Why physician-assisted suicide has no place in the NHS.

IF 2 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

BMJ Supportive & Palliative Care Pub Date : 2025-06-20 DOI:10.1136/spcare-2025-005670

Sheila Hollins, Ilora Finlay, Ruslan Zinchenko

引用次数: 0

Abstract

The UK is currently debating legislation to allow physician-assisted suicide for competent, terminally ill adults. Though not explicit, it is likely to be delivered through the National Health Service (NHS). International evidence shows that integrating assisted suicide and euthanasia into mainstream healthcare increases uptake and rate of growth as well as broadens eligibility criteria. In this editorial, we argue that it should not be part of the NHS, since it is not a medical treatment, lacks a robust evidence base and fails to meet regulatory standards. The proposed framework for assessing decision-making capacity is unsuitable, and psychiatrists are not the right clinicians to be involved.

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为什么医生协助自杀在NHS中没有一席之地。

英国目前正在讨论是否允许有能力的、身患绝症的成年人在医生的协助下自杀。虽然不明确，但很可能通过国民健康服务体系（NHS）来实施。国际证据表明，将协助自杀和安乐死纳入主流医疗保健可提高使用率和增长率，并拓宽资格标准。在这篇社论中，我们认为它不应该成为NHS的一部分，因为它不是一种医学治疗，缺乏强有力的证据基础，也不符合监管标准。提议的评估决策能力的框架是不合适的，精神科医生也不是参与其中的合适的临床医生。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMJ Supportive & Palliative Care Medicine-Medicine (miscellaneous)

CiteScore

4.60

自引率

7.40%

发文量

170

期刊介绍： Published quarterly in print and continuously online, BMJ Supportive & Palliative Care aims to connect many disciplines and specialties throughout the world by providing high quality, clinically relevant research, reviews, comment, information and news of international importance. We hold an inclusive view of supportive and palliative care research and we are able to call on expertise to critique the whole range of methodologies within the subject, including those working in transitional research, clinical trials, epidemiology, behavioural sciences, ethics and health service research. Articles with relevance to clinical practice and clinical service development will be considered for publication. In an international context, many different categories of clinician and healthcare workers do clinical work associated with palliative medicine, specialist or generalist palliative care, supportive care, psychosocial-oncology and end of life care. We wish to engage many specialties, not only those traditionally associated with supportive and palliative care. We hope to extend the readership to doctors, nurses, other healthcare workers and researchers in medical and surgical specialties, including but not limited to cardiology, gastroenterology, geriatrics, neurology, oncology, paediatrics, primary care, psychiatry, psychology, renal medicine, respiratory medicine.