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Master Thesis

L'accès et la pratique de l'euthanasie et du suicide assisté pour motifs psychiatriques

Abstract : Euthanasia or end-of-life medical assistance has been debated for decades in medicine, especially in oncology or intensive care. Seven countries are in favor of euthanasia and/or assisted suicide: Switzerland, the Netherlands, Belgium, Luxembourg, Canada, Colombia, and six US states. This practice is far from being a simple concern. This asks medical, ethical, cultural and legal issues at the same time. On the one hand, it makes use of medical notions, like unbearable and unappeasable suffering and prognosis, or even ethics notions. On the other hand, it is governed by a legal framework which is more or less well defined depending on the countries. The frequency and practices are quite different from one country to another. These deaths accounted for up to 4,4% of deaths in 2017 (for the Netherlands), and mostly involved elderly patients with cancer. The integration of mental suffering into the law legalizing its access in some countries has made the issue even more complex. Switzerland, the Netherlands, Belgium and Luxembourg, four countries in Europe, are the countries that accept euthanasia and/or assisted suicide for psychiatric reasons, already for decades in the case of Switzerland and the Netherlands. This practice is controversial and opens debates within the medical profession, in countries concerned and beyond, internationally. Concerns about intricacy of mood symptoms, reasoning bias and cognitive disruptions impairing judgment, access and consent to care, and the assessment of mental suffering are particularly debated.
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https://dumas.ccsd.cnrs.fr/dumas-02431048
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Submitted on : Tuesday, January 7, 2020 - 4:47:58 PM
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Laura Guérinet. L'accès et la pratique de l'euthanasie et du suicide assisté pour motifs psychiatriques. Sciences du Vivant [q-bio]. 2019. ⟨dumas-02431048⟩

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