Assisted dying and the slippery slope argument-no empirical evidence
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The idea that eligibility criteria in ADE regulations are gradually expanded, or that vulnerable populations are at greater risk, is not substantiated by empirical studies.
“The idea that eligibility criteria in ADE regulations are gradually expanded, or that vulnerable populations are at greater risk is not substantiated by empirical studies [14–16].”
From Trends in assisted dying among patients with psychiatric disorders and dementia in Belgium: A health registry study (2025) · cites this paper as [14]
The Ethics section (p. 2) says Belgian studies have not shown easier access to assisted dying for vulnerable people or evidence that older, disabled, or psychiatric patients are pressured to seek it. The paper also reports no evidence for a slippery slope in assisted-dying practice (pp. 1–2), but it does not establish that eligibility criteria in regulations have not gradually expanded; its comparison of criteria across jurisdictions is not a study of changes over time. (LLM, conf=0.85)
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Cites
Assisted dying around the world: a status quaestionis
Mroz, S., Dierickx, S., Deliens, L., Cohen, J., & Chambaere, K. (2021) · Annals of Palliative Medicine · doi:10.21037/apm-20-637 · Cited by 264 · see citing works
Pros and Cons of Physician Aid in Dying.
Dugdale, L. S., Lerner, B. H., & Callahan, D. (2019) · Europe PMC (PubMed Central) · Cited by 36 · see citing works
International Comparison of Underlying Disease Among Recipients of Medical Assistance in Dying
Heidinger, B. A., Webber, C., Chambaere, K., Close, E., Deliëns, L., Onwuteaka-Philipsen, B. D., Pope, T. M., van der Heide, A., White, B. P., & Downar, J. (2024) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2024.6643 · Cited by 16 · see citing works
Incidence and Prevalence of Reported Euthanasia Cases in Belgium, 2002 to 2023
Wels, J., & Hamarat, N. (2025) · JAMA Network Open · doi:10.1001/jamanetworkopen.2025.6841 · Cited by 15 · see citing works
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Wels, J., & Hamarat, N. (2025) · PLoS Medicine · doi:10.1371/journal.pmed.1004522 · Cited by 2 · see citing works
“The idea that eligibility criteria in ADE regulations are gradually expanded, or that vulnerable populations are at greater risk is not substantiated by empirical studies [14–16].”
- Authors
- Deliens, L.
- Affiliations
- End-of-Life Care Research Group, Vrije Universiteit Brussel and Ghent University, Belgium
- Venue
- JAMA Network Open
- Publisher
- American Medical Association (AMA)
- Published
- 2025-04-23
- Volume
- 8
- Issue
- 4
- Pages
- e256849
- ISSN
- 2574-3805 (ISSN-L)
- OpenAlex
- W4409728739
- Cited by
- 21
- References
- 4
- Citations by year
- 2026: 17 · 2025: 3 · 2023: 1
- FWCI
- 18.32
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- JAMA Network Open (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion, cc-by)
- VUBIR (Vrije Universiteit Brussel) (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 › Ethics and bioethics in healthcare
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Keywords
- assisted dying, slippery slope argument, euthanasia, end-of-life care, empirical evidence, medical ethics
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