Published 8 October 2008, doi:10.1136/bmj.a1558
Cite this as: BMJ 2008;337:a1558

Editorials

Depression and physician assisted dying

Preventing depression, not physician assisted suicide, is the priority

The first 150 words of the full text of this article appear below.

In the linked study (doi:10.1136/bmj.a1682), Ganzini and colleagues report that most terminally ill patients in Oregon who receive physician assistance in dying do not have depressive disorders.1 In fact, only three (17%) patients who received a lethal prescription met criteria for depression. This finding is in line with a previous study carried out in the Netherlands, where both euthanasia and physician assisted suicide are legal. A major depressive disorder was identified in only two terminally ill oncology patients (17%) at the time they explicitly requested euthanasia.2 This suggests that the prevalence of major depression among patients requesting euthanasia or physician assisted dying is much lower than would be expected from studies on the relation between depression and the desire to die in areas where assisted dying is illegal.

Despite this outcome, depressed mood and an explicit request for euthanasia were associated in terminally ill patients with cancer in . . . [Full text of this article]

Marije L van der Lee, head of scientific research department

1 Helen Dowling Institute, PO Box 85061, 3508 AB Utrecht, Netherlands

mvanderlee@hdi.nl


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Relevant Article

Prevalence of depression and anxiety in patients requesting physicians’ aid in dying: cross sectional survey
Linda Ganzini, Elizabeth R Goy, and Steven K Dobscha
BMJ 2008 337: a1682. [Abstract] [Full Text] [PDF]

This article has been cited by other articles:

  • (2008). Requests for Assisted Suicide: Does Depression Play a Role?. JWatch Psychiatry 2008: 1-1 [Full text]  

Rapid Responses:

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Euthanasia and Medical Establishment
Kazem Zarrabi
bmj.com, 24 Oct 2008 [Full text]
Requests for assisted dying ;psychiatric assessment should not be mandatory
Simon Kenwright
bmj.com, 26 Oct 2008 [Full text]
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Piotr Szawarski
bmj.com, 26 Oct 2008 [Full text]
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Eugene G Breen
bmj.com, 29 Oct 2008 [Full text]



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