Medical Assistance in Dying for Mental Illness as a Sole Underlying Medical Condition and Its Relationship to Suicide: A Qualitative Lived Experience-Engaged Study: Aide Médicale à Mourir Pour Maladie Mentale Comme Seule Condition Médicale Sous-Jacente et Son Lien Avec le Suicide: Une Etude Qualitative Engagée Dans l'Expérience Vécue.

IF 3.3 3区 医学 Q2 PSYCHIATRY
Lisa D Hawke, Hamer Bastidas-Bilbao, Vivien Cappe, Mary Rose van Kesteren, Donna E Stewart, Mona Gupta, Alexander I F Simpson, Bartholemew H Campbell, David Castle, Vicky Stergiopoulos
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引用次数: 0

Abstract

Objective: This lived experience-engaged study aims to understand patient and family perspectives on the relationship between suicidality and medical assistance in dying when the sole underlying medical condition is mental illness (MAiD MI-SUMC).

Method: Thirty individuals with mental illness (age M = 41.8 years, SD = 14.2) and 25 family members (age M = 47.5 years, SD = 16.0) participated in qualitative interviews examining perspectives on MAiD MI-SUMC and its relationship with suicide. Audio recordings were transcribed and analysed using reflexive thematic analysis. People with lived experience were engaged in the research process as team members.

Results: Four main themes were developed, which were consistent across individuals with mental illness and family members: (a) deciding to die is an individual choice to end the ongoing intolerable suffering of people with mental illness; (b) MAiD MI-SUMC is the same as suicide because the end result is death, although suicide can be more impulsive; (c) MAiD MI-SUMC is a humane, dignified, safe, nonstigmatized alternative to suicide; and (4) suicidality should be considered when MAiD MI-SUMC is requested, but suicidality's role is multifaceted given its diverse manifestations.

Conclusion: For patient-oriented mental health policy and treatment, it is critical that the voices of people with lived experience be heard on the issue of MAiD MI-SUMC. Given the important intersections between MAiD MI-SUMC and suicidality and the context of suicide prevention, the role that suicidality should play in MAiD MI-SUMC is multifaceted. Future research and policy development are required to ensure that patient and family perspectives guide the development and implementation of MAiD MI-SUMC policy and practice.

精神疾病死亡的医疗救助作为唯一的潜在医疗条件及其与自杀的关系:一项定性的生活经验参与研究。
目的:这项生活经验参与研究旨在了解患者和家庭对自杀与医疗援助之间关系的看法,当唯一的潜在医疗状况是精神疾病时(MAiD MI-SUMC) = 41.8岁,SD = 14.2)和25名家庭成员(年龄M = 47.5岁,SD = 16.0)参加了定性访谈,调查了对MAiD MI-SUMC及其与自杀的关系的看法。录音被转录并使用反身主题分析进行分析。有生活经验的人作为团队成员参与了研究过程。结果:形成了四个主要主题,这些主题在精神疾病患者和家庭成员中是一致的:(a)决定死亡是结束精神疾病患者持续无法忍受的痛苦的个人选择;(b) MAiD MI-SUMC与自杀相同,因为最终结果是死亡,尽管自杀可能更冲动;(c) MAiD MI-SUMC是一种人道、有尊严、安全、无污名化的自杀替代方案;(4)当请求MAiD MI-SUMC时,应考虑自杀,但自杀的作用是多方面的,因为其表现形式多种多样。结论:对于以患者为导向的心理健康政策和治疗,在MAiD MI-SUMC问题上倾听有生活经验的人的声音至关重要。鉴于MAiD MI-SUMC与自杀之间的重要交叉点以及自杀预防的背景,自杀在MAiD MI-SUMC中应该发挥的作用是多方面的。未来的研究和政策制定需要确保患者和家庭的观点指导MAiD MI-SUMC政策和实践的制定和实施。
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
CiteScore
7.00
自引率
2.50%
发文量
69
审稿时长
6-12 weeks
期刊介绍: Established in 1956, The Canadian Journal of Psychiatry (The CJP) has been keeping psychiatrists up-to-date on the latest research for nearly 60 years. The CJP provides a forum for psychiatry and mental health professionals to share their findings with researchers and clinicians. The CJP includes peer-reviewed scientific articles analyzing ongoing developments in Canadian and international psychiatry.
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