Canadian Undergraduates’ Perspectives on Medical Assistance in Dying (MAiD): A Quantitative Study
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Background and Objectives: In 2016, Medical Assistance in Dying (MAiD) became legal in Canada for those suffering a grievous and untreatable medical condition. Currently, it is not available to minors or to those with an untreatable mental illness, although it is likely the scope of MAiD will be widened to include persons with severe and untreatable mental illnesses. However, little is known about the factors predicting acceptance or rejection of MAiD for persons with either a grievous medical condition or an untreatable mental illness. Methods: A survey was administered to 438 undergraduate students to examine factors associated with their acceptance or rejection of MAiD. The survey included four different scenarios: a young or old person with an untreatable medical condition, and a young or old person with an untreatable mental illness. Demographic questions (age, sex, religion, etc), personality measures, and an attitude towards euthanasia scale were also administered, as well as questions assessing participants’ general understanding of MAiD and their life experiences with death and suicide. Results/Conclusion: Overall, most of the Canadian undergraduate participants accepted MAiD for both terminally ill and mentally ill patients; however, different variables, such as age, religion, and ethnicity, predicted the acceptance or rejection of MAiD for each scenario.
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Hawrelak et al found that most undergraduate students endorsed MAiD for both physical and mental health conditions, viewing it as a legitimate expression of compassion and autonomy.
“Hawrelak et al found that most undergraduate students endorsed MAiD for both physical and mental health conditions, viewing it as a legitimate expression of compassion and autonomy.”
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 [53]
The Conclusion and Results support that most surveyed Canadian undergraduates accepted MAiD for patients with terminal illness and with untreatable mental illness. The Methods describe choices about whether to allow MAiD, but the paper does not establish that students viewed it as an expression of compassion and autonomy. Page numbers are not available in our copy. (LLM, conf=0.89)
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Cites
Orden, K. A. V., Cukrowicz, K. C., Witte, T. K., & Joiner, T. E. (2011) · Psychological Assessment · doi:10.1037/a0025358 · Cited by 1,415 · see citing works
John, O. P., Donahue, E. M., & Kentle, R. L. (1991) · PsycTESTS Dataset · doi:10.1037/t07550-000 · Cited by 1,162 · see citing works
A factor analytically derived measure of coping: The Coping Strategy Indicator.
Amirkhan, J. H. (1990) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.59.5.1066 · Cited by 934 · see citing works
Beck Depression Inventory-II (BDI-II)
Bortnick, K. (2024) · Routledge eBooks · doi:10.4324/9781003525288-77 · Cited by 496 · see citing works
Older peoples' attitudes towards euthanasia and an end-of-life pill in The Netherlands: 2001–2009
Buiting, H. M., Deeg, D. J. H., Knol, D. L., Ziegelmann, J. P., Pasman, H. R. W., Widdershoven, G. A. M., & Onwuteaka-Philipsen, B. D. (2012) · Journal of Medical Ethics · doi:10.1136/medethics-2011-100066 · Cited by 89 · see citing works
Bator, E. X., Philpott, B., & Costa, A. P. (2017) · BMC Medical Ethics · doi:10.1186/s12910-017-0218-5 · Cited by 88 · see citing works
When is physician assisted suicide or euthanasia acceptable?
Frileux, S., Lelièvre, C., Sastre, M. T. M., Mullet, É., & Sorum, P. C. (2003) · Journal of Medical Ethics · doi:10.1136/jme.29.6.330 · Cited by 52 · see citing works
An Instrument to Appraise Attitudes of College Students Toward Euthanasia
Tordella, M. A., & Neutens, J. J. (1979) · Journal of School Health · doi:10.1111/j.1746-1561.1979.tb07728.x · Cited by 33 · see citing works
New Zealanders' Attitudes toward Physician-Assisted Dying
Rae, N., Johnson, M. H., & Malpas, P. J. (2014) · Journal of Palliative Medicine · doi:10.1089/jpm.2014.0299 · Cited by 29 · see citing works
Perceptions and intentions toward medical assistance in dying among Canadian medical students
Falconer, J., Couture, F., Demir, K. K., Lang, M., Shefman, Z., & Woo, M. (2019) · BMC Medical Ethics · doi:10.1186/s12910-019-0356-z · Cited by 25 · see citing works
Medical students and end-of-life decisions: the influence of religion
Pomfret, S., Mufti, S., & Seale, C. F. (2018) · Future Healthcare Journal · doi:10.7861/futurehosp.5-1-25 · Cited by 21 · see citing works
Weiss, G. L. (1996) · Death Studies · doi:10.1080/07481189608252764 · Cited by 19 · see citing works
Decrepit death as a discourse of death in older age: implications for policy
O’Connor, M. (2009) · International Journal of Older People Nursing · doi:10.1111/j.1748-3743.2009.00173.x · Cited by 16 · see citing works
Predictors of Attitudes Towards Physician-Assisted Suicide
Butt, Z. A., Overholser, J. C., & Danielson, C. K. (2003) · OMEGA - Journal of Death and Dying · doi:10.2190/dy9y-ya97-wg3n-cqth · Cited by 15 · see citing works
First-Year College Students' Attitudes about End-of-Life Decision-Making
Weiss, G. L., & Lupkin, L. N. (2009) · OMEGA - Journal of Death and Dying · doi:10.2190/om.60.2.c · Cited by 11 · see citing works
Euthanasia attitude; A comparison of two scales.
