정신건강의학과 영역에서 사전동의

Abstract

Informed consent is the procedure that respects the autonomy of patients; doctors protect patients’choices and rights through informed consent. Competence and voluntariness are prerequisitefor the informed consent. In recent years, the necessity of informed consent from the Psychiatricdepartment has been raised. Regarding informed consent from the Psychiatric department,there is a need to consider from two perspectives: respect for the patient’s decisionmakingability and the psychiatrist’s legal self-protection. In competence and voluntariness,psychiatric patients were excluded due to lack of decision-making ability and willingness. However,not all psychiatric patients were able to perform the given task. Therefore, informed consentis needed in the point of view regarding the decision-making ability of psychiatric patients. Psychotropicmedications, particularly antipsychotics, can cause several side effects, including extrapyramidalsyndrome and metabolic syndrome. Therefore, preannouncement of these patientsfor these side effects is needed. However, when the informed consent is only applied to psychiatrichospitals, it may increase prejudices and misconceptions about psychiatric medications andtreatment. Therefore, the informed consent should first be considered carefully and thoughtfully.