A Focus Group Study of the Views of Persons with a History of Psychiatric Illness about Psychiatric Medical Aid in Dying

AJOB Empirical Bioethics 15 (1):1-10 (2024)
  Copy   BIBTEX


Background Medical aid in dying (MAID) is legal in a number of countries, including some states in the U.S. While MAID is only permitted for terminal illnesses in the U.S., some other countries allow it for persons with psychiatric illness. Psychiatric MAID, however, raises unique ethical concerns, especially related to its effects on mental illness stigma and on how persons with psychiatric illnesses would come to feel about treatment and suicide. To explore those concerns, we conducted several focus groups with persons with lived experience of mental illness.Methods We conducted three video-conference-based focus groups involving adults residing in the U.S. who reported a prior diagnosis of any psychiatric illness. Only participants who reported thinking that MAID for terminal illness was morally acceptable were included. Focus group participants were asked to respond to a series of four questions. Groups were facilitated by a coordinator who was independent of the research team.Results A total of 22 persons participated in the focus groups. The majority of participants had depression and anxiety disorders; no participants had psychotic disorders such as schizophrenia. Many participants strongly favored permitting psychiatric MAID, generally on the basis of respect for autonomy, its effects on stigma, and the severe suffering caused by mental illness. Others expressed concerns, typically related to difficulties in ensuring decision-making capacity and to the risk that MAID would be used in lieu of suicide.Conclusions Persons with a history of psychiatric illness, as a group, have a diverse array of views about the permissibility of psychiatric MAID, reflecting nuanced consideration of how it relates to the public perception of mental illness, stigma, autonomy, and suicide risk.



    Upload a copy of this work     Papers currently archived: 91,139

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

Easeful death: is there a case for assisted dying?Mary Warnock - 2008 - New York: Oxford University Press. Edited by Elisabeth Macdonald.
Psychiatric Euthanasia, Mental Capacity, and a Sense of the Possible.Matthew Ratcliffe - 2020 - Philosophy, Psychiatry, and Psychology 27 (3):1-15.
Choosing to live, choosing to die: the complexities of assisted dying.Nikki Tate - 2019 - [Victoria, British Columbia]: Orca Book Publishers. Edited by Belle Wuthrich.


Added to PP

14 (#907,727)

6 months
10 (#187,567)

Historical graph of downloads
How can I increase my downloads?