Death after psychiatric contraindications to urgent liver transplant for paracetamol overdose

Table 3 Absolute and relative psychiatric contraindications to urgent liver transplant in the Scottish Liver Transplant Unit, Royal Infirmary of Edinburgh[14]

Absolute contraindications	Relative contraindications
5 or more episodes of deliberate self-harm, unless previous events occurred many years ago	2-4 Lifetime episodes of self-harm
Current substance dependence of active misuse in a severe, chaotic fashion	Current/recent substance misuse
Chronic, severe, poor-prognosis mental disorders, especially if refractory to treatment or where leading to patient incapacity to express wishes or understand circumstances	Other significant or serious pervasive mental disorder
Repeated non-compliance with medical or psychiatric care	-
Patient refusal of transplant with capacity

Citation: Potts SG. Transplant psychiatry. J R Coll Physicians Edinb 2009; 39: 331-336. Copyright © 2025 Royal College of Physicians of Edinburgh. Copyright is held by the Scottish Liver Transplant Unit who have given permission for publication.