Only when there is a direct danger to the patient, his environment, or the society.If someone says, “I’m going to kill my wife tonight,” you should of course intervene. At such a moment you can just intervene.
Where there is only indirect or no imminent danger (e.g.I am thinking of suicide), then it is not allowed yet. Professional secrecy must be as strong as possible; Otherwise, there is no trust relationship between doctor and patient and care is also compromised.
This can be by court order.Furthermore, you are obliged to give information to the child protection. An even more important point is the doctor’s conscience. A patient who is fire dangerous and says he is going to kill his ex. If that ex is also in your practice, what do you do?
If Doom can be prevented, such as a patien who tells that he is going to kill his wife because she is the devil, the Doctor must inform the necessary authorities, irrespective of the professional secrecy.
The doctor must decide for himself whether a case is so serious that he or she must act in breach of the roaring secret, and then I think of life-threatening situations or worse.
E.g. someone has open TB, but does not want to be treated or insulate.Someone has diphtheria and just wants to move under the population as long as it can. Many scenarios can be devised whereby a physician must be obliged to not keep a medical professional secret for the greater well-being of more people. The whole hassle of medical professional secrecy is starting to become obsolete as many non-physician skilled persons can gain access to medical data and draw conclusions without having seen the patient.
Professional secrecy is important both for the patient and for society.There will not soon be a breach of professional secrecy. This has also been confirmed several times in many rules and legal statements.
Doctors also have to adhere to their code of conduct.It is also almost not a matter of violating professional secrecy even if, for example, a patient shows a pistol and, for example, tells his boss to shoot dead.
An important exception is if the doctor comes into conscience.If a doctor finds that he or she must violate his or her professional secrecy, that would be a reason to violate professional secrecy. The doctor must make various considerations, including a balancing of the protection of the patient and the society. Other possibilities must also be put out. Then can and may of me, given the question, when you find, the doctor may violate his professional secrecy.
The problem remains, however, that you may be able to assess whether it was a correct decision afterwards.
Personally, I think it can be, when it comes to protecting the one or another but the protection has to go to something very important, a life for example.