Department of psychotic disorders, University Psychiatric Centre Katholieke Universiteit Leuven, Kortenberg, Belgium.
Department of Neurosciences, Centre for Clinical Psychiatry, Katholieke Universiteit Leuven, Leuven, Belgium.
Eur Psychiatry. 2022 Nov 10;65(1):e80. doi: 10.1192/j.eurpsy.2022.2342.
For more than 20 years, euthanasia in Belgium and The Netherlands is allowed for unbearable suffering caused by terminal or non-terminal illnesses, including psychiatric disorders. Although euthanasia numbers have been increasing over the years, the percentage of cases involving people with a primary psychiatric diagnosis has remained stable (between 1 and 2%). For these cases, the Belgian and Dutch Euthanasia Laws operate similar due care criteria: a well-considered, repeated, and voluntary request from a legally competent adult; a medical condition without prospect of improvement; constant and unbearable suffering that cannot be alleviated; consultation of two independent physicians, including a psychiatrist; and evaluation and control [1-3].
20 多年来，比利时和荷兰允许对因绝症或非绝症引起的无法忍受的痛苦，包括精神疾病，实施安乐死。尽管安乐死的数量逐年增加，但涉及有原发性精神疾病诊断的病例比例保持稳定（在 1%至 2%之间）。对于这些病例，比利时和荷兰的安乐死法律适用类似的谨慎处理标准：由具有合法行为能力的成年人深思熟虑、反复、自愿提出的请求；没有改善前景的疾病状况；无法缓解的持续和无法忍受的痛苦；咨询两名独立医生，包括精神科医生；以及评估和控制[1-3]。
