ArticleBMJ supportive & palliative care2021
Cross-sectional survey of the wish to die among palliative patients in Spain: one phenomenon, different experiences.
Article in BMJ supportive & palliative care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Article
- How to improve dealing with desire to die in hospice volunteers and informal caregivers.Palliative & supportive care · 2025Article
- Article
- [The provision of assisted death in the context of the desire to anticipate death].Atencion primaria · 2024Review
- The state of transience, and its influence on the wish to die of advanced disease patients: insights from a qualitative phenomenological study.BMC palliative care · 2024Article
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Authors and funding
10 authors.
Funding
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Abstract
objectiveCultural backgrounds and values have a decisive impact on the phenomenon of the wish to die (WTD), and examination of this in Mediterranean countries is in its early stages. The objectives of this study were to establish the prevalence of WTD and to characterise this phenomenon in our cultural context.
methodsA cross-sectional study with consecutive advanced inpatients was conducted. Data about WTD (
results201 patients participated and 165 (82%) completed both interviews. Prevalence of WTD was 18% (36/201) in the first interview and 16% (26/165) in the second interview (p=0.25). After the first interview, no changes in depression (p=0.60) or anxiety (p=0.90) were detected. The AFFED shows different experiences within WTD: 11% of patients reported a sporadic experience, while 7% described a persistent experience. Thinking about hastening death (HD) appeared in 8 (22%) out of 36 patients with WTD: 5 (14%) out of 36 patients considered this hypothetically but would never take action, while 3 (8%) out of 36 patients had a more structured idea about HD. In this study, no relation was detected between HD and frequency of the appearance of WTD (p=0.12).
conclusionsOne in five patients had WTD. Our findings suggest the existence of different experiences within the same phenomenon, defined according to frequency of appearance and intention to hasten death. A linguistically grounded model is proposed, differentiating the experiences of the 'wish' or 'desire' to die, with or without HD ideation.
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