The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.
Medical assistance in dying: special issues for patients with mental illness
Abstract
PURPOSE OF REVIEW: Medical Assistance in Dying (MAID) is now legal in many jurisdictions for competent adults who have intolerable suffering and/or have a terminal illness with a short prognosis. Mental illness can be a source of suffering for these individuals, but it can also affect their capacity to make medical decisions. Clinicians, and psychiatrists in particular, need to understand how to assess patients with mental illness who are requesting MAID, to determine the impact of their mental illness on the MAID request. RECENT FINDINGS: Psychiatric disorders can be a primary indication for MAID in parts of Europe, and recent published case series from Belgium and the Netherlands have generated strong responses from the psychiatric community. Patients dying of terminal illnesses who request MAID often have symptoms of depression or anxiety, but psychiatrists are rarely involved in their care. Psychiatrists may be helpful in assessing decision capacity, but documentation of capacity assessment could be improved. There is a broad need to develop educational resources to train current and future physicians about MAID. SUMMARY: MAID represents an ethical and clinical challenge for psychiatrists in a variety of ways. As more jurisdictions legalize MAID, the psychiatric community will need to be prepared to meet these challenges with robust clinical standards and educational programs to ensure the highest standards of care for patients.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Citations
Cites
Emanuel, E. J., Onwuteaka-Philipsen, B. D., Urwin, J. W., & Cohen, J. (2016) · JAMA · doi:10.1001/jama.2016.8499 · Cited by 751
Desire for death in the terminally ill
Chochinov, H. M., Wilson, K. G., Enns, M. W., Mowchun, N., Lander, S., Levitt, M., & Clinch, J. (1995) · American Journal of Psychiatry · doi:10.1176/ajp.152.8.1185 · Cited by 742
Assessing the economic costs of serious mental illness
Insel, T. R. (2008) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2008.08030366 · Cited by 487
(2007) · PubMed · Cited by 453
Descriptive Epidemiology of Major Depression in Canada
Patten, S. B., Wang, J. L., Williams, J. V., Currie, S., Beck, C. A., Maxwell, C. J., & el-Guebaly, N. (2006) · The Canadian Journal of Psychiatry · doi:10.1177/070674370605100204 · Cited by 443
Kim, S. Y. H., De Vries, R. G., & Peteet, J. R. (2016) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2015.2887 · Cited by 320
Thienpont, L., Verhofstadt, M., Van Loon, T., Distelmans, W., Audenaert, K., & De Deyn, P. P. (2015) · BMJ Open · doi:10.1136/bmjopen-2014-007454 · Cited by 231
Schüklenk, U., van Delden, J. J. M., Downie, J., McLean, S. A. M., Upshur, R. E. G., & Weinstock, D. (2011) · Bioethics · doi:10.1111/j.1467-8519.2011.01939.x · Cited by 114
Oregon Physicians' Responses to Requests for Assisted Suicide: A Qualitative Study
Dobscha, S. K., Heintz, R. T., Press, N. A., et al. (2004) · Journal of Palliative Medicine · doi:10.1089/1096621041349374 · Cited by 97
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
Identifying Metabolic Risks With Antipsychotics and Monitoring and Management Strategies
Newcomer, J. W., & Sernyak, M. J. (2007) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.0707e17 · Cited by 93
Physician-Assisted Death for Patients With Mental Disorders—Reasons for Concern
Appelbaum, P. S. (2016) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2015.2890 · Cited by 81
Physician-assisted suicide in psychiatry and loss of hope
Berghmans, R., Widdershoven, G., & Widdershoven-Heerding, I. (2013) · International Journal of Law and Psychiatry · doi:10.1016/j.ijlp.2013.06.020 · Cited by 61
Deschepper, R., Distelmans, W., & Bilsen, J. (2014) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2014.185 · Cited by 58
Teaching end-of-life issues: Current status in United Kingdom and United States medical schools
Dickinson, G. E., & Field, D. J. (2002) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/104990910201900309 · Cited by 58
Levene, I., & Parker, M. J. (2011) · Journal of Medical Ethics · doi:10.1136/jme.2010.039057 · Cited by 57
Wesemael, Y. V., Cohen, J., Onwuteaka-Philipsen, B. D., Bilsen, J. J. R., & Deliëns, L. (2009) · BMC Health Services Research · doi:10.1186/1472-6963-9-220 · Cited by 55
Psychiatric review should be mandatory for patients requesting assisted suicide
McCormack, R., & Price, A. C. (2013) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2013.08.003 · Cited by 37
Attitudes toward active euthanasia among medical students at two German universities
Clemens, K. E., Klein, E., Jaspers, B., et al. (2008) · Supportive Care in Cancer · doi:10.1007/s00520-008-0427-z · Cited by 35
Assisted dying in liberalised jurisdictions and the role of psychiatry: A clinician’s view
Macleod, S. (2012) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867411434714 · Cited by 27
Bioethics for clinicians: 11. Euthanasia and assisted suicide.
