Consultation-Liaison Psychiatric Service, Szent István and Szent László Hospitals, Budapest, Hungary.
J ECT. 2012 Mar;28(1):4-6. doi: 10.1097/YCT.0b013e318223c63c.
To survey major aspects of obtaining informed consent to electroconvulsive therapy (ECT) in the countries of the European Union.
Leading professionals in the field of biological psychiatry in all European Union countries and Norway and Switzerland were approached by e-mail asking about the national practice of obtaining consent to ECT including the form of consent, the legality of consent by proxy, and consent to anesthesia and maintenance treatment.
A considerable diversity was found across Europe regarding consent to ECT. In Slovenia and Luxembourg, ECT is not available at all. Informed consent is needed in written form in most European countries except for Sweden, Denmark, Finland, and Slovakia, where verbal consent is sufficient. Italy, Ireland, and Latvia are stricter in their approach because separate written consent is required before each ECT session.
The practice of obtaining informed consent varies from country to country reflecting the individual European Union countries' jurisdiction and their sociocultural traditions as well as their different development of psychiatric services. In line with the increasing cooperation in health care, developing a unified way of obtaining consent for ECT is recommended.
调查欧盟国家获取电抽搐治疗（ECT）知情同意的主要方面。
通过电子邮件联系欧盟国家和挪威、瑞士的生物精神病学领域的知名专家，了解各国获取 ECT 同意的实践情况，包括同意的形式、代理同意的合法性以及对麻醉和维持治疗的同意。
在欧洲，ECT 的同意情况存在相当大的差异。在斯洛文尼亚和卢森堡，ECT 根本无法获得。除瑞典、丹麦、芬兰和斯洛伐克外，大多数欧洲国家都需要书面形式的知情同意，口头同意即可。意大利、爱尔兰和拉脱维亚的要求更为严格，因为每次 ECT 治疗前都需要单独的书面同意。
获得知情同意的实践因国家而异，反映了欧盟国家的管辖权以及其社会文化传统，也反映了精神卫生服务的不同发展情况。为了与日益增加的医疗保健合作保持一致，建议为 ECT 的同意制定统一的方式。
