Understanding patients' experiences of the wish to hasten death: an updated and expanded systematic review and meta-ethnography.
TLDR
The WTHD emerges as a reaction to physical, psychological, social and existential suffering, all of which impacts on the patient’s sense of self, of dignity and meaning in life, and is crucial for drawing up and implementing care plans to meet the needs of individual patients.Abstract:
Objectives Patients with advanced disease sometimes express a wish to hasten death (WTHD) In 2012, we published a systematic review and meta-ethnography of qualitative studies examining the experience and meaning of this phenomenon Since then, new studies eligible for inclusion have been reported, including in Europe, a region not previously featured, and specifically in countries with different legal frameworks for euthanasia and assisted suicide The aim of the present study was to update our previous review by including new research and to conduct a new analysis of available data on this topic Setting Eligible studies originated from Australia, Canada, China, Germany, The Netherlands, Switzerland, Thailand and USA Participants Studies of patients with life-threatening conditions that had expressed the WTHD Design The search strategy combined subject terms with free-text searching of PubMed MEDLINE, Web of Science, CINAHL and PsycInfo The qualitative synthesis followed the methodology described by Noblit and Hare, using the ‘adding to and revising the original’ model for updating a meta-ethnography, proposed by France et al Quality assessment was done using the Critical Appraisal Skills Programme checklist Results 14 studies involving 255 participants with life-threatening illnesses were identified Five themes emerged from the analysis: suffering (overarching theme), reasons for and meanings and functions of the WTHD and the experience of a timeline towards dying and death In the context of advanced disease, the WTHD emerges as a reaction to physical, psychological, social and existential suffering, all of which impacts on the patient’s sense of self, of dignity and meaning in life Conclusions The WTHD can hold different meanings for each individual—serving functions other than to communicate a genuine wish to die Understanding the reasons for, and meanings and functions of, the WTHD is crucial for drawing up and implementing care plans to meet the needs of individual patientsread more
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Report of the Lancet Commission on the Value of Death: bringing death back into life
TL;DR: The authors of as discussed by the authors proposed five principles of a new vision of a sustainable and sustainable future for the care of the dying in high-income countries, and increasingly in low-and-middle income countries.
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Report of the Lancet Commission on the Value of Death: bringing death back into life
Libby Sallnow,Richard Smith,Sam H Ahmedzai,Afsan Bhadelia,Charlotte Chamberlain,Yali Cong,Brett Doble,Luckson Dullie,Robin Durie,Eric A. Finkelstein,Sam Guglani,Melanie Hodson,Bettina S. Husebo,Allan Kellehear,Celia Kitzinger,Felicia Marie Knaul,Scott A Murray,Julia Neuberger,S O'Mahony,M. R. Rajagopal,Sarah Russell,Eriko Sase,Katherine E Sleeman,Sheldon Solomon,Rosamund Taylor,Mpho A Tutu van Furth,Katrina Wyatt +26 more
TL;DR: Libby Sallnow, Richard Smith, Sam H Ahmedzai, Afsan Bhadelia, Charlotte Chamberlain, Yali Cong, Brett Doble, Luckson Dullie, Robin Durie, Eric A Finkelstein, Sam Guglani, Melanie Hodson, Bettina S Husebø, Allan Kellehear, Celia Kitzinger, Felicia Marie Knaul, Scott A Murray, Julia Neuberger, Seamus O’Mahony
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Aktualisierte S3-Leitlinie „Palliativmedizin für Patienten mit einer nicht heilbaren Krebserkrankung“
TL;DR: Alt-Epping et al. as mentioned in this paper presented a survey on Palliativmedizin for the World Health Forum 2020 in 2019. https://doi.org/10.1007/s12312-020-00794-z Online publiziert: 28. April 2020 © Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2020
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Increase in assisted suicide in Switzerland: did the socioeconomic predictors change? Results from the Swiss National Cohort.
TL;DR: The study results do not indicate any shift in socioeconomic factors associated with assisted suicide, but a more pronounced increase in incidence among the elderly.
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Acute and Sustained Reductions in Loss of Meaning and Suicidal Ideation Following Psilocybin-Assisted Psychotherapy for Psychiatric and Existential Distress in Life-Threatening Cancer.
Stephen R. Ross,Gabrielle Agin-Liebes,Gabrielle Agin-Liebes,Sharon Lo,Richard J. Zeifman,Leila Ghazal,Julia Benville,Silvia Franco Corso,Christian Bjerre Real,Jeffrey Guss,Anthony P. Bossis,Sarah E. Mennenga +11 more
TL;DR: Preliminary results implicate psilocybin treatment as a potentially effective alternative to existing antidepressant medications in patients with cancer that are also suicidal, and warrant further investigation in participants with elevated levels of depression and suicidality.
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