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接受去医疗化协助自杀后,通过自我收集致命药物自我摄入而过世的人群的横断面研究。

Cross-Sectional Research Into People Passing Away Through Self-Ingesting Self-Collected Lethal Medication After Receiving Demedicalized Assistance in Suicide.

机构信息

Department of Public and Occupational Health, Amsterdam Public Health Research Institute (APH), Amsterdam UMC, location VU Medical Center, Amsterdam, the Netherlands.

出版信息

Omega (Westport). 2022 Mar;84(4):1100-1121. doi: 10.1177/0030222820926771. Epub 2020 Jun 2.

DOI:10.1177/0030222820926771
PMID:32484034
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8848061/
Abstract

This study describes the characteristics of-and the counseling received by-counselees who passed away through self-ingesting self-collected lethal medication after receiving demedicalised assistance in suicide. We analyzed registration forms filled in by counselors working with Foundation De Einder about 273 counselees who passed away from 2011 to 2015. The majority of these counselees had a serious disease and physical or psychiatric suffering. Half of them had requested physician assistance in dying. This shows that patients with a denied request for physician assistance in dying can persist in their wish to end life. This also shows that not all people with an underlying medical disease request for physician assistance in dying. Physicians and psychiatrist are often uninvolved in these self-chosen deaths while they could have a valuable role in the process concerning assessing competency, diagnosing diseases, and offering (or referring for) treatment.

摘要

本研究描述了在接受非医疗协助自杀后,通过自行摄入自行采集的致命药物而去世的咨询者的特征,以及他们所接受的咨询。我们分析了 Foundation De Einder 的咨询师在 2011 年至 2015 年间为约 273 名去世的咨询者填写的登记表。这些咨询者中,大多数患有严重疾病,身体或精神痛苦。其中一半人曾请求医生协助自杀。这表明,被拒绝请求医生协助自杀的患者可能会坚持结束生命的愿望。这也表明,并非所有患有潜在疾病的人都请求医生协助自杀。在这些自行选择的死亡中,医生和精神科医生往往不参与,而他们在评估能力、诊断疾病以及提供(或推荐)治疗方面可以发挥宝贵的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f47b/8848061/16fb132d926d/10.1177_0030222820926771-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f47b/8848061/16fb132d926d/10.1177_0030222820926771-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f47b/8848061/16fb132d926d/10.1177_0030222820926771-fig1.jpg

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Factors associated with requesting and receiving euthanasia: a nationwide mortality follow-back study with a focus on patients with psychiatric disorders, dementia, or an accumulation of health problems related to old age.与请求和接受安乐死相关的因素:一项全国性的死亡率随访研究,重点关注患有精神障碍、痴呆或与老年相关的健康问题积累的患者。
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