Clinician-Patient Interactions About Requests for Physician-Assisted Suicide: A Patient and Family View
Abstract
BACKGROUND: Responding effectively to a patient request for physician-assisted suicide (PAS) is an important clinical skill that involves careful evaluation. Clinician responses to PAS requests, however, have only been described using data obtained from clinicians. OBJECTIVE: To describe qualities of clinician-patient interactions about requests for PAS that were valued by patients and their family members. PARTICIPANTS AND METHODS: Intensive qualitative case study involving multiple longitudinal interviews conducted prospectively with patients pursuing PAS and with their family members and retrospectively with family members of deceased patients who seriously pursued PAS. The study setting was community based. Participants were recruited through patient advocacy organizations, hospices, and grief counselors. A total of 35 cases were studied: 12 were prospective and 23 were retrospective. Study procedures involved semistructured interviews that were audiotaped, transcribed, reviewed, and analyzed by a multidisciplinary research team. RESULTS: Three themes were identified that describe qualities of clinician-patient interactions that were valued by patients and family members: (1) openness to discussions about PAS; (2) clinician expertise in dealing with the dying process; and (3) maintenance of a therapeutic clinician-patient relationship, even when clinician and patient disagree about PAS. CONCLUSIONS: These patient and family accounts reveal missed opportunities for clinicians to engage in therapeutic relationships, including discussions about PAS, dying, and end-of-life care. Clinicians responding to patients requesting PAS need communication skills enabling them to discuss PAS and dying openly, as well as expertise in setting reasonable expectations, individualizing pain control, and providing accurate information about the lethal potential of medications.
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Patient education during the assessment process has been shown to increase trust and understanding.
“Patient education during the assessment process has been shown to increase trust and understanding.”
From Medical Assistance in Dying for the Sole Underlying Condition of Mental Disorder (MAiD MD-SUMC): an analysis and qualitative evidence synthesis (2026) · cites this paper as [66]
Participant narratives aligned with prior research suggesting that patients value clinician openness in discussions on MAiD, transparency about the legal framework and the assessment process, and maintenance of clinician-patient relationship, even when clinician and patient disagree about MAiD.
“participant narratives aligned with prior research suggesting that patients value clinician openness in discussions on MAiD, transparency about the legal framework and the assessment process, and maintenance of clinician-patient relationship, even when clinician and patient disagree about MAiD [43].”
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- Authors
- Back, A. L., Starks, H., Hsu, C., Gordon, J. R., Bharucha, A., & Pearlman, R. A.
- Affiliations
- VA Puget Sound Health Care System (US)
- University of Washington (US)
- Seattle Institute for Biomedical and Clinical Research (US)
- University of Pittsburgh (US)
- Corresponding author
- Back, Anthony L.
- Venue
- Archives of Internal Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 2002-06-10
- Volume
- 162
- Issue
- 11
- Pages
- 1257
- ISSN
- 0003-9926 (ISSN-L)
- OpenAlex
- W2108229060
- Cited by
- 79
- References
- 41
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 4 · 2023: 1 · 2022: 2 · 2021: 2 · 2020: 5 · 2019: 8 · 2018: 3 · 2017: 6 · 2016: 7 · 2015: 2 · 2014: 2 · 2013: 4 · 2012: 1
- FWCI
- 4.23
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- physician-assisted suicide, clinician-patient communication, end-of-life care, dying, therapeutic relationship, patient and family perspectives, communication skills, pain management, family members of deceased patients
- MeSH terms
- Aged, Aged, 80 and over, Clinical Competence, Communication, Female, Humans, Male, Middle Aged, Physician-Patient Relations, Terminal Care, Suicide, Assisted, Qualitative Research
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