荷兰因精神疾病而要求安乐死和接受安乐死的患者
Monique Kammeraat1,2, Geeske van Rooijen1,3, Lisette Kuijper1
1Psychiatry, Amsterdam UMC Locatie AMC, Amsterdam, The Netherlands.
BMJ mental health
|July 9, 2023
概括
要求安乐死和协助自杀 (EAS) 的精神病患者通常是患有长期抑郁症的单身女性. 虽然个人资料相似,但只有少数接受EAS,诊断子组显示不同的模式.
科学领域:
- 精神病学是一个精神病学.
- 在生命末期的护理.
- 医学伦理 医学伦理
背景情况:
- 精神病患者的安乐死和协助自杀 (EAS) 是一个有争议的话题.
- 对于寻求和接受EAS的患者的特征的了解有限.
研究的目的:
- 为了比较申请EAS的患者与接受EAS的患者的社会人口和精神病学资料.
- 确定影响精神病患者获得EAS申请批准的因素.
主要方法:
- 审查了1122名申请精神疾病潜在符合条件的EAS患者记录.
- 在2012-2018年间从安乐死专家中心 (EE) 收集的数据.
主要成果:
- 大多数EAS申请者都是单身女性,患有并发性抑郁症,并接受过10年多的精神病治疗.
- 接受EAS治疗的患者也主要是患有抑郁症的单身女性.
- 身体,焦虑,强迫症和神经认知障碍在EAS接受者组中过度代表.
结论:
- 申请和接受EAS的人口统计和精神病学概况基本相似.
- 并发症诊断的特点是许多难以治疗的患者要求EAS.
- 只有很少一部分请求得到批准,诊断组显示拒绝的原因各不相同.
- 与专家讨论生命末期的愿望帮助了撤回请求的患者,强调了训练有素的卫生专业人员的重要性.
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