Advance directives in Brazil: applicability in psychiatry

Abstract

This study aimed to analyze the perception of psychiatrists working in Brazil regarding the actual
applicability of advance directives in their work and their presumed consequences, considering that
there is still no specific law regulating the use of this tool in Brazil. A qualitative study was conducted,
involving a population of 40 psychiatrists in the city of Rio de Janeiro. Data were collected via interviews
with two open-ended questions, and the results were treated according to Bardin’s content analysis
principles to analyze reflections of the professionals on the topic. The findings show that most
physicians tend to support the use of directives, with few arguments against them. The possibility of
sharing decisions with patients tended to be well received. It can be said that directives in advance lack
dissemination among psychiatrists. Actions to improve this scenario are already being implemented,
reaching medical school graduates.