Ohm Sandy, Bozzaro Claudia
Faculty of Medicine, CAU Kiel University, Kiel, Germany.
Department of Medical Ethics, University of Münster, Münster, Germany.
BMC Med Ethics. 2025 Jul 17;26(1):98. doi: 10.1186/s12910-025-01263-9.
Although not widely known to the general public, right-to-die organisations have been active in Germany since the 1980s, similar to Switzerland. Notably, there is often a lack of focus on the volunteer members of these organisations, despite their unique perspectives on the matter. Our study aims to thoroughly investigate the experiences of members in German right-to-die organisations and thereby make a significant contribution to the ongoing debate.
This project was implemented through qualitative interviews conducted with active volunteer members of German right-to-die organisations, followed by a qualitative structured content analysis based on Mayring's approach. Using a coding evaluation method, relevant aspects were extracted from the data and on one hand assigned to predetermined categories, while one the other hand, new categories emerged organically from the material.
After conducting 13 interviews, it became clear that, while some participants were deeply impacted by the dramatic nature of the illness-related circumstances surrounding certain assisted suicides, the majority do not find the work burdensome. Instead, they view it as highly fulfilling and rewarding. In particular, interacting with the relatives of those seeking assistance and with the individuals themselves is seen as especially enriching. Furthermore, participants frequently encounter significant ignorance from large segments of the medical community and law enforcement regarding current regulations, which can lead to complications during assisted suicides. Additionally, collaboration with care facilities and senior residences presents a considerable challenge for many members, often due to religious objections.
Our study of volunteer members of right-to-die organisations is, as far as we know, the first one with active volunteers of German right-to-die organisations. The interviews thus provide new and important insights into a lived practice that has been little studied. These insights must be incorporated into the current debate on the responsible establishment of the practice of assisted suicide.
尽管公众对此了解并不广泛,但自20世纪80年代以来,德国的安乐死组织就一直很活跃,与瑞士类似。值得注意的是,尽管这些组织的志愿者成员对该问题有独特的见解,但人们往往缺乏对他们的关注。我们的研究旨在深入调查德国安乐死组织成员的经历,从而为正在进行的辩论做出重大贡献。
该项目通过对德国安乐死组织的活跃志愿者成员进行定性访谈来实施,随后基于迈林的方法进行定性结构化内容分析。使用编码评估方法,从数据中提取相关方面,一方面将其分配到预定类别,另一方面新类别从材料中自然出现。
在进行了13次访谈后,很明显,虽然一些参与者受到某些协助自杀相关疾病情况的戏剧性影响,但大多数人并不觉得这项工作繁重。相反,他们认为这非常充实且有意义。特别是,与寻求帮助者的亲属以及这些人本身互动被视为特别有意义。此外,参与者经常遇到医学界和执法部门很大一部分人对现行法规的严重无知,这可能导致协助自杀过程中出现并发症。此外,对许多成员来说,与护理机构和老年住宅合作是一个相当大的挑战,这通常是由于宗教反对。
就我们所知,我们对安乐死组织志愿者成员的研究是首次针对德国安乐死组织的活跃志愿者进行的研究。因此,这些访谈为一种鲜有研究的实际做法提供了新的重要见解。这些见解必须纳入当前关于负责任地确立协助自杀做法的辩论中。