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SUICIDE MEDICALEMENT ASSISTE

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Riding an elephant - a qualitative study of nurses' moral journeys in the context of medical assistance in dying (MAiD)

PESUT, Barbara ; THORNE, Sally ; STORCH, Janet ; CHAMBAERE, Kenneth ; GREIG, Madeleine ; BURGESS, Michael
Journal of clinical nursing, 22/07/2020, p. 3870-3881

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Classification of end-of-life decisions by Dutch physicians - findings from a cross-sectional survey

OVERBEEK, Anouk ; VAN DE WETERING, Veerle E. ; VAN DELDEN, Johannes J. M. ; MEVIS, Paul A. M. ; ONWUTEAKA-PHILIPSEN, Bregje D. ; POSTMA, Liselotte ; RIETJENS, Judith A. C. ; VAN DER HEIDE, Agnes
Annals of palliative medicine, 21/07/2020, p. 1-9

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Spiritual beliefs and hastened death - a study on medical students

SOUSA, Alexandre ; MARINA, Sílvia ; RICOU, Miguel
OMEGA JOURNAL OF DEATH AND DYING, 28/07/2020, Pagination inconnue

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Euthanasia and assisted suicide in patients with personality disorders - a review of current practice and challenges

MEHLUM, Lars ; SCHMAHL, Christian ; BERENS, Ann ; DOERING, Stephan ; HUTSEBAUT, Joost ; KAERA, Andres ; KRAMER, Ueli ; MORAN, Paul Anthony ; RENNEBERG, Babette ; RIBAUDI, Joaquim Soler ; SIMONSEN, Sebastian ; SWALES, Michaela ; TAUBNER, Svenja ; DI GIACOMO, Ester
Borderline personality disorder and emotion dysregulation, 2020, vol.7, p. 1-7

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Thème : Ethique et déontologie. Cote : eD13

EUTHANASIE ; SUICIDE MEDICALEMENT ASSISTE ; REVUE LITTÉRATURE ; PSYCHIATRIE

Background: Over the last two decades an increasing number of countries have legalized euthanasia and physician-assisted suicide (EAS) leading to considerable debate over the inherent ethical dilemmas. Increasing numbers of people with personality disorders, faced with unbearable suffering, have requested and received assistance in terminating their lives. EAS in people with personality disorders has, however, received very sparse attention from clinicians and researchers. In this paper, we examine the literature on the practice and prevalence of EAS in people with personality disorders to date and discuss the associated challenges for research and practice.
Methods: Narrative review of the literature combined with the authors' collective experience and knowledge of personality disorders.
Results: In six of the eight countries where EAS is currently legal, mental disorders are accepted as disorders for which EAS may be granted. In four of these countries, EAS in minors with mental disorders is also accepted. Our literature search resulted in 9 papers on the subject of EAS in people with personality disorders. These studies suggest that most clinicians who grant EAS have indeed perceived their patients' suffering as chronic, unbearable and untreatable without prospect of improvement. The majority of patients with personality disorders had tried some form of psychotherapy, but very few had received any of the relevant evidence-based treatments. The decision to grant EAS based on a perception of the patient's illness as being untreatable with no prospect of improvement, could, thus, in many cases fail to meet the due care criteria listed in EAS laws. People with personality disorders more often wish for death for extended periods of time than people without these disorders. However, there is ample empirical data to show that suicidal tendencies and behaviour can be treated and that they fluctuate rapidly over time.
Conclusions: In light of our findings, we believe that the current legislation and practice of EAS for people with personality disorders is based on an inadequate understanding of underlying psychopathology and a lack of awareness about the contemporary treatment literature. Moreover, we assert that this practice neglects the individual's potential for having a life worth living.

Origine : PubMed

Legal assistance in dying for people with brain tumors

ISENBERG-GRZEDA, Elie ; SOFIE, Katie ; LARRIVEE, Evgenia J. ; GRABER, Jerome J.
Annals of palliative medicine, 31/07/2020, p. 1-6

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UK public's views and perceptions about the legalisation of assisted dying and assisted suicide

PENTARIS, Panagiotis ; JACOBS, Lucy
OMEGA JOURNAL OF DEATH AND DYING, 03/08/2020, Pagination inconnue

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Palliative care physicians' preparation and planning for the implementation of the voluntary assisted dying act in Victoria

PHILIP, Jennifer ; HOLMES, Alex ; BENSON, Melanie ; BOUGHEY, Mark ; YOONG, Jaclyn ; CLINCH, Alexandra ; MORAN, Juli
Internal medicine journal, 03/08/2020, Pagination inconnue

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Development of voluntary assisted dying training in Victoria, Australia - a model for consideration

WHITE, Ben P. ; WILLMOTT, Lindy ; CLOSE, Eliana ; HEWITT, Jayne ; MEEHAN, Rebecca ; GREAVES, Laura Ley ; PARKER, Malcolm H. ; YATES, Patsy
JOURNAL OF PALLIATIVE CARE, 04/08/2020, Pagination inconnue

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Thème : Formation.

