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Assisted dying in the terminally ill: an evaluation of views on euthanasia

Published online by Cambridge University Press:  17 June 2019

Sophie Duxbury*
Affiliation:
Faculty of Health Sciences, University of Hull, Cottingham Rd, Hull HU6 7RX, UK
*
Author for correspondence: Sophie Duxbury, Faculty of Health Sciences, University of Hull, Cottingham Rd, Hull HU6 7RX, UK. Tel: 07783 936547. E-mail: sophiedux94@gmail.com

Abstract

Introduction:

The purpose of this study was to evaluate views and attitudes concerning the legality of assisted death and euthanasia in the UK and to identify the circumstances in which individuals would or would not consider assisted death.

Materials and methods:

The views of a sample of the general population in the UK were sought through the use of a mixed methods questionnaire open to the public for 3 weeks.

Results:

The responses of 117 participants were analysed using an SPSS MANOVA statistical test for quantitative data and an in-depth content coding analysis for qualitative responses.

Discussion:

The majority of respondents, 85·5%, believed that Physician-Assisted Death (PAD) should be legalised in the UK and that individuals should be able to choose when, 88%, and where, 88·9%, they die. Qualitative analysis revealed that more people would consider a PAD for a severe physical terminal illness over mental illness. There was no statistical significance for variables for quantitative data when considering overall demographics, professional and educational backgrounds of the respondents.

Conclusion:

The majority of respondents in this study indicated that they believe assisted suicide should be made legal and that the option should be available for those who are terminally ill. Views indicated that if assisted dying was legal, it would allow terminally ill patients to die with dignity and without prolonging pain.

