DR

[DR @DR5000817]

@SR5000817 @hana5000817 @headroom50008 to reverse the idea: should physical treatment be forced if refusal causes mental harm to others?

[DR @DR5000817]

@SR5000817 @hana5000817 @headroom50008 not seeking an answer - just to provoke deeper thought.

[DR @DR5000817]

@SR5000817 @hana5000817 @headroom50008 this is true of physical and mental illness. Where do we draw the line in either case?

[DR @DR5000817]

@SR5000817 @hana5000817 @headroom50008 devil's advocate: people who refuse tx could cause self deterioration and emotional harm to others

[DR @DR5000817]

@dd5000817 @brigette5000817 @hana5000817 @headroom50008 it depends on the decision. Very healthy people have made very bad decisions

[DR @DR5000817]

@hana5000817 @JackSnowball2 @headroom50008 children have previously been treated as such in terms of cancer

[DR @DR5000817]

@elsa5000817 @hana5000817 @headroom50008 maybe physical illness is perceived as less impact on others and so not forced?

[DR @DR5000817]

@clare4mh @Stru50008_17 @headroom50008 also what perspective the physician has of QoL - whether they consider euthanasia at all as an option

[DR @DR5000817]

@Stru50008_17 @headroom50008 - in contrast pt views of their partner might be not be flawed. Sound and unsound judgement in different areas

[DR @DR5000817]

@Stru50008_17 @headroom50008 pt judgement is not universal; depressed pt might have a flawed self image which we seek to correct

[DR @DR5000817]

@Stru50008_17 @headroom50008 some of the above might be playing devil's advocate but MH is truly one of the flaws of euthanasia

[DR @DR5000817]

@Stru50008_17 @headroom50008 why put someone under the act to prevent their suicide if you will entertain euthanasia as treatment for them?

[DR @DR5000817]

@Stru50008_17 @headroom50008 rather MH complicates the question of euthanasia by asking what to do with pts who are a threat to themselves

[DR @DR5000817]

@lrignredom @headroom50008 and then the issue of consent in MH - can a depressed or traumatised pt make clear decisions on euthanasia?

[DR @DR5000817]

@lrignredom @headroom50008 problematic; we constantly direct people away from SI and self harm; why consider medical suicide as a solution?

[DR @DR5000817]

@JY5000817 @MNTLLY_enthused @headroom50008 likewise police and army bullying can be encountered

[DR @DR5000817]

@MNTLLY_enthused @JY5000817 @headroom50008 bullying can occur anywhere. The case of Brodie that led to legislation was from a cafe

[DR @DR5000817]

@hana5000817 @headroom50008 A large part is whether they are thought competent in decisions. Physical illness does not impair decisions

[DR @DR5000817]

@hana5000817 @headroom50008 previously parents have had their refusal RE blood transfusion or cancer tx overruled even tho the child agreed

[DR @DR5000817]

@hana5000817 @headroom50008 sometimes this right can be overruled - particularly in children whose parents refuse a treatment