Guarda Angela S, Hanson Annette, Mehler Philip, Westmoreland Patricia
Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, MD, 21287, USA.
Department of Psychiatry, University of Maryland, Jessup, MD, 20794, USA.
J Eat Disord. 2022 Jun 7;10(1):79. doi: 10.1186/s40337-022-00599-6.
A recent article (JED 10:23, 2022) proposed defining terminal anorexia to improve access to palliative and hospice care, and to medical aid in dying for a minority of patients with severe and enduring anorexia nervosa (SE-AN). The authors presented three cases and, for two, the first author participated in their death. Anorexia nervosa is a treatable psychiatric condition for which recovery may be uncertain. We are greatly concerned however regarding implications of applying the label "terminal" to anorexia nervosa and the risk it will lead to unjustified deaths in individuals whose mental illness impairs their capacity to make a reasoned treatment decision.
最近一篇文章（《临终关怀与安宁疗护杂志》10:23, 2022）提议定义终末期厌食症，以改善姑息治疗和临终关怀的可及性，以及为少数患有严重且持久神经性厌食症（SE-AN）的患者提供医疗协助死亡。作者介绍了三个案例，其中两个案例中第一作者参与了患者的死亡过程。神经性厌食症是一种可治疗的精神疾病，其康复情况可能不确定。然而，我们极为关切将“终末期”这一标签应用于神经性厌食症的影响，以及这一标签可能导致精神疾病损害其做出合理治疗决策能力的个体出现不合理死亡的风险。
