医生协助自杀和精神病学

Brendan D. Kelly, Declan M. McLoughlin
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引用次数: 3

摘要

医生协助自杀(PAS)是指在医生的协助下,由于个人采取故意的、有目的的行动而导致的个人死亡。在英国,协助他人死亡是非法的,但世界上其他地方,如美国的俄勒冈州,有法律允许在某些情况下实施PAS。在荷兰,可以为身体或精神疾病提供PAS,尽管来自精神科实践的PAS请求很少得到批准。PAS,特别是在精神疾病的背景下,为患者、家属和医疗保健提供者提出了一系列临床、伦理和法律问题。以及整个社会。即使在不以精神疾病为单独理由提供PAS的司法管辖区,围绕PAS的问题也会以一系列其他方式引起精神病学家和精神健康团队的注意。这些措施包括:要求向患有晚期身体疾病的个人提供精神卫生保健,这些人可能要求也可能不要求PAS;要求评估申请PAS的终末期身体疾病患者的能力或能力;并要求评估、支持或治疗参与PAS的家庭或工作人员。有一些重要的问题值得密切关注,并指出加强精神病学与临终关怀提供者的联系的强烈需要。
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Physician-assisted suicide and psychiatry

Physician-assisted suicide (PAS) is the death of an individual that occurs as a result of deliberate, purposive actions taken by that individual, with the assistance of a physician. In the UK, assisting with the death of another individual is illegal, but other parts of the world, such as the state of Oregon in the USA, have laws that permit PAS in certain circumstances. In the Netherlands, PAS may be provided for either physical or psychiatric illness, although requests for PAS emanating from psychiatric practice rarely tend to be granted. PAS, especially in the context of psychiatric illness, raises a range of clinical, ethical, and legal issues for patients, families, healthcare providers. and society at large. Even in jurisdictions where PAS is not provided on the grounds of psychiatric illness alone, there is a range of other ways in which the issues surrounding PAS may come to the attention of psychiatrists and mental health teams. These include: requests to provide mental health care to individuals with terminal physical illness, who may or may not request PAS; requests to assess the capacity or capability of individuals with terminal physical illness who request PAS; and requests to assess, support, or treat families or staff members who have had involvement with PAS. There are important issues that merit close attention and point to a strong need for enhanced psychiatric liaison with terminal care providers.

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Contents Editorial Board Mental illness, dangerousness and protecting society Personal autonomy and mental capacity The Mental Health Act and the Mental Capacity Act: untangling the relationship
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