this post was submitted on 10 Dec 2024
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United States | News & Politics
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Headache? Report to police.
Back Pain? Report to police. (That nearly 30% of all Americans have suffered from)
You get a police report. You get a police report! Everybody gets a police report!!!! - Oprah Winfrey the MD
You have to make a report if the patient expresses homicidal ideation, intent, and a plan with a specific target or targets in mind. If the target is a particular person (like a partner or friend) you are supposed to notify that person directly or ensure that the police notify them.
Establishing any kind of precedent that chronic pain = homicidal ideation and intent is an extremely bad idea, and not something I'm even willing to joke about.
Yeah I get it, as a doctor your professional rep is on the line, inserting casual threats to insurance execs is not something to do (unless you can somehow organize it across a large group to keep insurers' feet to the fire).
For me, it's not the professional reputation, but the second that kind of thing gets tagged onto a patient's chart, it becomes extremely hard to expunge. There are a lot of patients with mental illnesses (some which are misdiagnoses) that face significant problems because of that diagnosis. If a chart gets flagged with "homicidal ideation" at any point, that patient will forever be flagged as dangerous and people will be suspicious of them immediately.