Tötung auf Verlangen und assistierter Suizid

Zenz, J; Tryba, M.; Zenz, M.

doi:10.1007/s00482-015-1513-z

Cited by 16 publications

(9 citation statements)

References 26 publications

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“…This complies with the results of a study from 2004: only 20% of medical students surveyed in Berlin could imagine a situation in which they would be prepared to kill a patient [12]. Similar results could be seen in a survey by the German Medical Association from 2009; whereas in a study by Zenz et al [18], 32.1% of the doctors surveyed expressed a favorable attitude towards euthanasia. The explicit rejection of euthanasia, as compared to physician-assisted suicide, signals that students – unlike the general population – detect a significant ethical difference between these two treatment approaches, a trend that has also emerged in more recent scientific literature [8].…”

Section: Discussionsupporting

confidence: 88%

Physician-assisted suicide, euthanasia and palliative sedation: attitudes and knowledge of medical students

Anneser

Jox

Thurn

et al. 2016

GMS Journal for Medical Education; 33(1):Doc11

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Section: Discussionsupporting

confidence: 88%

Physician-assisted suicide, euthanasia and palliative sedation: attitudes and knowledge of medical students

Anneser

Jox

Thurn

et al. 2016

GMS Journal for Medical Education; 33(1):Doc11

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“…The differences in the attitudes of physicians and nurses are remarkable: Physicians are more willing to take action than nurses both in case of a terminal and a non-terminal illness. This result is surprising since former studies prompted to nurses being supportive of euthanasia and PAS [ 26 , 29 , 41 , 42 , 47 ]. However, a study among critical care nurses from Israel also found nurses to be supportive of PAS but only few agreed to participate in this act [ 48 ].…”

Section: Discussionmentioning

confidence: 95%

“…This particular group of professionals is also of special interest in the debate since some have declared euthanasia and PAS as possible outcomes of palliative care [ 22 – 24 ]. In the year before a study was performed at the same conference [ 25 , 26 ]. However, that study focused on support of the legalization of euthanasia or PAS rather than exploring whether the respondents would actually be willing to perform the act.…”

Section: Introductionmentioning

confidence: 99%

Palliative care professionals’ willingness to perform euthanasia or physician assisted suicide

Zenz

Tryba²,

Zenz

2015

BMC Palliat Care

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BackgroundEuthanasia and physician assisted suicide (PAS) are highly debated upon particularly in the light of medical advancement and an aging society. Little is known about the professionals’ willingness to perform these practices particularly among those engaged in the field of palliative care and pain management. Thus a study was performed among those professionals.MethodsAn anonymous questionnaire was handed out to all participants of a palliative care congress and a pain symposium in 2013. The questionnaire consisted of 8 questions regarding end of life decisions. Proposed patient vignettes were used.ResultsA total of 470 eligible questionnaires were returned, 198 by physicians, 272 by nurses. The response rate was 64 %. The majority of professionals were reluctant to perform euthanasia or PAS: 5.3 % of the respondents would be willing to perform euthanasia on a patient with a terminal illness if asked to do so. The reluctance grew in case of a patient with a non-terminal illness. The respondents were more willing to perform PAS than euthanasia. Nurses were more reluctant to take action as opposed to the physicians. The majority of the respondents would attempt to treat the patient’s symptoms first before considering life-ending measures. As regards any decision making process the majority would consult with a colleague.ConclusionsThis is the first German study to ask about the willingness of professionals to take action as regards euthanasia and PAS without biased phrasing. As opposed to the general acceptance that is respectively high, the actual willingness to perform life-ending measures is low. The German debate on physician assisted suicide and its possible legalization should also incorporate clarifications regarding the responsibility who should eventually perform these acts.

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“…Eine Umfrage zur Einstellung von Ärzten und Pflegekräften in Deutschland (N = 317) ergab, dass die Zustimmung für PAD im Zusammenhang mit einer nicht tödlichen Erkrankung bei 21,5 % lag. Je höher die Qualifikation (Arzt) und Zusatzweiterbildung (Bereich Palliativmedizin) umso mehr nahm die negative Haltung zu [40]. In einer Datenbankrecherche zu Publikationen über PAD (N = 42) für Personen mit psychischen Störungen wurde festgestellt, dass die meisten Veröffentlichungen zugunsten von PAD von Nichtklinikern (75 %) und gegen PAD von Klinikern (73 %) geschrieben wur- den.…”

Section: Einstellungen Von äRzten Und Psychologenunclassified

Ärztlich assistierter Suizid für Menschen mit psychischen Störungen

Müller¹,

Stang²

2023

Nervenheilkunde

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ZUSAMMENFASSUNGGegenstand/Ziel: Mit dem Urteil des Bundesverfassungsgerichts von 2020 ist der rechtliche Rahmen für assistierten Suizid grundsätzlich gegeben; jedoch sind Fragen der Indikationsstellung bei Personen mit psychischer Störung noch ungeklärt. Der vorliegende Beitrag geht daher der Debatte nach, inwiefern der Forschungsstand den Zugang zu einem ärztlich assistierten Suizid auf Grundlage einer psychischen Störung als vertretbar bewertet.Methode: Die Fragestellung wurde mittels einer selektiven Literaturrecherche in den Datenbanken PubPsych und PubMed sowie durch das Schneeballsystem gefundener Studien der Länder mit Legalisierung beantwortet.Ergebnisse: Die psychiatrische Personengruppe kann anhand der gegenwärtigen Zugangsvoraussetzungen nicht kategorisch von ärztlich assistiertem Suizid ausgeschlossen werden. Der Rechtsanspruch sollte nur unter strengen Bewertungsverfahren im Rahmen zweier psychiatrischer unabhängiger Gutachten, professionellen Standards und zusätzlichen Sicherheitsvorkehrungen geltend gemacht werden.Schlussfolgerung: Es sollten berufsrechtliche Regelungen und Standards im Sinne von Leit- und Richtlinien geschaffen werden. Zudem kann ein themenspezifischer Bedarf an Aus-, Fort- und Weiterbildung von (Fach-)Ärzten und (Fach-)Psychotherapeuten postuliert werden.Klinische Relevanz: Das komplexe Unterfangen verlangt transparente Regelungen und Unterstützungsangebote für das Fachpersonal.

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Tötung auf Verlangen und assistierter Suizid

Abstract: The fact that nurses had a more positive attitude towards euthanasia and PAS and that all respondents accepted life-ending acts for themselves more than for their patients hints to still existing severe deficits in Germany.

Cited by 16 publications

References 26 publications

Physician-assisted suicide, euthanasia and palliative sedation: attitudes and knowledge of medical students

Physician-assisted suicide, euthanasia and palliative sedation: attitudes and knowledge of medical students

Palliative care professionals’ willingness to perform euthanasia or physician assisted suicide

Ärztlich assistierter Suizid für Menschen mit psychischen Störungen

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