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协助自杀:为何精神科医生应该参与这场辩论。

Assisted suicide: why psychiatrists should engage in the debate.

出版信息

Br J Psychiatry. 2011 Feb;198(2):83-4. doi: 10.1192/bjp.bp.110.083634.

Abstract

There is an increasing appetite for a change in the law to allow assisted suicide. This editorial suggests that psychiatrists should engage in the debate because the issues at stake will affect us, and we are likely to have a significant part to play were the law to be changed. We suggest that there are three main areas where psychiatrists' expertise may be informative: (a) the extent to which safeguards to limit the availability of assisted dying to target groups can be applied safely and fairly, including to individuals with psychiatric disorders; (b) the complexities inherent in assessing mental capacity; and (c) the degree to which individuals adapt or change their desires, particularly in relation to suicidal behaviours.

摘要

人们对法律的修改以允许协助自杀的呼声越来越高。本社论认为,精神科医生应该参与这场辩论,因为所涉及的问题将影响到我们,而且如果法律发生变化,我们很可能在其中发挥重要作用。我们认为,精神科医生的专业知识可能在以下三个主要领域提供信息:(a)可以安全和公平地适用于限制协助死亡的可及性的保障措施的范围,包括适用于精神障碍患者;(b)评估心理能力所固有的复杂性;以及(c)个人适应或改变其愿望的程度,特别是与自杀行为有关的愿望。

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