The recognition of one’s illness and an awareness of how that illness and certain actions might have an impact on one’s well-being have long been considered positive prognostic signs in psychiatry.
It was therefore most reassuring to receive the following within a letter from a Community Psychiatric Nurse who had been to assess a patient, whom I shall call John:
‘John has had violent pre-morbid thoughts of killing himself, but states that he would not act on them as he realises that it would be contrary to his best interests.’
Insight at its best!
(First published in GP Magazine, 15 March 2004)
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