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Any patient can request euthanasia in many of our neighbouring European countries as long as informed consent is given. Psychiatric evaluation is not always mandatory.
Faced with the increasing emergence of euthanasia requests in different countries from patients under psychiatric care in France for severe depressive episodes, question arises of a possible alteration in the capacity to give consent in the context of a severe depressive episode.
This is a Social and Human Sciences study which does not aim to modify the usual management of patients.
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| Measure | Description | Time Frame |
|---|---|---|
| Capacity to consent (MacCAT-T) | aassessment of the capacity to consent based on the MacArthur Competence Assessment Tool-Treatment (MacCAT-T). The questionnaire assesses four competences in consent : understanding (score ranges from 0 to 6), appreciation (score ranges from 0 to 4), reasoning (score ranges from 0 to 8) and expressing a choice (score ranges from 0 to 2). A low score on each of these dimensions calls into question the patient's ability to consent. | 1 day |
| Measure | Description | Time Frame |
|---|---|---|
| Insight (BCIS) | insight assessement based on the Beck Cognitive Insight Scale (BCIS). The questionnaire contains two sub-scales : self- reflection (9 items) and self-certainty (6 items). Each items ranges from 0 (do not agree at all) to 3 (agree completely) | 1 day |
| Measure | Description | Time Frame |
|---|---|---|
| Depression (BDI) | depression assesement based on the Beck Depression Inventory (BDI) score. Total score ranges from 0 to 63. Higher scores indicate more severe depression symptoms. | 1 day |
| Depression (MADRS) |
Inclusion criteria:
Exclusion criteria:
- Refusal to participate
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Depressed patients (consultation or hospitalization)
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Emilie Olie, MD PhD | Contact | +33 4 67 33 85 81 | e-olie@chu-montpellier.fr | |
| Thomas CATANZARO, MD (intern) | Contact | 4 67 33 82 89 | 33 | t-catanzaro@chu-montpellier.fr |
| Name | Affiliation | Role |
|---|---|---|
| Emilie Olie, MD PhD | University Hospital, Montpellier | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University hospital | Recruiting | Montpellier | 34295 | France |
NC
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| ID | Term |
|---|---|
| D017236 | Suicide, Assisted |
| ID | Term |
|---|---|
| D013405 | Suicide |
| D016728 | Self-Injurious Behavior |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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depression assessement based on the Montgomery Asberg Depression Rating Scale (MADRS) score. Total score ranges from 0 to 60. Higher scores indicate more severe depression symptoms.
| 1 day |
| Suicidality (MADRS) | suicidality assessement based on the 10th MADRS item. The item ranges from 0 (enjoys life or takes it as it come) to 6 (explicit plans for suicide when there is an opportunity. Active preparations for suicide). | 1 day |