Lavery, J. V., Dickens, B. M., Boyle, J. M., & SINGER, P. A. (1997) · Europe PMC (PubMed Central) · Cited by 21
Shaffer, C. S., Cook, A. N., & Connolly, D. A. (2016) · Psychology, Public Policy, and Law · doi:10.1037/law0000082 · Cited by 21
Physician-assisted Death. Opinions of Mexican Medical Students and Residents
Lorı́a, A., Villarreal-Garza, C. M., Sifuentes, E., et al. (2013) · Archives of Medical Research · doi:10.1016/j.arcmed.2013.07.005 · Cited by 20
Ganzini, L. K. (2013) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2013.08.006 · Cited by 16
Carter versus Canada: effects on us and our profession.
Lemire, F. (2015) · PubMed · Cited by 2
Flagged first, then by citations
Cited by
Sorted by citations
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
Terminal anorexia nervosa: three cases and proposed clinical characteristics
Gaudiani, J. L., Bogetz, A., & Yager, J. (2022) · Journal of Eating Disorders · doi:10.1186/s40337-022-00548-3 · Cited by 82
Rooney, W., Schuklenk, U., & van de Vathorst, S. (2018) · Health Care Analysis · doi:10.1007/s10728-017-0344-8 · Cited by 44
Applying futility in psychiatry: a concept whose time has come
Levitt, S., & Buchman, D. Z. (2021) · Journal of Medical Ethics · doi:10.1136/medethics-2020-106654 · Cited by 40
Debating Euthanasia and Physician-Assisted Death in People with Psychiatric Disorders
Grassi, L., Folesani, F., Marella, M., Tiberto, E., Riba, M. B., Bortolotti, L., Toffanin, T., Palagini, L., Belvederi Murri, M., Biancosino, B., et al. (2022) · Current Psychiatry Reports · doi:10.1007/s11920-022-01339-y · Cited by 39
“4 Department of Philosophy in the School of Philosophy, Theology, and Religion and Institute for Mental Health in the School of Psychology, University of Birmingham, Birmingham, UK / Published online: 9 June 2022 Current Psychiatry Reports (2022) 24:325–335”
BackgroundInfluentialMedical 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
Marckmann, G., & Pollmächer, T. (2024) · Annals of Palliative Medicine · doi:10.21037/apm-23-472 · Cited by 18
Bahji, A., & Delva, N. (2022) · Journal of Medical Ethics · doi:10.1136/medethics-2020-107133 · Cited by 12
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
“…to the complexity of the assessment of MAiD-MD requests [56, 58]; as well as to the interpretation and application of eligibility criteria [6, 56], mainly in relation to capacity [29, 77, 78], to the intolerability of suffering [17, 56, 64, 70], and to the irremediability of the condition [47, 51].”
BackgroundStergiopoulos, V., Bastidas-Bilbao, H., Gupta, M., Buchman, D. Z., Stewart, D. E., Rajji, T., Simpson, A. I. F., van Kesteren, M. R., Cappe, V., Castle, D., et al. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-05541-5 · Cited by 5
Macri, R., Wagner, F., & Stuckey, M. I. (2020) · Canadian Journal of Community Mental Health · doi:10.7870/cjcmh-2020-009 · Cited by 3
Metadata
- Authors
- Sheehan, K., Gaind, K. S., & Downar, J.
- Affiliations
- University of Toronto (CA)
- Corresponding author
- Downar, James
- Venue
- Current Opinion in Psychiatry
- Published
- 2017-01
- Volume
- 30
- Issue
- 1
- Pages
- 26-30
- ISSN
- 0951-7367 (ISSN-L)
- OpenAlex
- W2546415156
- Cited by
- 33
- References
- 25
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 6 · 2023: 5 · 2022: 5 · 2021: 2 · 2020: 4 · 2019: 2 · 2018: 2 · 2017: 2
- FWCI
- 1.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Opinion in 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 › Palliative and Oncologic Care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
- Keywords
- medical assistance in dying, mental illness, decision-making capacity, terminal illness, depression, anxiety, physician training, end-of-life care, euthanasia
- MeSH terms
- Mental Disorders, Euthanasia, Humans, Suicide, Assisted
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
