Competence for physician-assisted death of patients with mental disorders
Theoretical and practical considerations
Bibliographic Data
| ID | 21515134 |
|---|---|
| Authors | Azgad Gold (0000-0001-9807-673X, Forensic Psychiatry Unit, Beer Yaakov-Ness Ziona Mental Health Center, Beer Yaakov, Israel, corresponding author) |
| Year | 2025 |
| Volume | 51 |
| Issue | 8 |
| Pages | 558-566 |
| Publication date | 2025-08-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Journal of Medical Ethics (JOURNAL) |
| Journal identifiers | ISSN: 0306-6800 • E-ISSN: 1473-4257 |
| Publisher | BMJ (PUBLISHER • GB) |
| DOI | 10.1136/jme-2022-108829 |
| PMID | 37280054 |
| OpenAlex | W4379598714 |
| Language | EN |
| Citations received | 1 |
| References cited | 57 |
Physician-assisted death (PAD) of patients whose suffering does not stem from terminal conditions has become more prevalent during the last few decades. This paper is focused on decision-making competence for PAD, specifically in situations in which PAD is related solely to psychiatric illness. First, a theoretical analysis presents the premises for the argument that competence for physician-assisted death for psychiatric patients (PADPP) should be determined based on a higher threshold in comparison to the required competence for conventional medical interventions. Second, the higher threshold for decision-making competence for PADPP is illustrated. Third, several real PADPP cases are critically discussed, as an illustration to decision-making competence evaluations that would not have met the higher standard. Finally, a short summary of practical suggestions regarding the assessment of decision-making competence for PADPP is presented. Psychiatrists are called to address the ethical, legal, societal and clinical challenges related to PADPP and should be prepared for its probable expansion
Psychiatry · Psychological intervention · Healthcare Decision-Making and Restraints · Medicine · Mental Health and Psychiatry · Palliative Care and End-of-Life Issues · Psychology · Social Psychology
Assessing Competence to Consent to Treatment
Assessment of Patients' Competence to Consent to Treatment
Fatal and non-fatal repetition of self-harm
Suicide Attempt as a Risk Factor for Completed Suicide
Mortality in Mental Disorders and Global Disease Burden Implications
Suicide
Moral Injury
Risk-related standards of competence are a nonsense
The Many Faces of Competency
Humanizing Modern Medicine
| Unique citing works | 1 |
|---|---|
| Citations per year | 1 |
| Citation span | 2025 - 2025 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 1 |