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Why extra caution is needed in the case of depressed patients

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.

  • iThe authors make some helpful observations about what should count as a ‘realistic appreciation’.

  • iiExtra caution in the case of psychiatric patients has been required by the Dutch High Court in the famous Chabot case, 21 Jun 1994.

  • iiiSee, for example, ref. 3. The right to decide by what means and at what point his life will end has been recognized by the European Court of Human Rights in Haas v Switzerland, 20 Jan 2011.

  • ivIn particular, case 2011-134404, and five cases in 2013 in which a psychiatrist in his capacity of independent consultant had voiced such doubts, but the reporting doctor had simply approached another consultant, not a psychiatrist.

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