Deep Uncertainties in the Criteria for Physician Aid-in-Dying for Psychiatric Patients

Żuradzki, Tomasz; Nowak, Piotr

doi:10.1080/15265161.2019.1654028

Cited by 4 publications

(1 citation statement)

References 10 publications

(5 reference statements)

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“…Furthermore, when quality mental health care fails to help patients, they may be confined to intolerable suffering unless MAiD-MD is considered [ 48 ]. The fact that the causes of mental disorders are often misunderstood limits the chances that effective treatments adapted to the patient’s needs will be available [ 50 , 51 ].…”

Section: Healthcare Systemmentioning

confidence: 99%

Medical assistance in dying for people living with mental disorders: a qualitative thematic review

Favron-Godbout,

Racine

2023

BMC Med Ethics

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Background Medical assistance in dying (MAiD) sparks debate in several countries, some of which allow or plan to allow MAiD where a mental disorder is the sole underlying medical condition (MAiD-MD). Since MAiD-MD is becoming permissible in a growing number of jurisdictions, there is a need to better understand the moral concerns related to this option. Gaining a better understanding of the moral concerns at stake is a first step towards identifying ways of addressing them so that MAiD-MD can be successfully introduced and implemented, where legislations allow it. Methods Thus, this article aims (1) to better understand the moral concerns regarding MAiD-MD, and (2) to identify potential solutions to promote stakeholders’ well-being. A qualitative thematic review was undertaken, which used systematic keyword-driven search and thematic analysis of content. Seventy-four publications met the inclusion criteria. Results Various moral concerns and proposed solutions were identified and are related to how MAiD-MD is introduced in 5 contexts: (1) Societal context, (2) Healthcare system, (3) Continuum of care, (4) Discussions on the option of MAiD-MD, (5) MAiD-MD practices. We propose this classification of the identified moral concerns because it helps to better understand the various facets of discomfort experienced with MAiD-MD. In so doing, it also directs the various actions to be taken to alleviate these discomforts and promote the well-being of stakeholders. Conclusion The assessment of MAiD-MD applications, which is part of the context of MAiD-MD practices, emerges as the most widespread source of concern. Addressing the moral concerns arising in the five contexts identified could help ease concerns regarding the assessment of MAiD-MD.

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Section: Healthcare Systemmentioning

confidence: 99%