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Consent to ECT: patients' experiences in an Irish ECT clinic

  • Gavin Rush (a1), Shane McCarron (a1) and James V. Lucey (a2)
Abstract
Aims and Method

The aim of this study was to examine the subjective experience of the procedure for obtaining consent for electroconvulsive therapy (ECT) in an Irish setting. A total of 89 consecutively treated patients were sent a postal survey at an average of 17 weeks after ECT treatment.

Results

This survey revealed low rates of perceived coercion in relation to consenting to ECT. Overall, there were high rates of satisfaction with the consenting procedure in terms of information and staff support.

Clinical Implications

In an accredited clinic, the consenting procedure can be conducted in an environment free of coercion, resulting in higher levels of patient satisfaction than previously reported.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Caird, H., Worrall, A. & Lelliott, P. (2004) The Electroconvulsive Therapy Accreditation Service. Psychiatric Bulletin, 28, 257259.
Mental Health Commission (2006) Rules Governing the Use of Electroconvulsive Therapy (reference number R-S59(2)/01/2006). MHC. http://www.mhcirl.ie/rules.htm
National Institute for Clinical Excellence (2003) Guidance on the use of Electroconvulsive Therapy. NICE.
Rose, D. S., Wykes, T. H., Bindman, J. P., et al (2005) Information, consent and perceived coercion: patients' perspectives on electroconvulsive therapy. British Journal of Psychiatry, 186, 5459.
Royal College of Psychiatrists (2005) The ECT Handbook (2nd edn). The Third Report of the Royal College of Psychiatrists' Special Committee on ECT (Council Report CR128). Royal College of Psychiatrists.
Rush, G., McCarron, S., Lucey, J.V. (2007) Patient attitudes to electroconvulsive therapy. Psychiatric Bulletin, 31, 212214.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Consent to ECT: patients' experiences in an Irish ECT clinic

  • Gavin Rush (a1), Shane McCarron (a1) and James V. Lucey (a2)
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