Attitudes towards assisted suicide and euthanasia among care-dependent older adults (50+) in Austria : the role of socio-demographics, religiosity, physical illness, psychological distress, and social isolation

Article indépendant

STOLZ, Erwin | MAYERL, Hannes | GASSER-STEINER, Peter | FREIDL, Wolfgang

BACKGROUND: Care-dependency constitutes an important issue with regard to the approval of end-of-life decisions, yet attitudes towards assisted suicide and euthanasia are understudied among care-dependent older adults. We assessed attitudes towards assisted suicide and euthanasia and tested empirical correlates, including socio-demographics, religiosity, physical illness, psychological distress and social isolation. METHODS: A nationwide cross-sectional survey among older care allowance recipients (50+) in private households in Austria was conducted in 2016. In computer-assisted personal interviews, 493 respondents were asked whether or not they approved of the availability of assisted suicide and euthanasia in case of long-term care dependency and whether or not they would consider using assisted suicide or euthanasia for themselves. Multiple logistic regression analysis was used to assess the impact of potential determinants of attitudes towards assisted suicide and euthanasia. RESULTS: About a quarter (24.8-26.0%) of the sampled care-dependent older adults approved of the availability of assisted suicide and euthanasia respectively indicated the will to (hypothetically) make use of assisted suicide or euthanasia. Attitudes towards assisted suicide were most favourable among care-dependent older adults living in urban areas, those who did not trust physicians, those who reported active suicide ideation, and individuals with a strong fear of dying. With regard to euthanasia, living alone, religiosity and fear of dying were the central determinants of acceptance. CONCLUSIONS: Positive attitudes towards and will to (hypothetically) use assisted suicide and euthanasia were expressed by a substantial minority of care-dependent older adults in Austria and are driven by current psychological suffering and fear of the process of dying in the (near) future. Community-based psychosocial care should be expanded to address psychological distress and fears about end-of-life issues among care-dependent older adults.

https://bmcmedethics.biomedcentral.com/track/pdf/10.1186/s12910-017-0233-6?site=bmcmedethics.biomedcentral.com

Voir la revue «BMC Medical Ethics, 18»

Autres numéros de la revue «BMC Medical Ethics»

Consulter en ligne

Suggestions

Du même auteur

Attitudes towards assisted suicide and euthan...

Article | STOLZ, Erwin | BMC Medical Ethics | n°1 | vol.18

BACKGROUND: Care-dependency constitutes an important issue with regard to the approval of end-of-life decisions, yet attitudes towards assisted suicide and euthanasia are understudied among care-dependent older adults. We assessed...

Attitudes towards assisted suicide and euthan...

Article indépendant | STOLZ, Erwin | BMC Medical Ethics | n°1 | vol.18

BACKGROUND: Care-dependency constitutes an important issue with regard to the approval of end-of-life decisions, yet attitudes towards assisted suicide and euthanasia are understudied among care-dependent older adults. We assessed...

Terminal decline in physical function in olde...

Article | STOLZ, Erwin | The journals of gerontology. Series A, biological sciences and medical sciences

BACKGROUND: It is currently unclear whether (and when) physical function exhibits a terminal decline phase, i.e. a substantial acceleration of decline in the very last years before death. METHODS: 702 deceased adults aged 70 years...

De la même série

Advance directives as a tool to respect patie...

Article indépendant | PORTERI, Corinna | BMC Medical Ethics | n°1 | vol.19

BACKGROUND: The proposal of the new criteria for the diagnosis of Alzheimer's disease (AD) based on biomarker data is making possible a diagnosis of AD at the mild cognitive impairment (MCI) or predementia/prodromal- stage. Given ...

Euthanasia and assisted suicide for people wi...

Article indépendant | TUFFREY-WIJNE, Irene | BMC Medical Ethics | n°1 | vol.19

BACKGROUND: Euthanasia and assisted suicide (EAS) have been legally possible in the Netherlands since 2001, provided that statutory due care criteria are met, including: (a) voluntary and well-considered request; (b) unbearable su...

This moral coil : a cross-sectional survey of...

Article indépendant | BATOR, Eli Xavier | BMC Medical Ethics | n°1 | vol.18

BACKGROUND: In February, 2015, the Supreme Court of Canada struck down the ban on medical assistance in dying (MAiD). In June, 2016, the federal government passed Bill C-14, permitting MAiD. Current medical students will be the fi...

The strange case of Mr. H. starting dialysis ...

Article indépendant | PICCOLI, Giorgina Barbara | BMC Medical Ethics | n°1 | vol.18

BACKGROUND: Starting dialysis at an advanced age is a clinical challenge and an ethical dilemma. The advantages of starting dialysis at "extreme" ages are questionable as high dialysis-related morbidity induces a reflection on the...

Attitudes towards assisted suicide and euthan...

Article indépendant | STOLZ, Erwin | BMC Medical Ethics | n°1 | vol.18

BACKGROUND: Care-dependency constitutes an important issue with regard to the approval of end-of-life decisions, yet attitudes towards assisted suicide and euthanasia are understudied among care-dependent older adults. We assessed...

Chargement des enrichissements...