Sissyl wrote:When you ask the depressed patient about suicidal ideation and planning, he looks into the floor, takes a long time answering and says "No. I just want to go home."
If that's all, then I have no reason to stop them. I certainly don't have any justification to forcibly medicate in that scenario. I don't begin with the assumption that the person is suicidal, and nothing you've added has shown me otherwise. What would I do, call the psych unit and say "I've got a patient who's not showing any signs of being suicidal, but they're severely depressed. We'd better involuntarily commit them for 72 hour observation and medication." ?
It's not perfect, but it's far better (in my opinion) than taking away a person's choice, and treating them as incapable. If you treat someone as though that are incapable, you encourage them to be incapable. Not all, or even most if the statistics are any indication, of the people with depression are incapable. I have no reason to believe this is not also true of the subset that has severe depression.
Is it worth it to forcibly violate the will of many, risking their minds and bodies, to save a few?
Not to mention that you might teach them that hospitals are places to be avoided. If I was held against my will for 3 days, then billed for it, I wouldn't want to chance a repeat performance.