Intended for healthcare professionals

Letters Advanced directives and suicidal behaviour

What to do about treatment refusal at 3 am?

BMJ 2010; 341 doi: (Published 05 October 2010) Cite this as: BMJ 2010;341:c5477
  1. Stephen Davies, consultant psychiatrist
  1. 1Morriston Hospital, SA6 6NL, UK
  1. stephenpdavies{at}

The problem of how “serious emotional turmoil” can affect capacity arises every night in emergency departments.1 Determining capacity on the basis of a distressed person’s ability to balance information is difficult and subjective. David and colleagues suggest that at 3 am a casualty officer …

View Full Text

Log in

Log in through your institution


* For online subscription