Evidence map›Paper›PMID 30093739›Full record

ArticleIndian journal of psychological medicine

How do Our Patients Respond to the Concept of Psychiatric Advance Directives? An Exploratory Study From India.

Bheemsain Tekkalaki, Veerappa Y Patil, Sandeep Patil, Sameeran S Chate, Ramling Dhabale, Nanasaheb M Patil

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Article in Indian journal of psychological medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Bheemsain TekkalakiDepartment of Psychiatry, K.L.E. Academy of Higher Education, J.N. Medical College, Belagavi, Karnataka, India.
Veerappa Y PatilConsultant Psychiatrist, District Mental Health Program, Bagalkot, Karnataka, India.
Sandeep PatilDepartment of Psychiatry, K.L.E. Academy of Higher Education, J.N. Medical College, Belagavi, Karnataka, India.
Sameeran S ChateDepartment of Psychiatry, K.L.E. Academy of Higher Education, J.N. Medical College, Belagavi, Karnataka, India.
Ramling DhabaleConsultant Psychiatrist, Bengaluru, Karnataka, India.
Nanasaheb M PatilDepartment of Psychiatry, K.L.E. Academy of Higher Education, J.N. Medical College, Belagavi, Karnataka, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPsychiatric advance directives have been incorporated in the Mental Health Care Act 2017 despite strong concerns about their feasibility and utility in the Indian patient population. Data on its utility in India is very scarce.

aimsTo determine the possible treatment options our clients make as a part of psychiatric advance directives. MATERIALS AND

methodsFifty consecutive individuals with severe mental illness were interviewed using a self-designed semi-structured tool to find out the possible choices they make as part of advance directives and the factors affecting their choices.

resultsAbout 10% of the participants failed to understand the concept of advance directives. Of those who understood, 89% were willing to make advance directives, 15% refused future hospitalizations, 47% refused future electroconvulsive therapies (ECTs), and 62% refused physical restraints in future.

conclusionThe majority of the participants agreed to make advance directives. The majority of those who agreed to make advance directives refused to undergo ECTs and physical restraints in future episodes of illness. Approximately 10% of the patients could not understand the concept of advance directives.

Indexed as

FeasibilityMental Health Care Actpsychiatric advance directives

Identifiers

PMID30093739
PMCPMC6065124

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