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Euthanasia and physician-assisted death.

A D Sandy Macleod¹

¹Health Sciences Centre, University of Canterbury, Private Bag 4800, Christchurch. ad.macleod@cdhb.health.nz

The New Zealand Medical Journal

|January 17, 2013

Summary

Medical professionals lack the expertise for euthanasia and assisted suicide selection. Key clinical assessments, including diagnosis, prognosis, and mental health, remain scientifically unresolved, impacting patient care decisions.

Area of Science:

Medical Ethics
Clinical Practice

Background:

Euthanasia and assisted suicide involve complex ethical and clinical considerations.
Accurate patient assessment is crucial for these sensitive medical procedures.

Purpose of the Study:

To evaluate the current knowledge and expertise of medical practitioners in assessing eligibility for euthanasia and assisted suicide.
To identify unresolved scientific issues in the clinical assessment of terminally ill patients requesting assisted dying.

Main Methods:

Review of existing scientific literature on clinical assessment criteria for euthanasia and assisted suicide.
Analysis of challenges in diagnostic accuracy, prognostic evaluation, and mental health assessment.

Main Results:

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Medical practitioners currently lack sufficient expertise for reliable competency and eligibility determination in euthanasia and assisted suicide cases.

Significant scientific uncertainties persist regarding the clinical assessment of diagnostic errors, prognosis, patient competency, and mental health status.

Conclusions:

The scientific basis for assessing fitness for euthanasia and assisted suicide is inadequate.
Further research is required to resolve clinical assessment challenges before medical practitioners can reliably participate in these procedures.