Legislation and ethics of physician-assisted suicide and euthanasia in psychiatric patients: Evidence from Benelux
Abstract
Euthanasia is the act by which a third party (a physician or qualified healthcare practitioner) intentionally terminated a patient’s life by the patient’s request—the doctor administers the prescription. Physician-assisted suicide is where a physician or healthcare practitioner provide the means to a patient under the patient’s request, which will intentionally terminate the patient’s life—the individual then self-administers the prescription. Assisted suicide is where a physician or a healthcare practitioner is not directly involved and usually another third member or organization would assist in providing the patient with the means for self-administered suicide. This text presents the available data from the Benelux region on euthanasia and physician-assisted suicide requests that are grounded in psychiatric disorders. From a psychiatrist’s point of view, clinical and ethical questions are raised by such practices, since suicide prevention is a primary purpose of psychiatric care and a key focus of training.
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Growing media coverage of controversial examples of MAiD-MD can amplify lack of trust by opening a space of doubt and fear in the collective imagination and by influencing policymaking.
“The growing media coverage of controversial examples of MAiD-MD can amplify this lack of trust [37] by opening a space of doubt and fear in the collective imagination [38] and by influencing policymaking.”
From Medical assistance in dying for people living with mental disorders: a qualitative thematic review (2023) · cites this paper as [37]
The fear that MAiD-MD might hinder the improvement of care practices, social support, and resources to help people live with their mental disorders has been expressed.
“The fear that MAiD-MD might hinder the improvement of care practices, social support, and resources to help people live with their mental disorders has been expressed [37, 41].”
From Medical assistance in dying for people living with mental disorders: a qualitative thematic review (2023) · cites this paper as [37]
Some authors fear MAiD-MD may lead to or increase erosion of patient and public trust in psychiatry by reinforcing the belief that nothing can be done to help people living with mental disorders.
“Some authors fear MAiD-MD may lead to or increase the erosion of patient and public trust in psychiatry [25, 36] by reinforcing the belief that nothing can be done to help people living with mental disorders [37].”
From Medical assistance in dying for people living with mental disorders: a qualitative thematic review (2023) · cites this paper as [37]
Acknowledging the irremediability of a person's condition can promote hope, empathy and engagement and thus promote recovery, making that person feel genuinely considered.
“Conversely, some authors point out that acknowledging the irremediability of a person’s condition can promote hope, empathy and engagement and thus promote recovery [33], making that person feel genuinely considered [37].”
From Medical assistance in dying for people living with mental disorders: a qualitative thematic review (2023) · cites this paper as [37]
The introduction of MAiD-MD into the continuum of care can affect the therapeutic relationship, which is closely correlated with patients' hope for improvement, a key facilitator of recovery.
“The introduction of MAiD-MD into the continuum of care can affect the therapeutic relationship [17, 48, 59], which is closely correlated with patients’ hope for improvement [37], a key facilitator of recovery [23, 52].”
From Medical assistance in dying for people living with mental disorders: a qualitative thematic review (2023) · cites this paper as [37]
Loss of hope can give rise to a self-fulfilling prophecy by reinforcing the patient's sense of hopelessness and compromising their potential for recovery.
“Such loss of hope can give rise to a self-fulfilling prophecy [23, 37, 51] by reinforcing the patient’s sense of hopelessness and compromising their potential for recovery [51].”
From Medical assistance in dying for people living with mental disorders: a qualitative thematic review (2023) · cites this paper as [37]
Healthcare professionals' involvement or support of MAiD-MD could affect patients' resilience and the therapeutic relationship and potentially influence the patient to lose hope that their situation will improve.
“Healthcare professionals’ involvement or support of MAiD-MD could also affect the resilience of patients [60], the therapeutic relationship [26, 48, 60] and potentially influence the patient to lose hope that their situation will improve if they have the impression that the healthcare professional is abandoning the therapeutic project [23, 37].”
From Medical assistance in dying for people living with mental disorders: a qualitative thematic review (2023) · cites this paper as [37]
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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
“…of MAiD-MD could also affect the resilience of patients [60], the therapeutic relationship [26, 48, 60] and potentially influence the patient to lose hope that their situation will improve if they have the impression that the healthcare professional is abandoning the therapeutic project [23, 37].”
BackgroundInfluential
- Authors
- Courtet, P., & Olié, E.
- ORCID
- Courtet, Philippe
- Venue
- Oxford Textbook of Suicidology and Suicide Prevention
- Publisher
- Oxford University PressOxford
- Published
- 2021-01
- Pages
- 127-134
- OpenAlex
- W3128315917
- Semantic Scholar
- d38b8c8f220fcef433072994c3e6335c7eb67c54
- Cited by
- 1
- References
- 40
- Citations by year
- 2023: 1
- FWCI
- 1.63
- Type
- book chapter
- Language
- en
- Open access
- closed
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- physician-assisted suicide, euthanasia, assisted suicide, psychiatric patients, mental illness, euthanasia legislation, medical ethics, suicide prevention, Benelux
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