Academy of Consultation-Liaison Psychiatry
Keywords: palliative care; depression; suicidal ideation; end-of-life; hastened death; cancer
Journal Title: Journal of the Academy of Consultation-Liaison Psychiatry
Volume: 64
Issue: 4
ISSN: 2667-2979
Publisher: Elsevier Science, Inc.  
Date Published: 2023-07-01
Start Page: 371
End Page: 382
Language: English
DOI: 10.1016/j.jaclp.2022.11.004
PUBMED: 36494065
PROVIDER: scopus
PMCID: PMC10244477
DOI/URL:
Notes: Review -- Source: Scopus
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  1. Philip A Bialer
    40 Bialer