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[瑞士的协助自杀,国际关于临终医疗协助讨论中的一个模式:一种新的社会和医学伦理现象的框架条件及长期发展]

[Assisted suicide in Switzerland, a model in the international discussion about medical aid in dying: framework conditions and long-term development of a new societal and medical-ethical phenomenon].

作者信息

Güth Uwe, Jox Ralf J, Abawi Karim, Weitkunat Rolf, Schneeberger Andres R

机构信息

Universität Basel, Medizinische Fakultät; Basel, Schweiz.

Brust-Zentrum Zürich; Zürich, Schweiz.

出版信息

Dtsch Med Wochenschr. 2024 Oct;149(20):1227-1236. doi: 10.1055/a-2370-0016. Epub 2024 Sep 23.

Abstract

In the observation period between 1999 and 2022, the Swiss Federal Statistical Office recorded 14 170 assisted suicide (AS) cases. During this 24-year period, the annual number of cases increased significantly: While only 63 cases were observed in 1999, the number of cases in 2022 amounted to almost 1600, corresponding to 2.1 % of all deaths in Switzerland. The most common underlying disease group for AS was cancer, accounting for 40 % of cases. AS is mainly chosen by women (unchanged over time at 58 % of cases) and is primarily a geriatric phenomenon: In 2022, the median age of those who opted for assisted dying was 81 years; the median age of those who chose AS due to cancer was 77 years, while the median age of those who died with non-cancer-related AS was 84 years.

摘要

在1999年至2022年的观察期内,瑞士联邦统计局记录了14170例协助自杀(AS)案例。在这24年期间,每年的案例数量显著增加:1999年仅有63例,而2022年的案例数量几乎达到1600例,占瑞士所有死亡人数的2.1%。协助自杀最常见的基础疾病组是癌症,占案例的40%。协助自杀主要由女性选择(随时间保持不变,占案例的58%),并且主要是老年现象:2022年,选择协助死亡者的年龄中位数为81岁;因癌症选择协助自杀者的年龄中位数为77岁,而因非癌症相关协助自杀死亡者的年龄中位数为84岁。

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