{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T04:29:22Z","timestamp":1769315362709,"version":"3.49.0"},"reference-count":35,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2017,7,19]],"date-time":"2017-07-19T00:00:00Z","timestamp":1500422400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["www.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Ir. j. psychol. Med."],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:sec id=\"S0790966717000337_abs1\" sec-type=\"objectives\"><jats:title>Objectives<\/jats:title><jats:p>We sought to identify and review published studies that discuss the ethical considerations, from a physician\u2019s perspective, of managing a hunger strike in a prison setting.<\/jats:p><\/jats:sec><jats:sec id=\"S0790966717000337_abs2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>A database search was conducted to identify relevant publications. We included case studies, case series, guidelines and review articles published over a 20-year period. Non-English language publications were translated.<\/jats:p><\/jats:sec><jats:sec id=\"S0790966717000337_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>The review found 23 papers from 12 jurisdictions published in five languages suitable for inclusion.<\/jats:p><\/jats:sec><jats:sec id=\"S0790966717000337_abs4\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>Key themes from included publications are identified and summarised in the context of accepted guidelines from the World Medical Association. Whilst there seems to be an overall consensus favouring autonomy over beneficence, tensions along this fine balance are magnified in jurisdictions where legislation leads to a dual loyalty conflict for the physician.<\/jats:p><\/jats:sec>","DOI":"10.1017\/ipm.2017.33","type":"journal-article","created":{"date-parts":[[2017,7,19]],"date-time":"2017-07-19T07:28:41Z","timestamp":1500449321000},"page":"135-142","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":7,"title":["Hunger strikes in prisons: a narrative systematic review of ethical considerations from a physician\u2019s perspective"],"prefix":"10.1017","volume":"35","author":[{"given":"G.","family":"Gulati","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B. D.","family":"Kelly","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Meagher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Kennedy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. P.","family":"Dunne","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2017,7,19]]},"reference":[{"key":"S0790966717000337_ref10","first-page":"904","article-title":"Force-feeding prisoners is wrong","volume":"17","author":"Boyd","year":"2015","journal-title":"American Medical Association Journal of Ethics"},{"key":"S0790966717000337_ref14","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X13008868"},{"key":"S0790966717000337_ref24","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(94)00098-B"},{"key":"S0790966717000337_ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.jflm.2015.06.011"},{"key":"S0790966717000337_ref8","doi-asserted-by":"publisher","DOI":"10.1093\/bjaceaccp\/mkt032"},{"key":"S0790966717000337_ref18","unstructured":"Fung G (2016). Chinese political prisoner ends hunger strike, transfers to another prison. Radio Free Asia Cantonese Service, 23 August (http:\/\/www.rfa.org\/english\/news\/china\/china-guofeixiong-08232016135452.html). Accessed 25 January 2016."},{"key":"S0790966717000337_ref35","unstructured":"World Medical Association (2006). World Medical Association Declaration on Hunger Strikers, Adopted by the 43rd World Medical Assembly Malta, November 1991 and revised by the WMA General Assembly, Pilanesberg, South Africa 2006 (http:\/\/www.wma.net\/en\/30publications\/10policies\/h31\/). 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Israel\u2019s High Court: forced feeding of hunger striking detainees is legal, The Jerusalem Post, 11 September (http:\/\/www.jpost.com\/Arab-Israeli-Conflict\/Israels-High-Court-Forced-feeding-of-hunger-striking-detainees-is-legal-467486). 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