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Factors associated with requesting and receiving euthanasia: A nationwide mortality follow-back study with a focus on patients with psychiatric disorders, dementia, or an accumulation of health problems related to old age

BMC Medicine Feb 23, 2019

Evenblij K, et al. - In this nationwide cross-sectional survey study, researchers projected the frequency of requesting and getting euthanasia and assisted suicide (EAS) in patients with (also) a psychiatric disorder, dementia, or an accumulation of health problems, explored reasons for physicians allow or reject a request, as well as characterize variances in features (including the presence of psychiatric disorders, dementia, and accumulation of health problems) between patients who did and did not request EAS and between patients whose request was or was not granted. Age (< 80 years), ethnicity (Dutch/Western), cause of death (cancer), attending physician (general practitioner), and participation of a pain specialist or psychiatrist were factors positively linked to requesting euthanasia. Findings suggested a negative association of psychiatric disorders, dementia, and/or an accumulation of health problems with both requesting and receiving euthanasia. Investigators found that EAS was quite rare in deceased patients with psychiatric disorders, dementia and/or health problems. This can partly be explained by the belief that the criteria for due care cannot be fulfilled or that patients with these conditions are less likely to request EAS.

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