@article{ref1,
title="Suicidal ideation at end-of-life: the palliative care team's role",
journal="Palliative and supportive care",
year="2003",
author="Goelitz, Ann",
volume="1",
number="3",
pages="275-278",
abstract="OBJECTIVE: To report on the case of a terminally ill patient who expresses suicidal ideation. METHODS: As this case demonstrates, suicidality at end-of-life poses numerous challenges for the palliative care team. In this case, a 49-year-old man with locally extensive head and neck cancer refused all life-prolonging treatment and expressed a desire to hasten his own death. Other issues, such as chemical dependency and lack of social supports, complicated his care. RESULTS: Suicidality lessened as continuity of care, with ongoing assessments and interventions, addressed sources of suffering and built relationships with health care professionals. SIGNIFICANCE OF RESULTS: This case highlights the observation that desire for hastened death fluctuates for patients at end-of-life and may be influenced by factors under the control of the palliative care team.<p /><p>Language: en</p>",
language="en",
issn="1478-9515",
doi="10.1017/s1478951503030244",
url="http://dx.doi.org/10.1017/s1478951503030244"
}