Evidence map›Paper›PMID 28624976›Full record

ArticleHealth care analysis : HCA : journal of health philosophy and policy2018

Are Concerns About Irremediableness, Vulnerability, or Competence Sufficient to Justify Excluding All Psychiatric Patients from Medical Aid in Dying?

William Rooney, Udo Schuklenk, Suzanne van de Vathorst

Abstract read
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In one paragraph

Article in Health care analysis : HCA : journal of health philosophy and policy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Article
  2. Assisted Dying in Unjust Conditions.Journal of bioethical inquiry · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

William RooneyDepartment of Philosophy, Queen's University, Watson Hall, 99 University Avenue, Kingston, ON, K7L 3N6, Canada. williamrichardrooney@gmail.com.ORCID http://orcid.org/0000-0001-5815-449X
Udo SchuklenkDepartment of Philosophy, Queen's University, Watson Hall, 99 University Avenue, Kingston, ON, K7L 3N6, Canada.
Suzanne van de VathorstDepartment of Medical Ethics, University of Amsterdam, AMC Room J2-122 Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Some jurisdictions that have decriminalized assisted dying (like Canada) exclude psychiatric patients on the grounds that their condition cannot be determined to be irremediable, that they are vulnerable and in need of protection, or that they cannot be determined to be competent. We review each of these claims and find that none have been sufficiently well-supported to justify the differential treatment psychiatric patients experience with respect to assisted dying. We find bans on psychiatric patients' access to this service amount to arbitrary discrimination. Proponents of banning the practice ignore or overlook alternatives to their proposal, like an assisted dying regime with additional safeguards. Some authors have further criticized assisted dying for psychiatric patients by highlighting allegedly problematic practices in those countries which allow it. We address recent evidence from the Netherlands, showing that these problems are either misrepresented or have straightforward solutions. Even if one finds such evidence troubling despite our analysis, other jurisdictions need not adopt every feature of the Dutch system.

Indexed as

Diagnostic ErrorsHealth Services AccessibilityHumansIndependent Medical EvaluationMajor Depressive DisorderMental CompetencyNetherlandsPersons with Psychiatric DisordersPractice Guidelines as TopicRemission, SpontaneousSuicide, AssistedVulnerable PopulationsCompetence assessmentDecisional capacityDepressionEuthanasiaIrremediableMedical assistance in dyingPhysician assisted suicideVulnerable

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.