Type
Original Article
Copyright
© Cambridge University Press 2019 

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References

Nora, L M. Law, ethics and the clinical neurologist. In: Bernat, J L, Beresford, H R (eds). Handbook of Clinical Neurology, Volume 118. Amsterdam: Elsevier, 2013: 6378.Google Scholar
Holm, S. Ethical issues in geriatric medicine. In: Fillit, H M, Rockwood, K, Woodhouse, K (eds). rocklehurst’s Textbook of Geriatric Medicine and Gerontology, 7th edition. Philadelphia: Saunders, Elsevier, 2010: 983987.10.1016/B978-1-4160-6231-8.10116-3CrossRefGoogle Scholar
Emanuel, E J. Depression, euthanasia, and improving end-of-life care. J Clin Oncol: Off J Am Soc Clin Oncol 2005; 23 (27): 64566458. doi:10.1200/JCO.2005.06.001CrossRefGoogle ScholarPubMed
Rietjens, J A, van Tol, D G, Schermer, M, Heide, A V. Judgement of suffering in the case of a euthanasia request in the netherlands. J Med Ethics 2009; 35 (8): 502507. doi:10.1136/jme.2008.028779CrossRefGoogle ScholarPubMed
Gorsuch, N M. The right to assisted suicide and euthanasia. Harv J Law Public Policy 2000; 23 (3): 599.Google ScholarPubMed
Ruijs, C D, van der Wal, G, Kerkhof, A, Onwuteaka-Philipsen, B D. Unbearable suffering and requests for euthanasia prospectively studied in end-of-life cancer patients in primary care. BMC Palliative Care 2014; 13 (1): 62. doi:10.1186/1472-684X-13-62CrossRefGoogle ScholarPubMed
Downar, J, Boisvert, M, Smith, D. Data to support assisted dying. BMJ: Br Med J (Online) 2014; 349: 1. doi:10.1136/bmj.g4966CrossRefGoogle ScholarPubMed
Suarez-Almazor, M E, Belzile, M, Bruera, E. Euthanasia and physician-assisted suicide: a comparative survey of physicians, terminally ill cancer patients, and the general population. J Clin Oncol 1997; 15 (2): 418427. doi:10.1200/JCO.1997.15.2.41CrossRefGoogle ScholarPubMed
Delamothe, T, Snow, R, Godlee, F. Why the Assisted Dying Bill should become law in England and Wales. BMJ: Br Med J 2014; 349 (9): 4349. doi:10.1136/bmj.g4349CrossRefGoogle Scholar
Turner-Stokes, L. A matter of life and death: controversy at the interface between clinical and legal decision-making in prolonged disorders of consciousness. J Med Ethics 2016; 43 (7): 469475. doi:10.1136/medethics-2016-104057CrossRefGoogle ScholarPubMed
Szawarski, P, Kakar, V. Classic cases revisited: Anthony bland and withdrawal of artificial nutrition and hydration in the UK. J Intensive Care Soc 2012; 13 (2): 126129. doi:10.1177/175114371201300209CrossRefGoogle Scholar
Suicide Act 1961. 1978, June 01. Legislation.gov.uk: http://www.legislation.gov.uk/ukpga/Eliz2/9-10/60.Google Scholar
Parry-Jones, W L. Criminal law and complicity in suicide and attempted suicide. Med Sci Law 1973; 13 (2): 110119. doi:10.1177%2F002580247301300209CrossRefGoogle ScholarPubMed
Chalmers, J. Clarifying the law on assisted suicide? Ross v Lord Advocate. Edinburgh Law Rev 2017: 21 (1), 9398. doi:10.3366/elr.2017.0391CrossRefGoogle Scholar
House of Commons. Assisted Dying for the Terminally Ill Bill (2005–06). London: UK Government, 2005.Google Scholar
House of Commons. Assisted Dying Bill (2013–14). London: UK Government, 2013.Google Scholar
Braun, V, Clarke, V. Successful Qualitative Research a Practical Guide for Beginners. London: Sage, 2013.Google Scholar
Data Protection Act 2018. 2018, May 23. Legislation.gov.uk: http://www.legislation.gov.uk/ukpga/2018/12/pdfs/ukpga_20180012_en.pdf. Accessed on 5th September 2018.Google Scholar
McCormack, R, Fléchais, R. The role of psychiatrists and mental disorder in assisted dying practices around the world: a review of the legislation and official reports. Psychosomatics 2012; 53 (4): 319326. doi:10.1016/j.psym.2012.03.005CrossRefGoogle ScholarPubMed
Bosshard, G, Broeckaert, B, Clark, D, Materstvedt, L J, Gordijn, B, Müller-Busch, H C. A role for doctors in assisted dying? An analysis of legal regulations and medical professional positions in six European countries. J Med Ethics 2008; 34 (1): 2832. doi:10.1136/jme.2006.018911CrossRefGoogle ScholarPubMed
Galbraith, K M, Dobson, K S. The role of the psychologist in determining competence for assisted suicide/euthanasia in the terminally ill. Can Psychol/Psychol Can 2000; 41: 174183. doi:10.1037/h0086867CrossRefGoogle Scholar
Werth, J L, Lewis, M M, Richmond, J M. Psychologists’ involvement with terminally ill individuals who are making end-of-life decisions. J Forensic Psychol Pract 2009; 9: 8291. doi:10.1080/15228930802427130CrossRefGoogle Scholar
CSL. End of Life Option Act, SB-128/. 2015. California State Legislature: https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB128. Accessed on 11th August 2018.Google Scholar
OSL. Death with Dignity Act: Oregon Revised Statute. 1994. Oregon State Legislature: https://www.oregon.gov/oha/PH/PROVIDERPARTNERRESOURCES/EVALUATIONRESEARCH/DEATHWITHDIGNITYACT/Pages/ors.aspx. Accessed on 10th August 2018.Google Scholar
VSL. No. 39: An Act Relating to Patient Choice and Control at the End of Life (Bill S.77). 2013. Vermont State Legislature: http://www.leg.state.vt.us/docs/2014/bills/intro/S-077.pdf. Accessed on 11th August 2018.Google Scholar
WSL. The Washington Death with Dignity Act: Chapter 70.245 RCW. 2009. Washington State Legistlature: http://apps.leg.wa.gov/rcw/default.aspx?cite=70.245. Accessed on 12th August 2018.Google Scholar
Wilson, K G, Curran, D, McPherson, C J. A burden to others: a common source of distress for the terminally ill. Cognit Behav Ther 2005; 34: 115123. doi:10.1080/16506070510008461CrossRefGoogle ScholarPubMed
Abeles, N, Barlev, A. End of life decisions and assisted suicide. Prof Psychol: Res Pract 1999; 30: 229234. doi:10.1037/0735-7028.30.3.229Google Scholar