Disyuntivas en las concepciones sobre autonomía y beneficencia que afectan la terapéutica del intento suicida

Abstract

The aim of this study is to know the conflicts between beneficence and autonomy principles present in physician-patient relationship during therapy of suicidal attempt. Research was carried out in two psychiatry hospitals of the city of Mexico. The sample included three subjects with suicidal attempt, older than 18 years, attended as outpatients for an injure self inflicted last year, and three psychiatrists treating these patients. Information was obtained by individual interviews with previous informed consent. An argumentative discourse analysis was carried out to find meaning given by participants to bioethics principles and possible conflicts between them. Conflicts between beneficence and autonomy were related to the benefit of treatment, respect to patients values and beliefs, among others. This study present relevant ethical considerations in the clinical scenery, by offering to the psychiatrist a bioethical analysis which allows him/her to act according with beneficence while respecting the autonomy of the patient in cases of suicidal attempt and, in this way, to give them better attention.