[Underexposed consequences of assisted death on psychiatric grounds for mental health care].

Q4 Medicine Tijdschrift voor psychiatrie Pub Date : 2025-01-01

S M P van Veen, M M Palm, E Elzinga, L J S Schweren, A T F Beekman

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Abstract

Background: Medical Assistance in Dying (MAID) on psychiatric grounds is a subject of increasing relevance to Dutch mental health care. In addition to different advantages, there are disadvantages.

Aim: To highlight some consequences of MAID on psychiatric grounds and to offer solutions to mitigate these.

Method: Based on an experience story, we highlight some relevant consequences.

Results: Various relevant themes emerge. Firstly, patients can experience pressure to choose MAID. Secondly, psychiatric disorders and suicidality in particular are dynamic and difficult to predict, which conflicts with the static nature of the MAID law. Thirdly, the possibility of MAID is an additional argument to keep the quality of mental health care sufficient, even with increasing scarcity. Finally, we have to stop talking about ‘exhausted treatment options’.

Conclusion: By recognising and minimising the disadvantages of MAID on psychiatric grounds, we create space for a practice where safety and accessibility are in balance.

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[在精神卫生保健方面，以精神病学为理由协助死亡的后果曝光不足]。

背景：基于精神病学理由的临终医疗援助（MAID）是与荷兰精神卫生保健日益相关的主题。除了不同的优点，也有缺点。目的：强调MAID在精神病学方面的一些后果，并提供减轻这些后果的解决方案。方法：基于一个经验故事，我们强调了一些相关的结果。结果：出现了各种相关主题。首先，患者会感受到选择MAID的压力。其次，精神障碍和自杀是动态的，难以预测，这与MAID法的静态性质相冲突。第三，即使在日益稀缺的情况下，MAID的可能性是保持精神卫生保健质量充足的另一个论据。最后，我们必须停止谈论“用尽”的治疗方案。结论：通过认识和最小化MAID在精神病学方面的缺点，我们为安全和可达性平衡的实践创造了空间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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