@article{ref1,
title="Differentiating suicide from life-ending acts and end-of-life decisions: a model based on chronic kidney disease and dialysis",
journal="Psychosomatics",
year="2009",
author="Bostwick, J. Michael and Cohen, Lee M.",
volume="50",
number="1",
pages="1-7",
abstract="BACKGROUND: Technological advances continue to yield life-prolonging treatments that complicate the occurrence of death. Until recently, refusal to submit to recommended care was considered suicide. OBJECTIVE: Physicians must now decide how to respond to requests for hastened dying. METHOD: The authors propose a four-square grid distinguishing true suicide from behaviors such as treatment termination and lethal noncompliance. RESULTS: One axis characterizes whether actions hasten death. The other identifies how the patient's social and medical network collaborate in the decision-making process. CONCLUSION: Using chronic kidney disease to model intent and collaboration, treatment is framed within a paradigm that reflects both end-of-life decision-making complexities and contemporary conceptualizations of suicide.<p /> <p>Language: en</p>",
language="en",
issn="0033-3182",
doi="10.1176/appi.psy.50.1.1",
url="http://dx.doi.org/10.1176/appi.psy.50.1.1"
}