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Clinical and legal issues of inmates' food refusal: the importance of decision-making capacity assessment.

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Title: Clinical and legal issues of inmates' food refusal: the importance of decision-making capacity assessment.
Authors: Petroni, Giulia, Mandarelli, Gabriele, Parmigiani, Giovanna, Ventriglio, Antonio, Ceccobelli, Giulia, Tavone, Alessandro, Catanesi, Roberto, Carabellese, Felice Francesco, Niolu, Cinzia, Siracusano, Alberto, Ferracuti, Stefano, Marella, Gian Luca
Source: International Review of Psychiatry. Nov2024, Vol. 36 Issue 7, p803-811. 9p.
Subjects: Capacity (Law), Behavior disorders, Food consumption, Professional ethics, Legal procedure, Mental illness, Decision making in clinical medicine, Hunger, Systematic reviews, Human rights, Legal status of prisoners, Food habits, Informed consent (Medical law), Psychosocial factors
Abstract: Inmates' food refusal is a large-scale phenomenon raising clinical, ethical, and professional responsibility issues. Obtaining a clinical balance of the right to refuse food with the right to protect the inmate's health can be a challenging process. Several reasons may support inmates' choice of refusing food, including political or protest reasons, as well as psychiatric disorders. The World Medical Association defines a hunger striker as a mentally competent person who has indicated his/her decision to go on a hunger strike by refusing to take any food and/or liquid for a significant amount of time. Force-feeding of mentally capable people is not allowed by a legal standpoint, nor medical treatment can be carried out without patients' explicit consent. According to these premises, both the clinical assessment of possible concurrent psychiatric disorders as well as the assessment of inmates' mental capacity to make decisions about refusing food might help in understanding this behavioural issue. We will also discuss the ethical and legal implications related to the right of refusing food according to the current Italian legislation. [ABSTRACT FROM AUTHOR]
Copyright of International Review of Psychiatry is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Clinical and legal issues of inmates' food refusal: the importance of decision-making capacity assessment.
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  Data: <searchLink fieldCode="AR" term="%22Petroni%2C+Giulia%22">Petroni, Giulia</searchLink><br /><searchLink fieldCode="AR" term="%22Mandarelli%2C+Gabriele%22">Mandarelli, Gabriele</searchLink><br /><searchLink fieldCode="AR" term="%22Parmigiani%2C+Giovanna%22">Parmigiani, Giovanna</searchLink><br /><searchLink fieldCode="AR" term="%22Ventriglio%2C+Antonio%22">Ventriglio, Antonio</searchLink><br /><searchLink fieldCode="AR" term="%22Ceccobelli%2C+Giulia%22">Ceccobelli, Giulia</searchLink><br /><searchLink fieldCode="AR" term="%22Tavone%2C+Alessandro%22">Tavone, Alessandro</searchLink><br /><searchLink fieldCode="AR" term="%22Catanesi%2C+Roberto%22">Catanesi, Roberto</searchLink><br /><searchLink fieldCode="AR" term="%22Carabellese%2C+Felice+Francesco%22">Carabellese, Felice Francesco</searchLink><br /><searchLink fieldCode="AR" term="%22Niolu%2C+Cinzia%22">Niolu, Cinzia</searchLink><br /><searchLink fieldCode="AR" term="%22Siracusano%2C+Alberto%22">Siracusano, Alberto</searchLink><br /><searchLink fieldCode="AR" term="%22Ferracuti%2C+Stefano%22">Ferracuti, Stefano</searchLink><br /><searchLink fieldCode="AR" term="%22Marella%2C+Gian+Luca%22">Marella, Gian Luca</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22International+Review+of+Psychiatry%22">International Review of Psychiatry</searchLink>. Nov2024, Vol. 36 Issue 7, p803-811. 9p.
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– Name: Abstract
  Label: Abstract
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  Data: Inmates' food refusal is a large-scale phenomenon raising clinical, ethical, and professional responsibility issues. Obtaining a clinical balance of the right to refuse food with the right to protect the inmate's health can be a challenging process. Several reasons may support inmates' choice of refusing food, including political or protest reasons, as well as psychiatric disorders. The World Medical Association defines a hunger striker as a mentally competent person who has indicated his/her decision to go on a hunger strike by refusing to take any food and/or liquid for a significant amount of time. Force-feeding of mentally capable people is not allowed by a legal standpoint, nor medical treatment can be carried out without patients' explicit consent. According to these premises, both the clinical assessment of possible concurrent psychiatric disorders as well as the assessment of inmates' mental capacity to make decisions about refusing food might help in understanding this behavioural issue. We will also discuss the ethical and legal implications related to the right of refusing food according to the current Italian legislation. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of International Review of Psychiatry is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/09540261.2024.2391795
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        Text: English
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      – SubjectFull: Capacity (Law)
        Type: general
      – SubjectFull: Behavior disorders
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      – SubjectFull: Food consumption
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