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对协助自杀的态度:家庭环境重要吗?

Attitudes toward Assisted Suicide: Does Family Context Matter?

出版信息

Arch Suicide Res. 2016;20(2):250-64. doi: 10.1080/13811118.2015.1004477. Epub 2015 Mar 9.

Abstract

Little is known about how family-related contextual variables impact attitudes toward assisted suicide. A probability sample (N = 272) responded to a multiple-segment factorial vignette designed to examine the effects of 6 variables-patient sex, age, type of illness, relationship status, parenthood status, and family support-on attitudes toward physician- and family-assisted suicide. Respondents were more likely to support physician-assisted suicide if they heard about an older patient or a patient experiencing physical pain than a younger patient or one suffering from depression, respectively. For family-assisted suicide, respondent support was higher when the patient had physical pain than depression, and when the patient's spouse or friend was supportive of the wish to die than unsupportive. Attitudes about physician and family obligation to inform others were affected by type of illness, relationship status, family support, and respondent education and religiosity. The experience of pain, motivations for family involvement, confidentiality issues, and physicians' biases concerning assisted suicide are discussed.

摘要

关于家庭相关的情境变量如何影响对协助自杀的态度,人们知之甚少。一个概率样本(N=272)对一个多段式虚构情景片段做出了回应,该片段旨在检验 6 个变量(患者性别、年龄、疾病类型、关系状况、父母身份和家庭支持)对医师协助和家庭协助自杀态度的影响。与听到年轻患者或患有抑郁症的患者相比,听到老年患者或患有身体疼痛的患者的情况下,受访者更有可能支持医师协助自杀。对于家庭协助自杀,如果患者有身体疼痛而不是抑郁症,并且患者的配偶或朋友支持想死的愿望而不是不支持,那么受访者的支持率就会更高。对医师和家庭告知他人的义务的态度受到疾病类型、关系状况、家庭支持以及受访者的教育和宗教信仰的影响。本文还讨论了疼痛的体验、家庭参与的动机、保密性问题以及医生对协助自杀的偏见。

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