Requests for Euthanasia/Physician-Assisted Suicide on the Basis of Mental Suffering: Vulnerable Patients or Vulnerable Physicians?
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Deschepper et al describe moral distress among clinicians who assess or administer MAiD for mental disorders, particularly given the younger age and physical well-being of many patients.
“Deschepper et al describe moral distress among clinicians who assess or administer MAiD for mental disorders, particularly given the younger age and physical well-being of many patients.”
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 [63]
A lack of training and expertise from healthcare professionals could impede the introduction of MAiD-MD in the healthcare system.
“A lack of training and expertise from healthcare professionals could impede the introduction of MAiD-MD in the healthcare system [55, 56].”
From Medical assistance in dying for people living with mental disorders: a qualitative thematic review (2023) · cites this paper as [55]
MAiD-MD requests place a significant emotional burden on the healthcare professionals who receive and assess them, particularly if they are conscientious objectors or if these requests make them feel powerless to protect people with mental disorders.
“MAiD-MD requests place a significant emotional burden on the healthcare professionals who receive and assess them [24, 55], particularly if they are conscientious objectors [45] or if these requests make them feel powerless to protect people with mental disorders [41, 53].”
From Medical assistance in dying for people living with mental disorders: a qualitative thematic review (2023) · cites this paper as [55]
Having a loved one die from MAiD-MD can be distressing for relatives, who may need to reconcile the hope that the patient will recover with the support they want to provide.
“Moreover, having a loved one die from MAiD-MD can be distressing for relatives [55], who may need to reconcile the hope that the patient will recover with the support they want to provide [6].”
From Medical assistance in dying for people living with mental disorders: a qualitative thematic review (2023) · cites this paper as [55]
Cites
End-of-life decision-making in six European countries: descriptive study
van der Heide, A., Deliëns, L., Faisst, K., Nilstun, T., NORUP, M. S., Paci, E., van der Wal, G., & van der Maas, P. J. (2003) · The Lancet · doi:10.1016/s0140-6736(03)14019-6 · Cited by 662 · see citing works
Granted, undecided, withdrawn, and refused requests for euthanasia and physician-assisted suicide
Jansen-van der Weide, M. C., Onwuteaka-Philipsen, B. D., & van der Wal, G. (2005) · Archives of Internal Medicine · doi:10.1001/archinte.165.15.1698 · Cited by 117 · see citing works
Attitudes and Experiences of Belgian Physicians Regarding Euthanasia Practice and the Euthanasia Law
Smets, T., Cohen, J., Bilsen, J. J. R., Wesemael, Y. V., Rurup, M. L., & Deliëns, L. (2010) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2010.05.015 · Cited by 105 · see citing works
Self-citationGeorges, J.-J., The, A. M., Onwuteaka-Philipsen, B. D., & van der Wal, G. (2008) · Journal of Medical Ethics · doi:10.1136/jme.2007.020909 · Cited by 85 · see citing works
Brinkman‐Stoppelenburg, A., Vergouwe, Y., van der Heide, A., & Onwuteaka-Philipsen, B. D. (2013) · Health Policy · doi:10.1016/j.healthpol.2013.12.002 · Cited by 15 · see citing works
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Kim, S. Y. H., De Vries, R. G., & Peteet, J. R. (2016) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2015.2887 · Cited by 320 · see citing works
“Psychotic disorders,c including schizophrenia, schizoaffective disorder, psychosis not otherwise specified, psychosis due to medical condition 9 (8)”
BackgroundDierickx, S., Deliens, L., Cohen, J., & Chambaere, K. (2017) · BMC Psychiatry · doi:10.1186/s12888-017-1369-0 · Cited by 129 · see citing works
Tuffrey-Wijne, I., Curfs, L., Finlay, I., & Hollins, S. (2018) · BMC Medical Ethics · doi:10.1186/s12910-018-0257-6 · Cited by 97 · see citing works
Treatment-resistant major depressive disorder and assisted dying
Schuklenk, U., & Vathorst, S. V. D. (2015) · Journal of Medical Ethics · doi:10.1136/medethics-2014-102458 · Cited by 93 · see citing works
Medical assistance in dying: special issues for patients with mental illness
Sheehan, K., Gaind, K. S., & Downar, J. (2017) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000298 · Cited by 33 · see citing works
Medical Assistance in Dying and Mental Health: A Legal, Ethical, and Clinical Analysis
Simpson, A. I. F. (2018) · The Canadian Journal of Psychiatry · doi:10.1177/0706743717746662 · Cited by 32 · see citing works
Kammeraat, M., van Rooijen, G., Kuijper, L., Kiverstein, J. D., & Denys, D. A. J. P. (2023) · BMJ Mental Health · doi:10.1136/bmjment-2023-300729 · Cited by 23 · see citing works
Shaffer, C. S., Cook, A. N., & Connolly, D. A. (2016) · Psychology, Public Policy, and Law · doi:10.1037/law0000082 · Cited by 21 · see citing works
Stoll, J., Ryan, C. J., & Trachsel, M. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.532817 · Cited by 20 · see citing works
Medical assistance in dying for people living with mental disorders: a qualitative thematic review
Favron-Godbout, C., & Racine, E. (2023) · BMC Medical Ethics · doi:10.1186/s12910-023-00971-4 · Cited by 6 · see citing works
“The fate of patients being refused MAiD-MD [83], as well as the impact of MAiD-MD on loved ones [55] and on other people living with mental disorders [59, 68], are noted as morally concerning and remain understudied.”
BackgroundInfluentialPawluk, A., Arksey, E., Jansens, H., Qiao, S., & McFarlane, L. (2026) · BMJ Open · doi:10.1136/bmjopen-2025-105129
“Their perspectives can help ensure that implementation strategies remain responsive to real-world needs and that assessment processes account for the psychological, relational and existential dimensions of suffering.”
- Authors
- Deschepper, R., Distelmans, W., & Bilsen, J.
- Affiliations
- Vrije Universiteit Brussel (BE)
- Venue
- JAMA Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 2014-06-01
- Volume
- 71
- Issue
- 6
- Pages
- 617
- ISSN
- 2168-622X (ISSN-L)
- OpenAlex
- W2016411968
- Cited by
- 58
- References
- 5
- Citations by year
- 2026: 2 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 1 · 2019: 2 · 2018: 36 · 2017: 3 · 2016: 5 · 2015: 3
- FWCI
- 3.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JAMA Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- 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
- euthanasia, physician-assisted suicide, psychological suffering, end-of-life decisions, psychiatric patients
- MeSH terms
- Euthanasia, Humans, Patients, Physicians, Stress, Psychological, Suicide, Assisted
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