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BMJ 2005;330:764 (2 April), doi:10.1136/bmj.330.7494.764
| The first 150 words of the full text of this article appear below. |
Some years ago I was asked to visit a 62 year old man on hunger strike in a prison hospital. He was awaiting trial for murder. There was no physical reason for his not eating, and neither the prison doctor nor a psychiatrist could find any evidence of mental illness. The prisoner simply felt that only by ending his own life could he approach atonement for his sin. My opinion was that we should try to encourage him to change his aim but that he should be allowed to starve himself to death if he insisted. He seemed to me to be a man of honour who knew he had made a terrible mistake.
Over the next few days he was seen by several psychiatrists from around the country, and they all found him sane. He saw his solicitor and made an advance directive that he was not to have
Chris Burns-Cox, consultant physician
(chris.burns-cox@virgin.net), Frenchay Hospital, Bristol
Rachel Gilbert, nursing sister
Frenchay Hospital, Bristol
What can you learn from this BMJ paper? Read Leanne Tite's Paper+