Physicians Should “Assist in Suicide” When it is Appropriate

Physicians Should “Assist in Suicide” When it is Appropriate
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医生应该在适当的时候“协助自杀”

DOI:
10.1111/j.1748-720x.2012.00646.x
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发表时间:
2012
期刊:
The Journal of Law, Medicine & Ethics
影响因子:
--
通讯作者:
T. Quill
T. Quill
中科院分区:
--
文献类型:
--
作者:
T. Quill

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在我作为初级保健医生和姑息治疗顾问的职业生涯中,我帮助过许多病人在他们完全同意的情况下死亡。他们谁也不想死,如果不是病得这么重,不可逆转,他们都会选择其他的道路。对一个人来说,这些病人中没有一个认为自己是“自杀”的,他们会发现这个标签是荒谬和贬低的。事实上,这个标签所暗示的那种个人分裂正是那些选择这种可能性的人试图阻止的。因此,我代表选择了这一选择的病人,拒绝接受这次辩论的标题,因为它不必要地将讨论与精神疾病的建议联系起来。在我的初级保健实践中,我也遇到了许多在心理健康意义上“自杀”的病人,请放心,我没有帮助他们死亡。事实上,我有时会让他们非自愿地住院,以防止他们实现自己的愿望。
In my career as a primary care physician and as a palliative care consultant, I have assisted many patients to die with their full consent. None of them wanted to die, and all would have chosen other paths had their disease not been so severe and irreversible. To a person, none of these patients thought of themselves as “suicidal,” and they would have found that label preposterous and demeaning. In fact, the kind of personal disintegration that the label implies is just what is trying to be prevented by those choosing this possibility. So on behalf of patients who have chosen this option, I reject the title of this debate as it unnecessarily tars the discussion with the suggestion of mental illness. In my primary care practice, I have also met many patients who were “suicidal” in the mental health sense of the word, and rest assured I have assisted none of them to die. In fact, I have at times had them involuntarily hospitalized to prevent them from carrying out their wishes.
DOI: 10.1056/nejmcp035232
发表时间: 2004-06-17
影响因子: 158.5
作者:
Morrison, RS;Meier, DE
通讯作者: Meier, DE