title: [Clinical ethics in psychiatry: state of the art].
abstract: OBJECTIVE
  Overview on Clinical Ethics Consultation in Psychiatry.
  
  
  METHODS
  Systematic literature search in data bases (PubMed, Web of Knowledge, SpringerLink, PubPsych, PsychSpider und PsycINFO) against the background of practical experiences with pilot model of implementation of Ethics Consultation in one psychiatric university hospital.
  
  
  RESULTS
  Reports on Ethics Consultation in Psychiatry were published only sporadically. This is contrasted by recent experiences showing considerable needs for ethics support in Child and Adolescent Psychiatry, Adult as well as Forensic Psychiatry.
  
  
  CONCLUSIONS
  This somewhat "late" development of Ethics Consultation in Psychiatry (compared with somatic medicine) might have structural reasons (lacking resources), be related to strong compensatory competencies of psychiatric staff, esp. regarding communication or legal knowledge, but could also relate to an under-estimation ("under-diagnostic") of ethical problems in psychiatric patient care - both, in the eyes of psychiatric insiders, as well as seen from the outside.
  
  
  CONCLUSIONS
  Needs for model projects and accompanying research on Ethics Consultation in Psychiatry. Proved in practice: patient- as well as team-oriented ethics support.
authors: Abteilung Klinische Ethik, Universitäre Psychiatrische Kliniken, Universitätsspital Basel, IBMB, Universität Basel, Schweiz.
authors: Stella
authors: S
authors: Reiter-Theil
authors: Abteilung Klinische Ethik, Universitäre Psychiatrische Kliniken, Universitätsspital Basel, IBMB, Universität Basel, Schweiz.
authors: Jan
authors: J
authors: Schürmann
authors: Kinder- und Jugendpsychiatrische Klinik, Universitäre Psychiatrische Kliniken, Basel, Schweiz.
authors: Klaus
authors: K
authors: Schmeck
mesh_terms: D003299:Cooperative Behavior; D033061:Ethics Consultation; D004992:Ethics, Medical; D006801:Humans; D033183:Interdisciplinary Communication; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy; D011570:Psychiatry / Q000941:ethics*; D013557:Switzerland