狱中绝食：医学、伦理和法律方面。
Hunger strike in prison: medical, ethical and legal aspects.
出版信息
Tunis Med. 2021;99(11):1045-1054.
BACKGROUND
A hunger strike is a common form of protest in prison and is a potential cause of many types of problems, both for facility administrators and health care staff. Issues of conflict of rights and obligations involved, and how to treat people who are subject, have created major controversies.
OBJECTIVES
To identify and review published studies that discuss the medical, ethical and legal considerations of managing a hunger strike in a prison setting from a physician's perspective.
METHODS
A database search using "Medline" "Ovid" and "Science Direct was conducted to identify relevant publications. We included case series, guidelines and, review articles.
RESULTS
The physician must clearly inform the striker of the risks and provide clinical assessment and regular monitoring of the concerned. The role of the psychiatrist is to detect an initial mental pathology underlying or secondary to fasting and assess the capacity of the striker's judgment. Thus, the clinician is faced with two paradoxical obligations: to assist and respect the striker's will. In addition, medical intervention is possible if the prognosis is life-threatening even without the patient's consent.
CONCLUSION
The current practice of non-consensual attitude among hunger-striking seeking in detention needs a closer inquiry. Medical practitioners should be aware of their ethical and legal responsibilities, and that they should act independently of government or institutional interests.
背景
绝食是监狱中常见的抗议形式，也是许多类型问题的潜在原因，无论是对设施管理人员还是医疗保健人员来说都是如此。所涉及的权利和义务冲突问题，以及如何对待被禁食者，引发了重大争议。
目的
从医生的角度出发，确定并回顾已发表的研究，这些研究讨论了在监狱环境中管理绝食抗议者所涉及的医学、伦理和法律问题。
方法
使用“Medline”、“Ovid”和“Science Direct”数据库搜索，以确定相关出版物。我们纳入了病例系列、指南和综述文章。
结果
医生必须明确告知绝食者风险，并对其进行临床评估和定期监测。精神科医生的作用是发现导致或继发于禁食的潜在精神病理学，并评估绝食者判断能力的状态。因此，临床医生面临着两个自相矛盾的义务：既要协助又要尊重绝食者的意愿。此外，如果预后对生命有威胁，即使没有患者的同意，医疗干预也是可能的。
结论
目前在拘留所中对待绝食抗议者的非自愿态度需要进一步调查。医疗从业者应该意识到他们的道德和法律责任，并且应该独立于政府或机构利益行事。
Zotero 插件