en
Scientific article
Review
English

Hunger strike among detainees: guidance for good medical practice

Published inSchweizerische medizinische Wochenschrift, vol. 142, w13675
Publication date2012
Abstract

Hunger strike is a regularly reported problem in prison. Although clinical situations are rarely severe, hospitalisation is often considered. In consequence, it is not only physicians working in prisons, but also hospital medical teams who face challenges related to hunger strike, involving somatic, psychological, legal and human rights aspects. Furthermore, deontological rules must be strictly respected when delivering care, particularly in prison setting. Starvation involves metabolic changes and can cause severe, and sometimes even irreversible or fatal complications. Moreover, the phase of re-alimentation should not be trivialised, as re-feeding syndrome is a potentially fatal phenomenon. This article provides guidance for monitoring and management of patients on hunger strike.

Keywords
  • Advance Directives/ethics
  • Comorbidity
  • Dissent and Disputes
  • Ethical Theory
  • Fasting/adverse effects/physiology/psychology
  • Health Status
  • Human Rights
  • Humans
  • Informed Consent/ethics
  • Medical Staff/ethics/standards
  • Physician-Patient Relations/ethics
  • Prisoners/psychology
  • Refeeding Syndrome/complications/etiology/prevention & control
  • Starvation/complications/psychology/therapy
  • Treatment Refusal/ethics/legislation & jurisprudence
Citation (ISO format)
GETAZ, Laurent et al. Hunger strike among detainees: guidance for good medical practice. In: Schweizerische medizinische Wochenschrift, 2012, vol. 142, p. w13675. doi: 10.4414/smw.2012.13675
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Article (Published version)
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Identifiers
ISSN of the journal0036-7672
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