Major Depressive Episode
Conditions
Keywords
Capacity to consent, Euthanasia
Brief summary
Any patient can request euthanasia in many of our neighbouring European countries as long as informed consent is given. Psychiatric evaluation is not always mandatory. Faced with the increasing emergence of euthanasia requests in different countries from patients under psychiatric care in France for severe depressive episodes, question arises of a possible alteration in the capacity to give consent in the context of a severe depressive episode. This is a Social and Human Sciences study which does not aim to modify the usual management of patients.
Interventions
None listed
Sponsors
University Hospital, Montpellier
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
Yes
Inclusion criteria
* Age between 18 and 75 * Ability to understand and participate in the interview * French-speaking * Presence of a current characterized depressive episode according to DSM-5 diagnostic criteria
Exclusion criteria
\- Refusal to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Capacity to consent (MacCAT-T) | 1 day | aassessment of the capacity to consent based on the MacArthur Competence Assessment Tool-Treatment (MacCAT-T). The questionnaire assesses four competences in consent : understanding (score ranges from 0 to 6), appreciation (score ranges from 0 to 4), reasoning (score ranges from 0 to 8) and expressing a choice (score ranges from 0 to 2). A low score on each of these dimensions calls into question the patient's ability to consent. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Insight (BCIS) | 1 day | insight assessement based on the Beck Cognitive Insight Scale (BCIS). The questionnaire contains two sub-scales : self- reflection (9 items) and self-certainty (6 items). Each items ranges from 0 (do not agree at all) to 3 (agree completely) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Depression (BDI) | 1 day | depression assesement based on the Beck Depression Inventory (BDI) score. Total score ranges from 0 to 63. Higher scores indicate more severe depression symptoms. |
| Depression (MADRS) | 1 day | depression assessement based on the Montgomery Asberg Depression Rating Scale (MADRS) score. Total score ranges from 0 to 60. Higher scores indicate more severe depression symptoms. |
| Suicidality (MADRS) | 1 day | suicidality assessement based on the 10th MADRS item. The item ranges from 0 (enjoys life or takes it as it come) to 6 (explicit plans for suicide when there is an opportunity. Active preparations for suicide). |
Countries
France
Contacts
Primary ContactEmilie Olie, MD PhD
Backup ContactThomas CATANZARO, MD (intern)
Outcome results
None listed