ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2020
Irremediable Psychiatric Suffering in the Context of Physician-assisted Death: A Scoping Review of Arguments: La souffrance psychiatrique irrémédiable dans le contexte du suicide assisté : Une revue étendue des arguments.
Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Assisted death in eating disorders: a systematic review of cases and clinical rationales.Frontiers in psychiatry · 2024Pooled it
- The relationship between palliative psychiatry and assisted dying: a scoping review.EClinicalMedicine · 2026Review
- A Survey of Canadian Psychiatrists' Attitudes Towards Palliative Care Approaches for Severe and Persistent Mental Illness: Enquête sur les attitudes des psychiatres canadiens à l'égard des approches de soins palliatifs pour les troubles mentaux graves et persistants.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2026Article
- Review
- Requests for Medical Assistance in Dying by Young Dutch People With Psychiatric Disorders.JAMA psychiatry · 2025Observational
- Wavering between life and death: a qualitative study into the perceived causes and needs of persons with persistent suicidality.Frontiers in psychiatry · 2025Article
- Differential treatment of individuals with mental health conditions in high-consequence decision-making: a comparison of policy on advance directives and assisted suicide in three European countries.Frontiers in psychiatry · 2025Article
- No (true) right to die: barriers in access to physician-assisted death in case of psychiatric disease, advanced dementia or multiple geriatric syndromes in the Netherlands.Medicine, health care, and philosophy · 2024Article
- Medical Assistance in Dying for Mental Illness as a Sole Underlying Medical Condition and Its Relationship to Suicide: A Qualitative Lived Experience-Engaged Study: Aide Médicale à Mourir Pour Maladie Mentale Comme Seule Condition Médicale Sous-Jacente et Son Lien Avec le Suicide: Une Etude Qualitative Engagée Dans l'Expérience Vécue.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2024Article
- Assessing and managing patients with borderline personality disorder requesting medical assistance in dying.Frontiers in psychiatry · 2024Article
- Externalist argument against medical assistance in dying for psychiatric illness.Journal of medical ethics · 2023Article
- Mapping the ethical aspects in end-of-life care for persons with a severe and persistent mental illness: A scoping review of the literature.Frontiers in psychiatry · 2023Article
- Irremediable Psychiatric Suffering in The Context of Medical Assistance in Dying: A Delphi-Study.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2022Article
- Responding to Bill C-7.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022Article
- Debating Euthanasia and Physician-Assisted Death in People with Psychiatric Disorders.Current psychiatry reports · 2022Review
- Establishing irremediable psychiatric suffering in the context of medical assistance in dying in the Netherlands: a qualitative study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022Article
- Medical Assistance in Dying for Patients with Borderline Personality Disorder: Considerations and Concerns.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2022Article
- Physician Assisted Death for Psychiatric Suffering: Experiences in the Netherlands.Frontiers in psychiatry · 2022Article
- Improving control over euthanasia of persons with psychiatric illness: Lessons from the first Belgian criminal court case concerning euthanasia.Frontiers in psychiatry · 2022Article
- The Lack of Adequate Scientific Evidence Regarding Physician-assisted Death for People with Psychiatric Disorders Is a Danger to Patients.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2020Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesPhysician-assisted death (PAD), also known as medical assistance in dying, of
methodsSystematic searches in MEDLINE, Embase, and PsycINFO were combined with 4 additional search strategies. All conceptual-ethical articles, quantitative and qualitative empirical studies, guidelines, case reports, and commentaries that met the inclusion criteria were included, and a qualitative data synthesis was used to identify recurring themes within the literature. The study protocol was preregistered at the Open Science Framework under registration code: thjg8.
resultsA total of 50 articles met the inclusion criteria. Three main arguments concerning irremediability were found in the debate about PAD of PPD: uncertainty, hope, and treatment refusal.
conclusionsUncertainty about irremediability is inevitable, so which level of certainty is morally required should be the subject of moral deliberation. Whether PAD induces or resolves hopelessness is an empirical claim that deserves clarification. Treatment refusal in search of PAD raises questions about treatment efficacy in this patient group and about decision-making in the context of the physician-patient relationship. Going forward, more attention should be given to epidemiological research and to specific challenges posed by different psychiatric disorders.
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What OpenQuestion holds
Registered trials
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.