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Public and physicians’ support for euthanasia in people suffering from psychiatric disorders: a cross-sectional survey study
BMC Medical Ethics ( IF 2.7 ) Pub Date : 2019-09-11 , DOI: 10.1186/s12910-019-0404-8
Kirsten Evenblij , H. Roeline W. Pasman , Agnes van der Heide , Johannes J. M. van Delden , Bregje D. Onwuteaka-Philipsen

Although euthanasia and assisted suicide (EAS) in people with psychiatric disorders is relatively rare, the increasing incidence of EAS requests has given rise to public and political debate. This study aimed to explore support of the public and physicians for euthanasia and assisted suicide in people with psychiatric disorders and examine factors associated with acceptance and conceivability of performing EAS in these patients. A survey was distributed amongst a random sample of Dutch 2641 citizens (response 75%) and 3000 physicians (response 52%). Acceptance and conceivability of performing EAS, demographics, health status and professional characteristics were measured. Multivariable logistic regression analyses were performed. Of the general public 53% were of the opinion that people with psychiatric disorders should be eligible for EAS, 15% was opposed to this, and 32% remained neutral. Higher educational level, Dutch ethnicity, and higher urbanization level were associated with higher acceptability of EAS whilst a religious life stance and good health were associated with lower acceptability. The percentage of physicians who considered performing EAS in people with psychiatric disorders conceivable ranged between 20% amongst medical specialists and 47% amongst general practitioners. Having received EAS requests from psychiatric patients before was associated with considering performing EAS conceivable. Being female, religious, medical specialist, or psychiatrist were associated with lower conceivability. The majority (> 65%) of the psychiatrists were of the opinion that it is possible to establish whether a psychiatric patient’s suffering is unbearable and without prospect and whether the request is well-considered. The general public shows more support than opposition as to whether patients suffering from a psychiatric disorder should be eligible for EAS, even though one third of the respondents remained neutral. Physicians’ support depends on their specialization; 39% of psychiatrists considered performing EAS in psychiatric patients conceivable. The relatively low conceivability is possibly explained by psychiatric patients often not meeting the eligibility criteria.

中文翻译:

公众和医生对精神病患者安乐死的支持:一项横断面调查研究

尽管在精神病患者中安乐死和辅助自杀(EAS)相对较少,但EAS请求发生率的上升引起了公众和政治上的争论。这项研究旨在探讨公众和医生对安乐死的支持,并协助精神病患者自杀,并研究与这些患者接受EAS的接受程度和可想到性有关的因素。在荷兰2641名公民(占75%)和3000名医生(占52%)的随机样本中进行了调查。测量了执行EAS,人口统计,健康状况和专业特征的接受度和可想象性。进行了多变量逻辑回归分析。在普通公众中,有53%的人认为精神病患者应符合接受EAS的资格,15%的人反对,32%的人保持中立。较高的教育水平,荷兰种族和较高的城市化水平与EAS的可接受性较高相关,而宗教生活态度和良好的健康状况与EAS的可接受性较低相关。可以考虑在精神病患者中考虑进行EAS的医师比例在医学专家中为20%,在全科医生中为47%。之前已收到精神病患者的EAS要求与考虑执行EAS可能相关。女性,宗教,医学专家或精神科医生与较低的想象力相关。多数(> 65%的精神科医生认为,可以确定精神病患者的痛苦是否难以忍受,没有希望,以及是否充分考虑了这一要求。尽管有三分之一的受访者保持中立,但对于患有精神疾病的患者是否应该获得EAS资格,公众表现出比反对更多的支持。医生的支持取决于他们的专业知识;39%的精神科医生认为可以对精神病患者进行EAS。可能不符合资格标准的精神病患者可能解释了相对较低的可想象性。即使三分之一的受访者保持中立。医生的支持取决于他们的专业知识;39%的精神科医生认为可以对精神病患者进行EAS。可能不符合资格标准的精神病患者可能解释了相对较低的可想象性。即使三分之一的受访者保持中立。医生的支持取决于他们的专业知识;39%的精神科医生认为可以对精神病患者进行EAS。可能不符合资格标准的精神病患者可能解释了相对较低的可想象性。
更新日期:2019-09-11
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