Development of a guideline to confirm voluntariness in living-related organ donation

2014 Fiscal Year Final Research Report

• Project/Area Number: 24591731
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Psychiatric science
• Research Institution: Tokyo Women's Medical University
• Principal Investigator: KATSUJI Nishimura 東京女子医科大学, 医学部, 臨床准教授 (60218188)
• Co-Investigator(Kenkyū-buntansha): KOBAYASHI Sayaka 東京女子医科大学, 医学部, 臨床心理士 (40439807) ; OKITSU Hiromi 東京女子医科大学, 医学部, 助教 (40385399) ; TSUTSUI Junko 東京女子医科大学, 医学部, 臨床心理士 (20363624) ; ISHIGOOKA Jun 東京女子医科大学, 医学部, 教授 (80142412)
• Project Period (FY): 2012-04-01 – 2015-03-31
• Keywords: 生体臓器移植 / ドナー / 自発性 / 意思決定

Outline of Final Research Achievements

The 2007 ethical guidelines of the Japan Society for Transplantation was the first to set out the requirement for "third-party" confirmation by a psychiatrist or other person, to confirm that the living organ is provided voluntarily by the donor. First, we built consensus on how to confirm the donor’s voluntariness. This was done through discussions in a committee on organ transplant psychiatry of the Japanese Society of General Hospital Psychiatry. We then published "A Guideline to Confirm Decision-Making Involved in Living Organ Donation." Second, we conducted a nationwide survey to clarify the current status of third-party confirmation. Answers to a survey questionnaire were collected from 89 of the 126 kidney, and 30 of the 35 liver transplantation programs. In 70% of the kidney, and 90% of the liver transplantation programs, all donors underwent third-party interviews. Data concerning the psychosocial evaluation methods are insufficient. Further debate may be required in future.

Free Research Field

コンサルテーション・リエゾン精神医学