Box 4

Under the common law, an advance refusal of treatment is valid if:

  • The patient is an adult and was competent when the directive was made, and
  • The patient has been offered sufficient accurate information to make an informed decision, and
  • The circumstances that have arisen were those envisaged by the patient, and
  • The patient was not subject to any undue influence in making the decision, and
  • The patient has not subsequently changed his/her mind or done anything to indicate that he/she disagrees with the terms of the advance directive.

From: 6, Consent

Cover of Self-Harm
Self-Harm: The Short-Term Physical and Psychological Management and Secondary Prevention of Self-Harm in Primary and Secondary Care.
NICE Clinical Guidelines, No. 16.
National Collaborating Centre for Mental Health (UK).
Leicester (UK): British Psychological Society; 2004.
Copyright © 2004, The British Psychological Society & The Royal College of Psychiatrists.

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