Perspectives on physician-assisted suicide in mental healthcare: results of a survey of physicians and medical students
2024

Perspectives on Physician-Assisted Suicide in Mental Healthcare

Sample size: 1478 publication 10 minutes Evidence: moderate

Author Information

Author(s): Reichel Rebecca, Adam Sophia Helen, Ehni Hans-Jörg, Junne Florian, Herrmann-Werner Anne, Fallgatter Andreas J., Zipfel Stephan, Erschens Rebecca

Primary Institution: University Hospital Tuebingen, University of Tuebingen, Germany

Hypothesis

What are the ethical and moral perspectives of medical students and physicians regarding physician-assisted suicide for patients with chronic depression?

Conclusion

Participants displayed relatively low willingness to consider physician-assisted suicide for a chronically depressed patient, influenced by ethical arguments and public discourse.

Supporting Evidence

  • 71% of participants were not willing to provide physician-assisted suicide in the presented case.
  • Concerns about loss of trust in the medical profession significantly influenced participants' decisions.
  • Patient-centered arguments increased the likelihood of consent for physician-assisted suicide.

Takeaway

Most doctors and medical students don't want to help depressed patients end their lives, even if the patients are suffering a lot.

Methodology

An anonymised digital survey was conducted among medical students and physicians in Germany, using a case vignette and generalised ordinal regression for data analysis.

Potential Biases

The sample included a significant proportion of physicians trained in palliative care, which may have influenced their responses.

Limitations

The survey's demographic data could not be verified, and the sample was heterogeneous, which may affect the generalizability of the results.

Participant Demographics

32% male, 61% female, average age 29 years, with 80% still studying medicine.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1192/bjo.2024.731

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