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意大利的医疗协助自杀:宪法法院的最新判决。

Medically assisted suicide in Italy: the recent judgment of the Constitutional Court.

机构信息

Forensic Medicine Unit, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy.

Centre of Bioethics Research, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia Italy.

出版信息

Clin Ter. 2021 May 5;172(3):193-196. doi: 10.7417/CT.2021.2312.

DOI:10.7417/CT.2021.2312
PMID:33956035
Abstract

Medically assisted suicide is considered among the most contro-versial of the current bioethical debate in our Country. In the Italian legal system, we are lacking specific discipline of this practice, as it is covered by the general legal forms applicable to crimes against life. The Constitutional Court, with Decision No. 242/2019, declared the illegitimacy of Art. 580 of the Criminal Code (instigation to suicide), in the part not excluding the punishment of those who facilitates the execution of the intention to commit suicide, independently and freely formed, by a person kept alive by life support and suffering an irreversible disease, source of physical or psychological suffering that the person deems intolerable, but who is fully capable of making free and conscious decisions. The Constitutional Court found that the current regulatory fra-mework concerning the end of life leaves certain situations constitutio-nally worthy of protection and to be balanced with other constitutionally relevant assets without adequate protection. The Court has identified the conditions that can justify third-party assistance in ending the life of a sick person. The judges envisaged the possibility of including this discipline under Law No. 219/2017, but this hypothesis is not shared by the Italian National Bioethics Committee.

摘要

在我国,医疗协助自杀被认为是当前生物伦理辩论中最具争议的问题之一。在意大利法律体系中,我们缺乏对这种做法的具体规定,因为它涵盖了适用于危害生命罪的一般法律形式。宪法法院在第 242/2019 号决定中宣布《刑法典》第 580 条(教唆自杀)的不合法性,该条不排除对那些帮助实施由生命支持维持生命的人自杀意图的人进行惩罚,这些人患有不可逆转的疾病,身体或心理上的痛苦使人无法忍受,但完全有能力做出自由和有意识的决定。宪法法院认为,当前关于生命终结的监管框架存在某些情况,宪法上值得保护,并需要在没有充分保护的情况下与其他具有宪法相关性的资产进行平衡。法院已经确定了可以为第三方协助结束病人生命提供理由的条件。法官们设想了在第 219/2017 号法律下纳入这一学科的可能性,但意大利国家生物伦理委员会并不认同这一假设。

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