Practical issues in physician-assisted suicide

Margaret A. Drickamer, Melinda A. Lee, Linda Ganzini

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Support for the participation of physicians in the suicides of terminally ill patients is increasing, and the concrete effects on physician practice of a policy change with regard to physician-assisted suicide must be carefully considered. If physician-assisted suicide is legalized, physicians will need to gain expertise in understanding patients' motivations for requesting physician-assisted suicide, assessing mental status, diagnosing and treating depression, maximizing palliative interventions, and evaluating the external pressures on the patient. They will be asked to prognosticate not only about life expectancy but also about the onset of functional and cognitive decline. They will need access to reliable information about effective medications and dosages. The physician's position on physician- assisted suicide must be open to discussion between practitioner and patient. Protection of the patient's right to confidentiality must be balanced against the need of health care professionals and institutions to know about the patient's choice. Insurance coverage and managed care options may be affected. All of these issues need to be further explored through research, education, decision making by individual practitioners, and ongoing societal debate.

Original languageEnglish (US)
Pages (from-to)146-151
Number of pages6
JournalAnnals of Internal Medicine
Volume126
Issue number2
StatePublished - 1997
Externally publishedYes

Fingerprint

Assisted Suicide
Physicians
Terminally Ill
Access to Information
Insurance Coverage
Confidentiality
Managed Care Programs
Patient Rights
Life Expectancy
Suicide
Motivation
Decision Making
Depression
Delivery of Health Care
Education
Pressure
Research

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Practical issues in physician-assisted suicide. / Drickamer, Margaret A.; Lee, Melinda A.; Ganzini, Linda.

In: Annals of Internal Medicine, Vol. 126, No. 2, 1997, p. 146-151.

Research output: Contribution to journalArticle

Drickamer, MA, Lee, MA & Ganzini, L 1997, 'Practical issues in physician-assisted suicide', Annals of Internal Medicine, vol. 126, no. 2, pp. 146-151.
Drickamer, Margaret A. ; Lee, Melinda A. ; Ganzini, Linda. / Practical issues in physician-assisted suicide. In: Annals of Internal Medicine. 1997 ; Vol. 126, No. 2. pp. 146-151.
@article{07495f2bb8dd44bc999ed6609681feaa,
title = "Practical issues in physician-assisted suicide",
abstract = "Support for the participation of physicians in the suicides of terminally ill patients is increasing, and the concrete effects on physician practice of a policy change with regard to physician-assisted suicide must be carefully considered. If physician-assisted suicide is legalized, physicians will need to gain expertise in understanding patients' motivations for requesting physician-assisted suicide, assessing mental status, diagnosing and treating depression, maximizing palliative interventions, and evaluating the external pressures on the patient. They will be asked to prognosticate not only about life expectancy but also about the onset of functional and cognitive decline. They will need access to reliable information about effective medications and dosages. The physician's position on physician- assisted suicide must be open to discussion between practitioner and patient. Protection of the patient's right to confidentiality must be balanced against the need of health care professionals and institutions to know about the patient's choice. Insurance coverage and managed care options may be affected. All of these issues need to be further explored through research, education, decision making by individual practitioners, and ongoing societal debate.",
author = "Drickamer, {Margaret A.} and Lee, {Melinda A.} and Linda Ganzini",
year = "1997",
language = "English (US)",
volume = "126",
pages = "146--151",
journal = "Annals of Internal Medicine",
issn = "0003-4819",
publisher = "American College of Physicians",
number = "2",

}

TY - JOUR

T1 - Practical issues in physician-assisted suicide

AU - Drickamer, Margaret A.

AU - Lee, Melinda A.

AU - Ganzini, Linda

PY - 1997

Y1 - 1997

N2 - Support for the participation of physicians in the suicides of terminally ill patients is increasing, and the concrete effects on physician practice of a policy change with regard to physician-assisted suicide must be carefully considered. If physician-assisted suicide is legalized, physicians will need to gain expertise in understanding patients' motivations for requesting physician-assisted suicide, assessing mental status, diagnosing and treating depression, maximizing palliative interventions, and evaluating the external pressures on the patient. They will be asked to prognosticate not only about life expectancy but also about the onset of functional and cognitive decline. They will need access to reliable information about effective medications and dosages. The physician's position on physician- assisted suicide must be open to discussion between practitioner and patient. Protection of the patient's right to confidentiality must be balanced against the need of health care professionals and institutions to know about the patient's choice. Insurance coverage and managed care options may be affected. All of these issues need to be further explored through research, education, decision making by individual practitioners, and ongoing societal debate.

AB - Support for the participation of physicians in the suicides of terminally ill patients is increasing, and the concrete effects on physician practice of a policy change with regard to physician-assisted suicide must be carefully considered. If physician-assisted suicide is legalized, physicians will need to gain expertise in understanding patients' motivations for requesting physician-assisted suicide, assessing mental status, diagnosing and treating depression, maximizing palliative interventions, and evaluating the external pressures on the patient. They will be asked to prognosticate not only about life expectancy but also about the onset of functional and cognitive decline. They will need access to reliable information about effective medications and dosages. The physician's position on physician- assisted suicide must be open to discussion between practitioner and patient. Protection of the patient's right to confidentiality must be balanced against the need of health care professionals and institutions to know about the patient's choice. Insurance coverage and managed care options may be affected. All of these issues need to be further explored through research, education, decision making by individual practitioners, and ongoing societal debate.

UR - http://www.scopus.com/inward/record.url?scp=0031027592&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031027592&partnerID=8YFLogxK

M3 - Article

VL - 126

SP - 146

EP - 151

JO - Annals of Internal Medicine

JF - Annals of Internal Medicine

SN - 0003-4819

IS - 2

ER -