title: Self-neglect of spinal injured patients.
abstract: Self-neglect is a recognised, but poorly emphasised, complication of spinal cord injury, with a prevalence in this study of 9% of a consecutive sample of 400 patients. Self-neglect may be the presenting symptom of problems related to adjustment to disability, a major depressive disorder (DSM III criteria), or a clear and rational wish to die (existential self-neglect). Management is discussed, emphasising the importance of respecting spinal injured patients' autonomy.
authors.affiliation: Spinal Injuries Unit, Burwood Hospital, Christchurch, New Zealand.
authors.forename: A D
authors.initials: AD
authors.lastname: Macleod
mesh_terms: D000275:Adjustment Disorders / Q000150:complications / Q000523:psychology / Q000628:therapy; D000328:Adult; D003863:Depression / Q000150:complications / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011613:Psychotherapy; D012297:Right to Die; D012648:Self Care; D013119:Spinal Cord Injuries / Q000150:complications / Q000628:therapy*