Narrat Inq Bioeth. 2024;14(1):51-57. doi: 10.1353/nib.2024.a934174.
Ethical questions surrounding withdrawal of life support can be complex. When life support therapies are the result of a suicide attempt, the potential ethical issues take on another dimension. Duties and principles that normally guide clinicians' actions as caregivers may not apply as easily. We present a case of attempted suicide in which decisions surrounding withdrawal of life support provoked conflict between a patient's family and the medical team caring for him. We highlight the major unresolved philosophical questions and contradictory normative values about suicide that underlie this conflict. Finally, we show how these considerations were practically applied to this particular case.
围绕着停止生命支持的伦理问题可能会很复杂。当生命支持疗法是自杀企图的结果时,潜在的伦理问题就会呈现出另一个层面。通常指导临床医生作为护理者采取行动的职责和原则可能不太适用。我们提出了一个试图自杀的案例,在这个案例中,围绕着停止生命支持的决定在患者的家属和照顾他的医疗团队之间引发了冲突。我们强调了这个冲突所涉及的、关于自杀的主要未解决的哲学问题和矛盾的规范价值观。最后,我们展示了如何将这些考虑因素实际应用于这个特殊案例。