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意大利辅助自杀的宪法合法性引发的医学法律和生物伦理视角。

Medico-legal and bioethical perspectives following the constitutional legitimacy of assisted suicide in Italy.

机构信息

Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, Rome, Italy.

Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Rome, Italy.

出版信息

Med Leg J. 2020 Sep;88(3):151-154. doi: 10.1177/0025817220923687. Epub 2020 May 21.

Abstract

Assisted suicide is the subject of much debate throughout the world. In Italy, on 24 September 2019, the Italian Constitutional Court legitimised assisted suicide under certain conditions: self-determination capacity, irreversible illness and intense physical/psychological suffering of the patient. This historic judgement surely paved the way for an evolution of the Italian legal framework on the matter but also raised some challenging medico-legal and bioethical questions. This study aims at analysing two of the most controversial among them: the inclusion of psychiatric patients among eligible patients for assisted suicide and the position of physicians related to their right to conscientious objection.

摘要

协助自杀是全世界争论的焦点。2019 年 9 月 24 日,意大利宪法法院在某些条件下使协助自杀合法化:患者有自我决定能力、患有不可逆转的疾病以及承受强烈的身体/心理痛苦。这一历史性的判决无疑为意大利在该问题上的法律框架的演变铺平了道路,但也引发了一些具有挑战性的医学法律和生物伦理问题。本研究旨在分析其中两个最具争议的问题:将精神疾病患者纳入有资格接受协助自杀的患者群体,以及医生与他们的良心拒绝对其相关的立场。

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