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Guidelines for Conducting a Psychiatric Evaluation of the Unrelated Kidney Donor

Received June 24, 2002; revision received March 10, 2003; accepted March 31, 2003. From the Department of Psychiatry, School of Medicine and Biomedical Sciences, State University of New York at Buffalo; and the Department of Psychology, Veterans Affairs Boston Healthcare System and Boston University School of Medicine, Boston. Address reprint requests to Dr. Leo, Department of Psychiatry, School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Erie County Medical Center, 462 Grider St., Buffalo, NY 14215.

Living unrelated kidney donors have been increasingly sought out as potential resources for patients with end-stage renal disease. Several psychiatric issues must be factored into the presurgical evaluation of prospective donors. This paper describes a proposed guideline intended to assist clinicians in the psychiatric evaluation of prospective kidney donors. Topics covered in the interview include the prospective donor's stability and ability to make an informed decision, the donor's understanding of the recipient's illness and of the transplant surgery, and extenuating factors that may influence the decision to donate. While efficient and thorough, the guideline is intended to be flexible enough to address the variety of issues that can affect the prospective donor's decision to pursue surgery.

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				O. S. Surman, I. Fukunishi, T. Allen, and M. Hertl Live Organ Donation: Social Context, Clinical Encounter, and the Psychology of Communication Psychosomatics, February 1, 2005; 46(1): 1 - 6. [Abstract] [Full Text] [PDF]

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