Above all else, do no harm. This is a basic tenet of a physician’s oath, but this oath does not always align with the religious and cultural beliefs of each patient. In cases where beliefs of faith, salvation or religion play a major factor in a patient’s desire to commit suicide, it can be difficult to draw the line between the traditional ethical guidelines of patient autonomy and non-maleficence.
Residency is a challenging time plagued by long hours, overwhelming clinical service loads, escalating documentation requirements, and inadequate resources for support. A recently published study in the New England Journal of Medicine illustrates how mistreatment in the training environment takes an additional toll on medical trainees.
During my fourth year of medical school, I was completely unaware that I was suffering from clinical depression. Even now as I write this, I struggle to put my finger on how it all started. Was my appetite the first thing to go? Or the loss of enjoyment in socializing and sex? Maybe it was all three at once. It is truly too hard to tell.