Evidence map›Paper›PMID 32678038›Full record

ArticleBMC psychiatry2020

Belgian psychiatrists' attitudes towards, and readiness to engage in, euthanasia assessment procedures with adults with psychiatric conditions: a survey.

Monica Verhofstadt, Kurt Audenaert, Kris Van den Broeck, Luc Deliens, Freddy Mortier, Koen Titeca, Koen Pardon, Kenneth Chambaere

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.5field-weighted citation impact, top 10% of its field
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

12 citing papers in PubMed, 27 citations in OpenAlex.

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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

8 authors at 4 institutions in 1 country.

Monica VerhofstadtEnd-of-Life Care Research Group, Vrije Universiteit Brussel (VUB), Brussel, Belgium. monica.verhofstadt@vub.be.ORCID 0000-0002-6623-7444
Kurt AudenaertDepartment of Psychiatry, Ghent University Hospital, Ghent, Belgium.
Kris Van den BroeckCollaborative Antwerp Psychiatric Research Institute (CAPRI), Antwerp University, Antwerp, Belgium.
Luc DeliensEnd-of-Life Care Research Group, Vrije Universiteit Brussel (VUB), Brussel, Belgium.
Freddy MortierEnd-of-Life Care Research Group, Vrije Universiteit Brussel (VUB), Brussel, Belgium.
Koen TitecaDepartment of Psychiatry, General Hospital Groeninge, Courtrai, Belgium.
Koen PardonEnd-of-Life Care Research Group, Vrije Universiteit Brussel (VUB), Brussel, Belgium.
Kenneth ChambaereEnd-of-Life Care Research Group, Vrije Universiteit Brussel (VUB), Brussel, Belgium.
Vrije Universiteit Brussel · BEAZ Groeninge · BEGhent University Hospital · BEUniversity of Antwerp · BE

Funding

Fonds Wetenschappelijk Onderzoek Research project G017818N and PhD fellowship (1162618N)
6 · The paper itself

Abstract

backgroundAlthough the Belgian assessment pathway for legal euthanasia requires the engagement of at least one psychiatrist, little is known about psychiatrists' attitudes towards euthanasia for adults with psychiatric conditions (APC). This study aims to gauge psychiatrists' attitudes towards and readiness to engage in euthanasia assessment and/or performance procedures in APC.

methodsThis cross-sectional survey study was performed between November 2018 and April 2019. The survey was sent to a sample of 499 eligible psychiatrists affiliated to the Flemish Association for Psychiatry, a professional association that aims to unite and represent all psychiatrists working in Flanders, the Dutch-speaking, northern part of Belgium. The Association's members comprise an estimated 80-90% of all psychiatrists active in Flanders. Only psychiatrists working with APC (83% of the association's total membership) were included. Factorial Anova and Chi Square tests were performed to examine if and to what extent psychiatrists' backgrounds were associated with, respectively, their attitudes and their readiness to play a role in euthanasia procedures concerning APC.

resultsOne hundred eighty-four psychiatrists completed the questionnaire (response rate 40.2%); 74.5% agree that euthanasia should remain permissible for APC. However, 68.9% question some of the approaches taken by other physicians during the euthanasia assessment and only half consider euthanasia assessment procedures compatible with the psychiatric care relationship. Where active engagement is concerned, an informal referral (68%) or preliminary advisory role (43.8%) is preferred to a formal role as a legally required advising physician (30.3%), let alone as performing physician (< 10%).

conclusionAlthough three quarters agree with maintaining the legal option of euthanasia for APC, their readiness to take a formal role in euthanasia procedures appears to be limited. More insight is required into the barriers preventing engagement and what psychiatrists need, be it education or clarification of the legal requirements, to ensure that patients can have their euthanasia requests assessed adequately.

Indexed as

EuthanasiaPsychiatryAdultAttitude of Health PersonnelBelgiumCross-Sectional StudiesHumansSurveys and QuestionnairesAssisted suicideEuthanasiaMental disordersPsychiatrySurvey study

Identifiers

PMID32678038
PMCPMC7364603
OpenAlexW3042706780

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.