Aghababaei, N., Farahani, H., & Hatami, J. (2011) · PubMed · Cited by 7 · see citing works
Walker-Renshaw, B., & Finley, M. (2016) · PubMed · Cited by 3 · see citing works
Flagged first, then by citations
Research works printed but not linked: 3
- [5]Charland LC LicJur TL Wada K. Decision-making capacity to consent to medical assistance in dying for persons with mental disorders. J Ethics Ment Health. 2016; 2016 (open volume): 1- 14. May 26 2016. Accessed June 2, 2021. https://papers.ssrn.com/sol3/papers.cfm?abstract_id = 2784291.
- [6]von Fuchs R. MAid and mental illness: critical thoughts, constructive thoughts. J Ethics Ment Health. 2017; 10: 1- 6. https://jemh.ca/issues/v9/documents/JEMH%20final%20Reflection-iii.pdf.
- [7]Hurwitz TA. Euthanasia in mental illness: a four part series. Part II: sadness and suicidality: why mentally ill patients request euthanasia. J Ethics Ment Health. 2018; 10: 1- 6. Accessed June 2, 2021. https://jemh.ca/issues/v9/documents/JEMH%20final%20Reflection-.
Cited by
Sorted by citations
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
Harper, L., Tomaras, C. A., Powell, R. A., Reddon, J. R., & Hawrelak, E. (2025) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/10499091241247835 · Cited by 3 · see citing works
Self-citation“Healthcare professionals’ attitudes towards euthanasia in the Balearic Islands.”
Lerma-García, D., Camargo, J. C. M., Torres, L. C., Martínez-Rodríguez, S., & Zafra, M. D. O. (2025) · BMC Medical Ethics · doi:10.1186/s12910-025-01262-w · Cited by 2 · see citing works
Lerma-García, D., Parra-Fernández, M. L., Romero, C., Martínez-Rodríguez, S., & Zafra, M. D. O. (2025) · PLoS ONE · doi:10.1371/journal.pone.0319015 · Cited by 2 · see citing works
Undergraduate Students’ Attitudes Towards Medical Assistance in Dying for Mental Illness
Claxton-Oldfield, S. P., & Mackley, E. (2024) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/10499091231223713 · Cited by 1 · see citing works
Nurses’ opinions on euthanasia in Spain: an evaluation using a new version of the EAS
Lerma-García, D., Parra-Fernández, M. L., Romero, C., Olmo-Mora, M. S., & Zafra, M. D. O. (2024) · BMC Nursing · doi:10.1186/s12912-024-02176-5 · Cited by 1 · see citing works
Pawluk, A., Arksey, E., Jansens, H., Qiao, S., & McFarlane, L. (2026) · BMJ Open · doi:10.1136/bmjopen-2025-105129
“52 These findings highlight that, for many families, MAiD is viewed not as a rejection of life but as an extension of patient-centred decision-making at the end of life.”
- Authors
- Hawrelak, E., Harper, L., Reddon, J. R., & Powell, R. A.
- Affiliations
- MacEwan University (CA)
- University of Alberta (CA)
- Corresponding author
- Harper, Lori
- Venue
- Journal of Palliative Care
- Publisher
- SAGE Publications
- Published
- 2021-12-30
- Volume
- 37
- Issue
- 3
- Pages
- 352-358
- ISSN
- 0825-8597 (ISSN-L)
- 2369-5293
- PMC
- PMC9344492
- OpenAlex
- W4200185976
- Cited by
- 7
- References
- 17
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2023: 1
- FWCI
- 0.87
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Palliative Care (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- 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
- Keywords
- medical assistance in dying, attitudes toward euthanasia, dying patients, age differences, ethnicity, undergraduate students
- MeSH terms
- Canada, Humans, Medical Assistance, Students, Suicide, Assisted, Terminally Ill
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