Cited by 1Palliative and Oncologic CareEthics and bioethics in healthcarePalliative Care and End-of-Life Issues

Legislation and ethics of physician-assisted suicide and euthanasia in psychiatric patients: Evidence from Benelux

Courtet, Philippe, Olié, Emilie·2021·Oxford Textbook of Suicidology and Suicide Prevention

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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Crossref · 10.1093/med/9780198834441.003.0018

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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.”
  • 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].”
  • 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].”
  • 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].”
  • 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].”

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Authors
Courtet, P., & Olié, E.
Venue
Oxford Textbook of Suicidology and Suicide Prevention
Published
2021-01
Pages
127-134
OpenAlex
W3128315917
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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