Simonović Perisa, Nenadović Milutin, Momcilović Dragana
Institute of Mental Health, Belgrade, Serbia.
Srp Arh Celok Lek. 2011 Dec;139 Suppl 1:21-5.
The nature of some mental illness is such that persons affected by their conduct endangering life, health and safety, as well as life, health and safety of others from their surroundings. These persons, because of their mental condition, are often unable to properly assess their own interest. Because of the above it is permitted for these persons, under certain circumstances, to be forcibly hospitalized against their will. However, the problem of involuntary hospitalization of persons with mental disorders remains a controversial and complex ethical and legal problem, because it is characterized by a conflict of opposing interests and moral values. The main reason is the fact that involuntary hospitalization is an act of deprivation of liberty and intervention into the personal integrity, which at that the measure is taken against the individual who has not committed any crime. In order to provide restricted approach to the application of compulsory hospitalization, it is necessary to pass a legislation on the protection of persons with mental disorders that would more closely define the undertaken proceedings, reasons and conditions for involuntary detention and involuntary hospitalization in a psychiatric institution, forced detention of voluntarily hospitalized persons and penal policy violation of this law. It is necessary to initiate the procedure for amending the Law on Contested Procedure, which would reform the procedure for compulsory hospitalization, as an important segment of mentally disordered persons' rights, in order to be in accordance with international and European standards within this field.
某些精神疾病的性质决定了,受其影响的人会因其行为危及自身生命、健康和安全,以及周围其他人的生命、健康和安全。这些人由于自身精神状况,往往无法正确评估自身利益。基于上述原因,在某些情况下,允许对这些人违背其意愿进行强制住院治疗。然而,精神障碍患者的非自愿住院问题仍然是一个有争议且复杂的伦理和法律问题,因为它的特点是对立利益和道德价值观的冲突。主要原因在于,非自愿住院是一种剥夺自由和干涉个人完整性的行为,而此时采取该措施针对的是未实施任何犯罪行为的个人。为了对强制住院的适用采取有限制的做法,有必要通过一项关于保护精神障碍患者的立法,该立法应更明确地界定所采取的程序、非自愿拘留和在精神病院非自愿住院的理由及条件、对自愿住院患者的强制拘留以及违反本法的惩罚政策。有必要启动修订《争议程序法》的程序,该法将改革强制住院程序,作为精神障碍患者权利的一个重要部分,以便符合该领域的国际和欧洲标准。