[Relatives in the context of assisted dying: challenges and support needs]

The decision to pursue physician-assisted dying can place a significant emotional burden on relatives. Despite the considerable psychosocial stress they often face, these individuals have received limited attention in research, clinical practice and ethical or societal debates surrounding this topic. This article provides an overview of the role of relatives in the context of physician-assisted dying.Previous studies indicate that relatives are frequently confronted with moral dilemmas, ambivalent emotions and anticipatory grief. In addition, they often take on organisational responsibilities in support of the person wishing to die and may experience stigma and subsequent social isolation. Research also suggests that relatives and close friends are at increased risk for mental health challenges.At the same time, certain aspects of the process, such as the opportunity to say goodbye, open communication and the active involvement of relatives, can have a positive effect and support a more adaptive grieving process. These findings highlight the importance of psychosocial support for relatives as well as the necessity of involving them at an early stage throughout the entire process.