Evidence map›Paper›PMID 41894253›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2026

'It Simply Required Far Too Many Steps and Made You Feel You Were Just a Number'. Family Caregivers' Experiences With Assisted Suicide in Austria: A Qualitative Study.

Tamina-Laetitia Vielgrader, Ricarda Mewes, Julia Fischer, Jana Marica Hluch, Maria Kletecka-Pulker, Gudrun Kreye, Elisabeth Lucia Zeilinger

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
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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

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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

1 citing paper in PubMed.

  1. Article
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.

Tamina-Laetitia VielgraderInstitute for Ethics and Law in Medicine, University of Vienna and Medical University of Vienna, Vienna, Austria.ORCID 0009-0003-9183-9206
Ricarda MewesFaculty of Social Sciences, Institute of Psychology, University of Klagenfurt, Klagenfurt, Austria.
Julia FischerInstitute for Ethics and Law in Medicine, University of Vienna and Medical University of Vienna, Vienna, Austria.
Jana Marica HluchInstitute for Ethics and Law in Medicine, University of Vienna and Medical University of Vienna, Vienna, Austria.
Maria Kletecka-PulkerInstitute for Ethics and Law in Medicine, University of Vienna and Medical University of Vienna, Vienna, Austria.
Gudrun KreyeDivision of Palliative Care, Division of Internal Medicine 2, University Hospital Krems, Krems, Austria.
Elisabeth Lucia ZeilingerDepartment of Clinical and Health Psychology, Faculty of Psychology, University of Vienna, Vienna, Austria.ORCID 0000-0002-0625-500X

Funding

University of Vienna
6 · The paper itself

Abstract

introductionThis study examines the lived experiences of family caregivers navigating the legal and emotional complexities of Austria's newly enacted Dying Decree Law.

methodsA qualitative interview study was conducted with nine family caregivers (eight women) of people seeking assisted suicide (PSAS) in Austria. Participants were recruited through purposive sampling through multiple recruitment channels. Interviews were analysed using thematic analysis (supported by MAXQDA).

resultsSeven overarching themes emerged: (1) Dynamics of Dying and Saying Goodbye; (2) Inclusion versus Exclusion in the Decision-Making Process; (3) Role Negotiation and Responsibilities; (4) Bureaucratic and Legal Barriers; (5) Social Exclusion and Stigmatisation; (6) Support Needs and Structures; and (7) Ramifications in the Post-Mortem Phase. Family caregivers reported a lack of formal guidance, often leading to isolation and exhaustion. Open communication was repeatedly highlighted as essential in order to honour the PSAS's wishes and alleviate family caregivers' grief.

conclusionFamily caregivers function as advocates and bureaucratic managers while simultaneously serving as carers who provide the PSAS with physical and emotional support. Rather than relying on the legal framework alone, public policy should also formally acknowledge this dual role and deliver government‑led structural support for family caregivers to lessen their emotional and bureaucratic burden. PATIENT OR PUBLIC CONTRIBUTION: Family caregivers of PSAS were central to this research. We interviewed family caregivers about their experiences with assisted dying under Austria's Dying Decree Law, and incorporated their suggestions for addressing the identified challenges and improving support structures. Their contributions were integral to the study's findings and its focus on enhancing support structures for family caregivers within assisted dying systems.

Indexed as

CaregiversFamilySuicide, AssistedAdultAgedAustriaDecision MakingFemaleHumansInterviews as TopicMaleMiddle AgedQualitative ResearchSocial Supportassisted dyingassisted dying regulationassisted suicidefamily caregiversqualitative researchsemi‐structured interviewsthematic analysis

Identifiers

PMID41894253
PMCPMC13125716

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