TABLE 3. Continued Treatment criteria Disagree or strongly disagree Agree or strongly agree Action after analysing the comments If a patient does not want to participate in the diagnostic process, there can be no irremediable psychiatric suffering. 26% 49% Rephrased to ‘there are limits to the number of diagnostic procedures a patient must undertake’ When a patient refuses the abovementioned drug-treatments, the suffering is not irremediable. 23% 53% Merged all criteria into one more generic criterion about treatment and changed the wording to ‘there should be limits to the number of treatments a patient can be asked to undergo’ When a patient refuses the abovementioned ECT, the suffering is not irremediable. 34% 36% When a patient refuses the abovementioned psycho-surgical treatment, the suffering is not irremediable. 60% 21% When a patient refuses the abovementioned psychotherapy, the suffering is not irremediable. 17% 57% When a patient refuses the abovementioned acceptance-oriented psychotherapy, the suffering is not irremediable. 23% 47% When a patient refuses the abovementioned repetition of psychotherapy, the suffering is not irremediable. 47% 11% DSM-5 = Diagnostic statistical manual fifth edition. | Physician assisted death (PAD) ECT = electro convulsion therapy | IPS = irremediable psychiatric suffering | DBS = deep brain stimulation Round two criteria The second round contained nine criteria (table 4). The open definition in round one inspired two new criteria in round two. Of these, one reached consensus (table 2: criterion J). Two diagnostic criteria reached consensus (table 2: criteria A2 and C). Out of three criteria concerning treatment, two reached consensus (table 2: criteria G and K). The comments showed that all criteria were well understood and therefore both the dissensus and the consensus that was found was regarded as valid and no new round was started. A DELPHI STUDY ON IRREMEDIABILITY | 107 6
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