Reasons why people in Switzerland seek assisted suicide: the view of patients and physicians

Fischer, Susanne; Huber, Carola A; Furter, Matthias; Imhof, Lorenz; Mahrer‐Imhof, Romy; Schwarzenegger, Christian; Ziegler, Stephen J.; Bosshard, Georg

doi:10.4414/smw.2009.12614

Cited by 12 publications

(3 citation statements)

References 26 publications

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“…When the reasons for requesting information on MAID are obtained directly from patients, non-physical symptoms such as quality of life, and desire for dignity and control over death are more frequently reported than physical symptoms like dyspnea or pain. 20,21 This QI project was conducted 1 year after MAID legalization, between June and August 2017, within one of the Western Canadian provinces. A local policy was established following provincial guidelines for pharmacists, 22 nurses, 23,24 and physicians.…”

Section: Introductionmentioning

confidence: 99%

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Care Considerations in a Patient- and Family-Centered Medical Assistance in Dying Program

et al. 2020

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Background: Medical Assistance in Dying (MAID) became legal in Canada in June 2016. As part of a project designed to improve end-of-life care for those requesting MAID, qualitative data from patients, families, and providers were used to assess opportunities to enhance patient-and family-centered care (PFCC) in this program. Methods: Thirty interviews were conducted with patients, families, and healthcare providers. Five patients who requested an assessment for MAID, 11 family members, and 14 healthcare providers were interviewed about their experiences in 2017. Comparative coding and thematic analysis were completed with the support of NVivo12. Results: Emotional PFCC considerations included: exploring and validating the emotional journey, navigating the uncertain, judgmental experiences, and the emotional impact on families and the care team. Physical PFCC considerations included: sensitivity in eligibility assessments, weaving in interdisciplinary care, provision of anticipatory guidance, and death location. Spiritual PFCC considerations included: honoring choice, listening to life stories, supporting spiritual needs, and acknowledging loss. Relational PFCC considerations included: defining the circle of support, supporting the circle, and relational investments. Conclusion: Fundamental to a PFCC MAID program, practitioners must be afforded time to provide holistic care. Program-related suggestions include incorporating interdisciplinary care early, and throughout the illness trajectory, consistency in care providers, appropriate anticipatory guidance, and bereavement supports for family, and dedicate space for MAID provisions. Patients and families must be included in the ongoing development and re-evaluation of MAID programs to ensure continued focus on quality end-of-life care.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Care Considerations in a Patient- and Family-Centered Medical Assistance in Dying Program

et al. 2020

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“…Even though the relevance of suicide in Switzerland is known and notable national and regional suicide studies have been published (e.g. on methods used [7][8][9][10], inpatient suicides [11], suicidal behaviour in the emergency setting [12,13] or after hospital discharge [14], treatment studies [15] and assisted suicide [16][17][18][19][20][21]), there is so far no national suicide prevention strategy. For developing a prevention strategy, Bertolote and Fleischmann reported the importance of not focusing solely on completed suicide, but including suicide attempts, which are known to be one of the strongest risk factors for completed suicide [1,[22][23][24][25][26][27][28][29].…”

Section: Introductionmentioning

confidence: 99%

Suicide attempts in the county of Basel: results from the WHO/EURO Multicentre Study on Suicidal Behaviour

Muheim¹,

Eichhorn²,

Pascal³

et al. 2013

Swiss Med Wkly

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This study offers the first published representative data of an entire Swiss county. Established sociodemographic and clinical risk factors for suicide attempts were reproduced. The identification of risk factors contributes to developing local targeted prevention strategies, for example education of risk groups and caregivers, and pharmacolegal consequences for package sizes. Gender- and age-specific prevention and aftercare programmes are indicated.

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Attitudes and Practices of Euthanasia and Physician-Assisted Suicide in the United States, Canada, and Europe

Emanuel

Onwuteaka-Philipsen

Urwin

et al. 2016

JAMA

524

518

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Reasons why people in Switzerland seek assisted suicide: the view of patients and physicians

Cited by 12 publications

References 26 publications

Care Considerations in a Patient- and Family-Centered Medical Assistance in Dying Program

Care Considerations in a Patient- and Family-Centered Medical Assistance in Dying Program

Suicide attempts in the county of Basel: results from the WHO/EURO Multicentre Study on Suicidal Behaviour

Attitudes and Practices of Euthanasia and Physician-Assisted Suicide in the United States, Canada, and Europe

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