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Title
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Euthanasia requests, procedures and outcomes for 100 Belgian patients suffering from psychiatric disorders : a retrospective, descriptive study
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Author
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Abstract
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| Objectives: To identify patterns in euthanasia requests and practices relating to psychiatric patients; to generate recommendations for future research. Design: Retrospective analysis of data obtained through medical file review. Setting: Outpatient psychiatric clinical setting in the Dutch-speaking region of Belgium, between October 2007 and December 2011; follow-up at the end of December 2012. Participants: 100 consecutive psychiatric patients requesting euthanasia based on psychological suffering associated with psychiatric disorders (77 women, 23 men; mean age 47 years; age range 2180 years). Main outcome measures: Patient sociodemographic characteristics; diagnoses; decisions on euthanasia requests; circumstances of euthanasia procedures; patient outcomes at follow-up. Results: Most patients had been referred for psychiatric counselling by their physician (n=55) or by LEIF (Life End Information Forum) (n=36). 90 patients had >1 disorder; the most frequent diagnoses were depression (n=58) and personality disorder (n=50). 38 patients required further testing and/or treatment, including 13 specifically tested for autism spectrum disorder (ASD); 12 received an ASD diagnosis (all Asperger syndrome). In total, 48 of the euthanasia requests were accepted and 35 were carried out. Of the 13 remaining patients whose requests were accepted, 8 postponed or cancelled the procedure, because simply having this option gave them enough peace of mind to continue living. In December 2012, 43 patients had died, including 35 by euthanasia; others died by suicide (6), palliative sedation (1) and anorexia nervosa (1). Conclusions: Depression and personality disorders are the most common diagnoses in psychiatric patients requesting euthanasia, with Asperger syndrome representing a neglected disease burden. Further research is needed, especially prospective quantitative and qualitative studies, to obtain a better understanding of patients with psychiatric disorders who request euthanasia due to unbearable psychological suffering. |
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Language
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English
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Source (journal)
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BMJ open. - London, 2011, currens
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Publication
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London
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BMJ Group
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2015
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ISSN
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2044-6055
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DOI
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10.1136/BMJOPEN-2014-007454
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Volume/pages
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5
:7
(2015)
, 8 p.
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Article Reference
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e007454
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ISI
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000363482000024
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Pubmed ID
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26216150
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Medium
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E-only publicatie
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Full text (Publisher's DOI)
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Full text (open access)
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