Nederlands tijdschrift voor geneeskunde · 2025
[Requests for medical assistance in dying by young Dutch people with psychiatric disorders].
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Middelkoop L A, Kammeraat M, Rasing S P A, Werner R, Mérelle S Y M, Creemers D H M, van Veen S M P, Schweren L J S
Аннотация
OBJECTIVE: In the Netherlands, a growing group of young people requests medical assistance in dying based on psychiatric suffering (MAID-PS). This study examined trends, characteristics and outcomes of such requests at ExpertisecentrumEuthanasie (EE) between 2012 and 2021.
DESIGN: Retrospective quantitative file study.
METHOD: All young applicants (< 24 years, N = 352, 73.4% female) who requested MAID-PS at EE between January 1, 2012 and June 30, 2021, were included in the study.
RESULTS: Of N=397 applications, 47.3% were withdrawn (N=188) and 44.8% were rejected (N=178). Among N=353 unique applicants, 12 (3.0%) died by MAID and 17 (4.3%) by suicide during the application process. Deceased applicants often had multiple psychiatric diagnoses, a history of suicide attempts, and an extensive treatment history.
CONCLUSION: The findings indicate a growing group of young applicants with severe psychological suffering and high risk of suicide. More insight into persistent death wishes and effective suicide prevention is needed.
DESIGN: Retrospective quantitative file study.
METHOD: All young applicants (< 24 years, N = 352, 73.4% female) who requested MAID-PS at EE between January 1, 2012 and June 30, 2021, were included in the study.
RESULTS: Of N=397 applications, 47.3% were withdrawn (N=188) and 44.8% were rejected (N=178). Among N=353 unique applicants, 12 (3.0%) died by MAID and 17 (4.3%) by suicide during the application process. Deceased applicants often had multiple psychiatric diagnoses, a history of suicide attempts, and an extensive treatment history.
CONCLUSION: The findings indicate a growing group of young applicants with severe psychological suffering and high risk of suicide. More insight into persistent death wishes and effective suicide prevention is needed.