Their wording, tested in three French cities, allows patients to specify what they wish to see applied in the event of a crisis.
“For a person with a psychiatric disorder, compulsory hospitalization is a trauma. For a doctor, it is a failure. And France, unfortunately, practices a lot.” Aurélie Tinland is a psychiatrist at the AP-HM in Marseille. Convinced that it is necessary to help patients to better live their hospital care during a crisis, and above all to reduce the risks of reaching this extreme, she evaluated the impact of advance directives in psychiatry written by patients. , with or without assistance. And the results, recently published in Jama Psychiatryare undeniable.
The concept of advance directives is better known in reference to the end of life: it then makes it possible to make known one’s wishes in the event of serious illness and impossibility of communicating. In psychiatry, advance directives can specify the treatment to be preferred in the event of a crisis, the warning signs of decompensation, the people you trust to contact… So much information…
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