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Old 06-24-2012
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Medicolegal and Ethics NBME Concept, Suicide and Liver Transplant!

Is TCA resistant major depression with h/o suicide attempt contraindication for liver transplantation??
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Old 06-24-2012
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No, since there are other effective therapies for major depression like SSRI, SSNRI, ECT.
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Old 06-24-2012
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When the patient is suicidal, you cannot put him on Liver transplant list, as other patients would benefit more, what's the use of transplanting his liver and he's gonna kill himself anyway!

So the proper is action is to treat the depression first, and once the patient is no longer suicidal you can then put him on transplant list.
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Old 06-24-2012
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Quote:
Originally Posted by Hokolesqua View Post
When the patient is suicidal, you cannot put him on Liver transplant list, as other patients would benefit more, what's the use of transplanting his liver and he's gonna kill himself anyway!

So the proper is action is to treat the depression first, and once the patient is no longer suicidal you can then put him on transplant list.
if the pt is in fulminant hepatic failure we might not have time for waiting......IMO we shud proceed with the transplantation as depression can be treated with other modalities and pt hospitalized till he improves.
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Old 06-24-2012
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Quote:
Originally Posted by Hokolesqua View Post
When the patient is suicidal, you cannot put him on Liver transplant list, as other patients would benefit more, what's the use of transplanting his liver and he's gonna kill himself anyway!

So the proper is action is to treat the depression first, and once the patient is no longer suicidal you can then put him on transplant list.
That's obvious but the question was :

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Is TCA resistant major depression with h/o suicide attempt contraindication for liver transplantation??
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