Modern bioethical issues: Euthanasia, physician assisted suicide and abortion.  Comparative study of attitudes between physicians and law professionals

Malikentzou, Nafsika; Douzenis, Athanasios; Chatzinikolaou, Fotios; Bali, P.; Michopoulos, Ioannis

doi:10.22365/jpsych.2021.043

Cited by 3 publications

(2 citation statements)

References 18 publications

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“…In 2000, a survey showed that four in five GPs considered themselves broadly pro-choice 17 and in an investigation into the attitudes of medical students in Britain, 73% of medical students did so 16 . Strong associations between attitudes towards abortion and the importance of religion are also seen in other studies 22,16,23,24 . We found no other research which compared attitudes towards abortion by service type or profession.…”

Section: Discussionsupporting

confidence: 80%

Attitudes towards the regulation and provision of abortion among healthcare professionals in Britain; cross sectional survey data from the SACHA study

Wellings,

Scott,

Sheldon

et al. 2024

Preprint

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Objectives: Therapeutic, regulatory and technological changes have contributed to new directions in abortion care. We aimed to gather views of healthcare professionals on current and future regulation and provision of abortion in Britain. Design: Cross sectional, stratified cluster sample survey with additional free text comments. Setting: Healthcare settings in Britain Participants: Healthcare professionals (nurses, doctors, midwives, pharmacists) working in a range of healthcare services, including dedicated abortion services. Measures: Knowledge of and attitudes towards the regulation and provision of abortion. Results: 771 healthcare professionals from all areas of Britain responded to the survey. Support for abortion being the choice of a woman was high, more than nine in ten saw it as such and a clear majority favoured abortion being treated as a health rather than a legal issue. Only 6.2% saw abortion at any gestational age as contrary to their personal beliefs and a similarly small minority (6.7%) were against abortion after 12 weeks gestation. One in five of all healthcare professionals and a third of those aged under 30 were unaware that the law in Britain requires two doctors to authorise an abortion. Free text comments revealed opposition to the need for this legal requirement. Support for an extended role for nurses in abortion care was high; two thirds (65.3%) agreed that nurses should be able to prescribe abortion medication. Little more than a third of all healthcare professionals (37%) agreed that abortion should be standard practice in their service; the proportion was highest among those in sexual and reproductive health services (58.4%) and lowest among those in general practice (18.7%). Conclusions: Health care professionals in Britain are generally supportive of abortion being treated in the same way as other health issues and would be likely to support any moves to decriminalise abortion.

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Section: Discussionsupporting

confidence: 80%

Attitudes towards the regulation and provision of abortion among healthcare professionals in Britain; cross sectional survey data from the SACHA study

Wellings,

Scott,

Sheldon

et al. 2024

Preprint

View full text Add to dashboard Cite

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“…The metaphor of the "slippery slope" has been formulated in order to describe the expansion of the conditions of eligibility to E/PAS, which led to the admission of cases initially excluded through legislative regulations [69,70], as in the case of Canada. However, the metaphor can also be applied when referring to daily practice, where more and more requests for E/PAS can be considered valid; this is a risk defined by some authors as the "normalization" of E/PAS [71].…”

Section: The Slippery Slopementioning

confidence: 99%

Assisted Suicide and Euthanasia in Mental Disorders: Ethical Positions in the Debate between Proportionality, Dignity, and the Right to Die

et al. 2023

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The admission of people suffering from psychiatric and neurocognitive disorders to euthanasia and physician-assisted suicide (E/PAS) in some European and non-European countries represents a controversial issue. In some countries, the initial limitation of E/PAS to cases of severe physical illness with poor prognosis in the short term has been overcome, as it was considered discriminatory; thus, E/PAS has also been made available to subjects suffering from mental disorders. This decision has raised significant ethical questions regarding the capacity and freedom of self-determination; the family, social, and economic contexts; the social consideration of the sense of dignity and the pressure on the judgment of one’s personal value; the contextual therapeutic possibilities; the identification of figures involved in the validation and application; as well as the epistemological definitions of the clinical conditions in question. To these issues must be added the situation of legislative vacuum peculiar to different countries and the widespread lack of effective evaluation and control systems. Nonetheless, pessimistic indicators on global health status, availability of care and assistance, aging demographics, and socioeconomic levels suggest that there may be further pressure toward the expansion of such requests. The present paper aims to trace an international overview with the aim of providing ethical support to the debate on the matter. Precisely, the goal is the delimitation of foundations for clinical practice in the complex field of psychiatry between the recognition of the irreversibility of the disease, assessment of the state of physical and mental suffering, as well as the possibility of adopting free and informed choices.

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Eutanasia y suicidio asistido

et al. 2023

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El avance en materia de derechos humanos es indispensable durante el desarrollo de políticas públicas en salud y marcos legales que garanticen el cuidado integro de la salud; la eutanasia y suicidio asistido siguen siendo conceptos ampliamente discutidos desde la medicina, y especialmente en la bioética por el peso que poseen en la toma de decisiones del paciente terminal y cuidados paliativos. Estos términos, su uso, aprobación y regulación legal dependen de la influencia de diversos determinantes como la investigación biomédica, las creencias religiosas, los aspectos socioculturales, entre otros. Sin embargo, lo que permite la interpretación y observación de resultados son las practicas soportadas por las legislaciones de cada país; Colombia es el único país que ha despenalizado la eutanasia en la región y que progresa activamente en temas relacionados.En este orden de ideas, el objetivo de esta revisión consiste en analizar los marcos legales internacionales sobre la definición y uso de la eutanasia y el suicidio asistido, que permitan comprender la evolución de la normatividad sobre el cuidado al final de la vida.

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Modern bioethical issues: Euthanasia, physician assisted suicide and abortion. Comparative study of attitudes between physicians and law professionals

Cited by 3 publications

References 18 publications

Attitudes towards the regulation and provision of abortion among healthcare professionals in Britain; cross sectional survey data from the SACHA study

Attitudes towards the regulation and provision of abortion among healthcare professionals in Britain; cross sectional survey data from the SACHA study

Assisted Suicide and Euthanasia in Mental Disorders: Ethical Positions in the Debate between Proportionality, Dignity, and the Right to Die

Eutanasia y suicidio asistido

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