Arnold Elizabeth Mayfield
Department of Psychiatry and Behavioral Medicine, School of Medicine, Wake Forest University, Medical Center Boulevard, Winston-Salem, NC 27157-1087, USA.
Health Soc Work. 2004 Feb;29(1):17-26. doi: 10.1093/hsw/29.1.17.
Although the debate about whether an individual with a life-threatening illness should have the right to hasten his or her death continues, few researchers have examined why someone might consider such an option. This study examined factors that contribute to consideration of hastening death among people with life-threatening illnesses. A discriminant function analysis was conducted to determine what factors distinguished between people who had self-identified as either contemplating or not contemplating hastening their deaths. Of the variables examined, depression, social support, and hope distinguished between the two groups. Pain and anxiety appeared to play no role in distinguishing between the two groups. The results are presented and implications for social work practice and research are discussed.
尽管关于患有危及生命疾病的个人是否有权加速自己死亡的争论仍在继续,但很少有研究人员探讨过为什么有人会考虑这样一种选择。本研究调查了导致危及生命疾病患者考虑加速死亡的因素。进行了判别函数分析,以确定哪些因素能够区分自我认定为考虑或不考虑加速死亡的人群。在所研究的变量中,抑郁、社会支持和希望在两组之间存在差异。疼痛和焦虑在区分两组时似乎没有起到作用。本文呈现了研究结果,并讨论了其对社会工作实践和研究的启示。