Consultant psychiatrist and ECT Director, North West Area Mental Health Service, Coburg, VIC, Australia.
The University of Melbourne, Parkville, VIC, Australia.
Australas Psychiatry. 2022 Apr;30(2):190-194. doi: 10.1177/10398562211009243. Epub 2021 May 3.
We compared the quality of the written informed consent forms for electroconvulsive therapy (ECT) in Australian jurisdictions.
For this comparative audit-type study, a checklist was developed to compare informed consent forms from different jurisdictions. The main information sources for consent forms were government health department websites and Google. The directors of clinical services were contacted if a consent form was not available through a web source.
Majority of the informed consent forms covered information about ECT, general anaesthesia and alternative treatments, supports available for decision making, and a reference to the right to withdraw consent. Missing information affected information areas such as likely outcome if no ECT, lack of guaranteed response and cultural and linguistic supports.
A standardised consent form that can be used across all jurisdictions can help improve the ECT practice.
我们比较了澳大利亚司法管辖区中电抽搐治疗（ECT）书面知情同意书的质量。
在这项比较性审计研究中，制定了一份清单来比较不同司法管辖区的知情同意书。同意书的主要信息来源是政府卫生部门的网站和谷歌。如果通过网络资源无法获得同意书，则联系临床服务主任。
大多数知情同意书涵盖了有关 ECT、全身麻醉和替代治疗、决策支持以及撤回同意权利的信息。缺失的信息影响了如不进行 ECT 的可能结果、缺乏保证反应以及文化和语言支持等信息领域。
可以在所有司法管辖区使用的标准化同意书有助于改善 ECT 实践。
