Curry L, Gruman C, Blank K, Schwartz H I
Braceland Center for Mental Health and Aging, Hartford Hospital, USA.
Conn Med. 2000 Jul;64(7):403-12.
This study examined aspects of physician attitudes toward physician-assisted suicide (PAS) not fully examined to date: evaluation of risks related to PAS, particularly the presence of depression, and the influence of religious and professionally-based values.
Anonymous, self-administered mailed questionnaire using Dillman methodology.
Targeted sample of physicians licensed by the Connecticut Department of Public Health in 1997 (n = 2,805 completed surveys; 40% response rate). DATA INCLUDE: Physician and patient characteristics, attitudes toward physician assisted suicide, and confidence in treating depression.
Religious affiliation, religiosity, ethnicity and medical specialty were strongly associated with views on PAS. Seven percent of respondents had been asked to write a lethal prescription during the past year, 15% of whom (n = 24) had complied with at least one request.
Most respondents expressed concern regarding certain risks associated with PAS, including movement toward involuntary euthanasia and the influence of undetected depression. Findings raise practical issues to be addressed through statutory or professional safeguards if PAS were to be legalized.
本研究探讨了医生对医师协助自杀(PAS)态度中迄今尚未充分研究的方面:对与PAS相关风险的评估,特别是抑郁症的存在,以及宗教和专业价值观的影响。
采用迪尔曼方法进行匿名、自行填写的邮寄问卷调查。
1997年由康涅狄格州公共卫生部颁发执照的医生的目标样本(n = 2805份完成的调查问卷;回复率为40%)。数据包括:医生和患者特征、对医师协助自杀的态度以及治疗抑郁症的信心。
宗教信仰、宗教虔诚度、种族和医学专业与对PAS的看法密切相关。7%的受访者在过去一年中曾被要求开具致命处方,其中15%(n = 24)至少答应过一次请求。
大多数受访者对与PAS相关的某些风险表示担忧,包括走向非自愿安乐死以及未被发现的抑郁症的影响。如果PAS合法化,研究结果提出了一些实际问题,需要通过法定或专业保障措施来解决。