Hastening death: a comparison of two end-of-life decisions.

This study determined the relationship of psychosocial and background variables to elders' end-of-life (EOL) decision preferences. Responding to 5 EOL decision scenarios depicting terminally ill elders, 200 elders aged 60-90 indicated preferences regarding extending life (EL), refusing treatment (RT), and assisted suicide (AS). They were also assessed on religiosity, values, fear of death, locus of control, health, socioeconomic status, and age. Results of multinomial logistic regression indicated that EOL decisions of three groups (favoring EL, favoring RT, and favoring both AS and RT) were significantly influenced by religiosity, value for preservation of life, value for quality of life, fear of death, and locus of control belief. The importance of safeguarding older adults' autonomy in EOL decisions was stressed.