Can depressed patients make a decision to request voluntary assisted dying?

被引：5

作者：

Holmes, Alex ^{[1
]}

Lange, Peter ^{[2
]}

Stewart, Cameron ^{[6
]}

White, Ben ^{[7
]}

Willmott, Lindy ^{[7
]}

Dooley, Michael ^{[3
]}

Philip, Jennifer ^{[2
,4
]}

La Brooy, Camille ^{[5
]}

Komesaroff, Paul ^{[5
]}

机构：

[1] Univ Melbourne, Dept Psychiat, Melbourne, Vic 3010, Australia

[2] Royal Melbourne Hosp, Melbourne, Vic, Australia

[3] Monash Univ Hlth, Fac Pharm & Pharmaceut Sci, Fac Med Nursing & Hlth Sci, Melbourne, Vic, Australia

[4] Univ Melbourne, Palliat Care Serv, St Vincents Hosp, Peter MacCallum Canc Ctr,Dept Med, Melbourne, Vic, Australia

[5] Monash Univ, Ctr Eth Med & Soc, Melbourne, Vic, Australia

[6] Univ Sydney, Sydney Law Sch, Sydney Hlth Law, Sydney, NSW, Australia

[7] Queensland Univ Technol, Fac Business & Law, Sch Law, Australian Ctr Hlth Law Res, Brisbane, Qld, Australia

来源：

INTERNAL MEDICINE JOURNAL | 2021年 / 51卷 / 10期

关键词：

assisted dying; depression; capacity; CAPACITY;

D O I：

10.1111/imj.15512

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Depressive symptoms, including those as part of a major depressive disorder, are common at the end of life. A number of psychiatrists consider that a diagnosis of major depression precludes the capacity to make a decision to request voluntary assisted dying (VAD), although this is not a unanimous view. This paper uses a case of a patient in which two different psychiatric opinions were formed regarding her capacity to make the decision to request VAD. The difference of view can be related to whether major depression was diagnosed and the association made between depression and the capacity to request VAD. The view that an absence of major depression is required in order to establish the capacity to request VAD is potentially at odds with the legal definition and not necessarily in keeping with the patient's experience at the end of life.

引用

页码：1713 / 1716

页数：4

共 15 条

[1]

American Association of Suicidology, 2017, SUIC IS NOT SAM PHYS

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