A psychiatric perspective of dialysis discontinuation

Lewis M. Cohen, J. Michael Bostwick, Adam Mirot, Jane Garb, Gregory Braden, Michael Germain

Research output: Contribution to journalReview articlepeer-review

10 Scopus citations


In the 1970s, the suicide rate of patients with end-stage renal disease (ESRD) was calculated by conflating deaths from obvious clinical suicide attempts with deaths caused by lethal noncompliance and deaths preceded by dialysis discontinuation. Three decades later, although society's view about cessation of life-support treatment has markedly changed, relatively little is known about the psychiatric aspects of dialysis discontinuation. This paper reviews the literature and suggests a number of findings that warrant further research investigation.

Original languageEnglish (US)
Pages (from-to)1262-1265
Number of pages4
JournalJournal of Palliative Medicine
Issue number6
StatePublished - Dec 1 2007

ASJC Scopus subject areas

  • Nursing(all)
  • Anesthesiology and Pain Medicine


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