Evidence map›Paper›PMID 41680765›Full record

ArticleBMC medical ethics2026

Assisted suicide in Germany: a survey on requests for and current practices of assisted suicide.

Sabine Sommerlatte, E Droese, C Bausewein, T Pollmächer, G Marckmann, A Simon, J Schildmann

Abstract read
In one paragraph

Article in BMC medical ethics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

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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

7 authors.

Sabine SommerlatteInstitute for History and Ethics of Medicine, Interdisciplinary Centre of Health Sciences, Martin Luther University of Halle-Wittenberg, Halle (Saale), Germany. sabine.sommerlatte@medizin.uni-halle.de.ORCID 0000-0001-6239-4349
E DroeseInstitute for History and Ethics of Medicine, Interdisciplinary Centre of Health Sciences, Martin Luther University of Halle-Wittenberg, Halle (Saale), Germany.
C BauseweinDepartment of Palliative Medicine, LMU University Hospital, Munich, Germany.
T PollmächerDonau-Altmühl-Kliniken, Ingolstadt, Department of Psychiatry and Psychotherapy, LMU University Hospital, Ludwig-Maximilians-University Munich, Munich, Germany.
G Marckmann *Institute of Ethics, History and Theory of Medicine, LMU Munich, Munich, Germany.
A Simon *Academy of Ethics in Medicine, Department of Medical Ethics and History of Medicine, University Medical Center Göttingen, Göttingen, Germany.
J Schildmann *Institute for History and Ethics of Medicine, Interdisciplinary Centre of Health Sciences, Martin Luther University of Halle-Wittenberg, Halle (Saale), Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFollowing the constitutional court ruling in 2020, which legalized assistance in suicide in Germany under certain conditions, the practice of assisted suicide in Germany has been developing rather dynamically regarding the number of assisted suicides as well as the number of institutions offering suicide assistance. Challenges include a competent assessment of decisional capacity and the choice of adequate drugs. The aim of this study was to provide information about characteristics of people requesting assistance with suicide and those who died by assisted suicide as well as information about the current practice of assisted suicide in Germany.

methodsWe conducted an anonymous, open online survey with a convenience sample of 672 people who signed up for a webinar on professional standards of suicide assistance in April 2024. Descriptive statistical analysis of absolute and relative frequencies of the responses was performed. The results are provided as total numbers and percentages for either the whole sample (including those missing) or the subgroups analyzed. The free-text answers were coded independently by two researchers by means of qualitative content analysis.

resultsA total of 128 of 234 participants who accessed the online survey were included. Key findings are, firstly, a small subgroup receiving a substantial number of requests and assisting suicide in a high number of cases. Secondly, a wide range of professional groups and nonprofessionals were confronted with requests, and thirdly, a great heterogeneity regarding the practice of suicide assistance was observed, i.e. regarding the drugs applied, the process of information and counselling, and the assessment of decisional capacity.

conclusionsOur data indicate a lack of standardization in assisted suicide practice in Germany, which is associated with certain risks such as complications for those seeking suicide assistance due to inappropriate medication, inequalities in access to suicide assistance and legal uncertainty for those providing suicide assistance. Standardizing assisted suicide practice could facilitate quality and legal certainty. Further research based on prospective registries can support transparency and standardization and contribute to an accountable practice of assisted suicide in the future.

Indexed as

Suicide, AssistedAdultAgedDecision MakingFemaleGermanyHumansMaleMental CompetencyMiddle AgedSurveys and QuestionnairesYoung AdultAssisted suicideDecisional capacityStandards for practice

Identifiers

PMID41680765
PMCPMC12930711

What OpenQuestion holds

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LicenceCC BY
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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.