Medical Assistance in Dying (MAiD) for Persons Whose Sole Underlying Medical Condition is a Mental Disorder: Challenges and Considerations
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Human, financial, and material resource shortages are acute in mental health care and services.
“Human, financial, and material resource shortages [34, 45, 46] are acute in mental health care and services.”
From Medical assistance in dying for people living with mental disorders: a qualitative thematic review (2023) · cites this paper as [45]
Adding a more rigorous assessment process for MAiD-MD requests, including various safeguards, could impose an additional burden on an already struggling healthcare system.
“In this context, adding a more rigorous assessment process for MAiD-MD requests, including various safeguards, could impose an additional burden on an already struggling system [28, 45].”
From Medical assistance in dying for people living with mental disorders: a qualitative thematic review (2023) · cites this paper as [45]
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 [45]
Freeland et al. (2022) point out that where some believe the nature of mental disorders warrants additional safeguards, others consider the imposition of specific measures to be discriminatory.
“Freeland et al. (2022) point out that where some believe that the nature of mental disorders warrants additional safeguards, others consider the imposition of specific measures to be discriminatory [45].”
From Medical assistance in dying for people living with mental disorders: a qualitative thematic review (2023) · cites this paper as Freeland et al. (2022)
Freeland et al. (2022) point out that where some believe the nature of mental disorders warrants additional safeguards, others consider the imposition of specific measures to be discriminatory.
“Freeland et al. (2022) point out that where some believe that the nature of mental disorders warrants additional safeguards, others consider the imposition of specific measures to be discriminatory [45].”
From Medical assistance in dying for people living with mental disorders: a qualitative thematic review (2023) · cites this paper as [45]
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Gaudiani, J. L., Bogetz, A., & Yager, J. (2022) · Journal of Eating Disorders · doi:10.1186/s40337-022-00548-3 · Cited by 82 · see citing works
Güth, U., Junker, C., McMillan, S., Elfgen, C., & Schneeberger, A. R. (2023) · Public Health · doi:10.1016/j.puhe.2023.08.001 · Cited by 11 · see citing works
Bastidas-Bilbao, H., Stergiopoulos, V., van Kesteren, M. R., Stewart, D. E., Cappe, V., Gupta, M., Buchman, D. Z., Simpson, A. I. F., Castle, D., Campbell, B. H., et al. (2023) · Social Science & Medicine · doi:10.1016/j.socscimed.2023.116075 · Cited by 9 · see citing works
Self-citationBastidas-Bilbao, H., Stergiopoulos, V., Cappe, V., van Kesteren, M. R., Stewart, D. E., Gupta, M., Simpson, A. I. F., Dawthorne, M., Rajji, T. K., Castle, D., et al. (2023) · Qualitative Health Research · doi:10.1177/10497323231197365 · Cited by 7 · see citing works
“…of suffering (Simmons et al., 2022; van Veen et al., 2022), the impact of mental illness on the requester ’ s capacity (Dembo et al., 2018; Freeland et al., 2022), the role of suicidality in a MAiD request, and the in fl uence of social determinants of health (Freeland et al., 2022; Health…”
BackgroundSelf-citationMedical 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
“Questions are also raised regarding the quality of regulatory over-sight processes for MAiD-MD [37, 75] and the best type of oversight process to implement retrospectively or prospectively [45].”
BackgroundInfluentialBinder, M. D., Thys, E., Catthoor, K., den Broeck, K. V., Matthys, F., Vansteelandt, K., & Detraux, J. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.1050086 · Cited by 8 · see citing works
Stergiopoulos, 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 · see citing works
“Those in support of MAiD for mental illness argue that mental disorders should not be treated differently to other health conditions in countries where medically assisted deaths for chronic health conditions are legal-ized, and highlight the primacy of patient autonomy [5, 13, 14].”
BackgroundSelf-citationBastidas-Bilbao, H., Castle, D. J., Gupta, M., Stergiopoulos, V., & Hawke, L. D. (2024) · The British Journal of Psychiatry · doi:10.1192/bjp.2024.21 · Cited by 5 · see citing works
The Complexity Paper: A Writing Assignment that Targets Cognitive Bias
Southworth, J. (2023) · Discourse and Writing/Rédactologie · doi:10.31468/dwr.981 · Cited by 1 · see citing works
A Critical Review: Medical Assistance in Dying Policy in Canada
Dhungel, R. (2023) · Mind and Society · doi:10.56011/mind-mri-121-20233
Favron‐Godbout, C., & Racine, É. (2023) · Figshare · doi:10.6084/m9.figshare.24432000
Barbour, K. J. (2025) · Canadian Journal of Bioethics · doi:10.7202/1121336ar
Manduca-Barone, A., Brassolotto, J., & Waring, D. R. (2026) · Canadian Journal of Bioethics · doi:10.7202/1126622ar
- Authors
- Freeland, A., Godkin, D., Dembo, J., Chan, P., Knoops, F., Lachmann, M., Morissette, L., Smith, D. H., Stewart, D. E., Trew, M., Wong, M. R., & Charbonneau, M.
- Affiliations
- University of Toronto (CA)
- Sunnybrook Health Science Centre (CA)
- University of British Columbia (CA)
- Family Caregiver and Policy Analyst, Gatineau, Quebec.
- Institut national de psychiatrie légale Philippe-Pinel (CA)
- University Health Network (CA)
- Medical Lead, Addiction and Mental Health Special Projects; Knowledge Lead, Addiction and Mental Health, Clinical Knowledge and Content Management, Calgary, Alberta.
- Centre intégré de santé et de services sociaux de la Côte-Nord (CA)
- Venue
- The Canadian Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2021-08-31
- Volume
- 67
- Issue
- 1
- Pages
- 71-87
- ISSN
- 0706-7437 (ISSN-L)
- 1497-0015
- PMC
- PMC8811251
- OpenAlex
- W3197702727
- Cited by
- 13
- References
- 0
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 7 · 2022: 1
- FWCI
- 2.60
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Canadian Journal of Psychiatry (publishedVersion)
- PubMed Central (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 › Health Professions › General Health Professions › Health, Medicine and Society
- Keywords
- medical assistance in dying, mental illness, psychiatric patients, end-of-life decisions, psychiatric hospitalization, patient autonomy
- MeSH terms
- Mental Disorders, Canada, Humans, Medical Assistance, Psychotic Disorders, Suicide, Assisted
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