The British Journal of Psychiatry 149: 294-295 (1986)
© 1986 The Royal College of Psychiatrists
Patients who break their fast before ECT
GE Berrios and G Sage
Of 81 patients receiving ECT during a period of 24 months, 21 ate or drank
something, against medical advice, shortly before ECT was due. Compared
with controls, the fast-breakers were less often married; were more likely
to be detained under a section of the Mental Health Act; had an
unfavourable view of ECT; and had often not given consent for ECT.
Fast-breaking was more likely to occur after four or more ECTs. Amongst the
fast-breakers there was a significant correlation between age and number of
previous ECTs; treatment at which the fast-break occurred. The more drugs
the patient was taking the more likely it was that the fast would be broken
early in the course of ECT.