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Institute of Biomedical Ethics and History of Medicine (IBME)

New article in The Lancet Psychiatry by Manuel Trachsel and Nikola Biller-Andorno

'Palliative psychiatry for severe and persistent mental illness' by Manuel Trachsel, Scott A. Irwin, Nikola Biller-Andorno, Paul Hoff, and Florian Riese


Despite all of psychiatry's efforts to prevent mental illness and to promote recovery, some patients will develop severe and persistent mental illness (SMI). These patients represent a particularly vulnerable population, at risk of either therapeutic neglect or overly aggressive care. We propose a complementary approach in the treatment of SMI; palliative psychiatry, as a means to improve quality of care, person-centeredness, and autonomy for SMI patients.