ArticleThe Australian and New Zealand journal of psychiatry2022
Palliative psychiatry in a narrow and in a broad sense: A concept clarification.
Article in The Australian and New Zealand journal of psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- End-of-life care for people with severe and persistent mental illness and a life-limiting disease: An umbrella review.European psychiatry : the journal of the Association of European Psychiatrists · 2025Pooled it
- The relationship between palliative psychiatry and assisted dying: a scoping review.EClinicalMedicine · 2026Review
- A Survey of Canadian Psychiatrists' Attitudes Towards Palliative Care Approaches for Severe and Persistent Mental Illness: Enquête sur les attitudes des psychiatres canadiens à l'égard des approches de soins palliatifs pour les troubles mentaux graves et persistants.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2026Article
- Ensuring High Quality Oyster Care for People Experiencing Severe and Persistent Mental Illness - A Three-Phase Development of A Quality Monitoring Tool.Community mental health journal · 2026Article
- The Cybernetics of Mental Disorders as a Bridge Between Palliative Care and Palliative Psychiatry-A Narrative Review.Healthcare (Basel, Switzerland) · 2026Review
- Understanding and evaluation of the concept of "palliative psychiatry" among service users with chronic and treatment-resistant depression: a qualitative study of service user perspectives.BMC psychiatry · 2026Article
- Challenges in the End-of-Life Care for Patients With Severe Persistent Mental Illness: A Case Series.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2026Article
- Palliative psychiatry through the eyes of psychiatric nurses in a country where palliative psychiatry has not yet emerged: A qualitative study.Palliative & supportive care · 2026Article
- Addressing 'futility' in psychiatry: a consensus statement.Psychological medicine · 2026Article
- Early Palliative Care in the Emergency Department: A Concept Clarification.Journal of caring sciences · 2024Article
- Ethical concerns in caring for persons with anorexia nervosa: content analysis of a series of documentations from ethics consultations.BMC medical ethics · 2024Article
- Qualitative Research on the Topic of End-of-Life Care and a Palliative Care Approach in Persons with Severe and Persistent Mental Illness: Reflections and Take-Home Messages.Alpha psychiatry · 2024Article
- Ethical Challenges in the Treatment of Patients With Severe Anorexia Nervosa.Focus (American Psychiatric Publishing) · 2024Article
- Palliative Care Psychiatry: Building Synergy Across the Spectrum.Current psychiatry reports · 2024Review
- Care considerations in medical assistance in dying for persons with mental illness as the sole underlying medical condition: a qualitative study of patient and family perspectives.BMC psychiatry · 2024Article
- Practical psychiatry: On therapeutic equipoise - Principles of a balanced approach to psychiatric treatments.Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 2024Article
- Geriatric Psychiatrists' Perspectives on Palliative Care: Results From A National Survey.Journal of geriatric psychiatry and neurology · 2024Article
- Psychiatric Goals of Care at the End of Life: A Qualitative Analysis of Medical Records at a Geriatric Psychiatric Outpatient Clinic.Journal of aging research · 2024Article
- Deprescribing as a therapeutic goal in palliative psychiatry.Indian journal of psychiatry · 2024Article
- [Changes in the routine work and moral distress in psychiatric care during the COVID-19 pandemic : A survey among physicians active in inpatient care in Germany].Der Nervenarzt · 2023Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Even with optimal treatment, some persons with severe and persistent mental illness do not achieve a level of mental health, psychosocial functioning and quality of life that is acceptable to them. With each unsuccessful treatment attempt, the probability of achieving symptom reduction declines while the probability of somatic and psychological side effects increases. This worsening benefit-harm ratio of treatment aiming at symptom reduction has motivated calls for implementing palliative approaches to care into psychiatry (palliative psychiatry). Palliative psychiatry accepts that some cases of severe and persistent mental illness can be irremediable and calls for a careful evaluation of goals of care in these cases. It aims at reducing harm, relieving suffering and thus improving quality of life directly, working around irremediable psychiatric symptoms. In a narrow sense, this refers to patients likely to die of their severe and persistent mental illness soon, but palliative psychiatry in a broad sense is not limited to end-of-life care. It can - and often should - be integrated with curative and rehabilitative approaches, as is the gold standard in somatic medicine. Palliative psychiatry constitutes a valuable addition to established non-curative approaches such as rehabilitative psychiatry (which focuses on psychosocial functioning instead of quality of life) and personal recovery (a journey that persons living with severe and persistent mental illness may undertake, not necessarily accompanied by mental health care professionals). Although the implementation of palliative psychiatry is met with several challenges such as difficulties regarding decision-making capacity and prognostication in severe and persistent mental illness, it is a promising new approach in caring for persons with severe and persistent mental illness, regardless of whether they are at the end of life.
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Registered trials
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