SUICIDE MEDICALEMENT ASSISTE ; AUSTRALIE ; FORMATION PROFESSIONNELLE ; MEDECIN

BACKGROUND: Voluntary assisted dying was legalized in Victoria, Australia in June 2019, and was the first jurisdiction internationally to legislatively mandate training for doctors conducting eligibility assessments of patients. Mandatory training was designed as a safeguard to ensure compliance within the system, so that only eligible patients would gain access to voluntary assisted dying.
OBJECTIVE: This article outlines the development of training mandated for doctors prior to undertaking eligibility assessments for voluntary assisted dying. The training addressed required legal knowledge, including doctors' roles, duties and legal protections, and also provided instruction on relevant clinical skills.
DESIGN: Training design was based on 2 main principles: to comprehensively impart the legal duties imposed by the legislation; and to be readily accessible for busy doctors. The law was first mapped into a curriculum, and circulated to medical colleges, societies and professional organizations as well as international experts for feedback. The training was converted into an online e-learning format and tested at a focus group of doctors.
RESULTS: The training comprises 9 modules including an assessment module. While the predominant focus of the modules is on law, they also contain some clinical components and links to further resources. Modules also contain videos, case studies and interactive exercises. The assessment consists of 30 questions, selected randomly from a question bank, with a pass mark of 90%.
CONCLUSION: The Victorian legislatively-mandated voluntary assisted dying training provides standardized baseline knowledge to enhance the quality and consistency of decision-making by doctors. While further evaluation of this training is needed, it may provide a model for other jurisdictions considering making voluntary assisted dying lawful.

Origine : PubMed

End-of-life issues in intensive care units

METAXA, Victoria
Seminars in respiratory and critical care medicine, 09/08/2020, Pagination inconnue

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Medical assistance in dying (MAiD) in Canada - practical aspects for healthcare teams

WIEBE, Ellen ; GREEN, Stefanie ; WIEBE, Kim
Annals of palliative medicine, 10/08/2020, p. 1-8

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Refractory suffering at the end of life and the assisted dying debate - an interview study with palliative care nurses and doctors

GUSTAD, Kristine Espegren ; ASKJER, Åsta ; NORTVEDT, Per ; FREDHEIM, Olav Magnus S ; MAGELSSEN, Morten
Clinical ethics, 28/07/2020, p. 1-7

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Perception of medical assistance in dying among Asian Buddhists living in Montreal, Canada

DORJI, Nidup ; LAPIERRE, Sylvie ; DRANSART, Dolores Angela Castelli
OMEGA JOURNAL OF DEATH AND DYING, 23/08/2020, Pagination inconnue

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Do doctors differentiate between suicide and physician-assisted death? - a qualitative study into the views of psychiatrists and general practitioners

PRONK, Rosalie ; WILLEMS, Dick L. ; VAN DE VATHORST, Suzanne
Culture, medicine and psychiatry, 24/08/2020, p. 1-14

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How we can improve the quality of care for patients requesting medical assistance in dying - a qualitative study of health care providers

OCZKOWSKI, Simon Jw ; CRAWSHAW, Diane ; AUSTIN, Peggy ; VERSLUIS, Donald ; KALLES-CHAN, Gaelen ; KEKEWICH, Mike ; CURRAN, Dorothyann ; MILLER, Paul ; KELLY, Michaela ; WIEBE, Ellen ; DEES, Marianne ; FROLIC, Andrea
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 21/08/2020, p. 1-35

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Responding to hospital staff’s paranormal experiences related to a medical assistance in dying room

SCHUMAN, Olivia ; CHIDWICK, Paula ; PETROPANAGOS, Angel ; OLIVER, Jill ; SALIS, Marina ; GILL, Gurwinder ; KOSACKY, Sula ; BURNETT, Michelle Miller
Canadian Journal of Bioethics, 29/06/2020, vol.3, n°1, p. 1-5

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Survey of mental health care providers’ perspectives on the everyday ethics of medical-aid-in-dying for people with a mental illness

MONTREUIL, Marjorie ; SÉGUIN, Monique ; GROS, Catherine ; RACINE, Eric
Canadian journal of bioethics, 20/07/2020, vol.3, n°1, p. 1-25

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Social consequences of assisted dying - a case study

WINNINGTON, Rhona ; MAC LEOD, Rod
The New Zealand medical journal, 26/06/2020, vol.133, n°1517, p. 18-23

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Navigating the complexities of voluntary assisted dying in palliative care

WARAN, Eswaran ; WILLIAM, Leeroy
The medical journal of Australia, 23/08/2020, Pagination inconnue

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Assessing public's attitudes towards euthanasia and assisted suicide of persons with dementia based on their advance request - an experimental survey of US public

MANGINO, Dominic R. ; BERNHARD, Talia ; WAKIM, Paul ; KIM, Scott Yh
The American journal of geriatric psychiatry, 30/07/2020, p. 1-11

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Terminer en beauté

JENCQUEL, Jacqueline
Favre , 2020 , 205 p.

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