Evidence map›Paper›PMID 42313743›Full record

ArticlePloS one2026

Providers of and participants in suicide assistance in Germany: A field description based on expert interviews.

Sven Schwabe, Franziska A Herbst

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Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Sven SchwabeInstitute for General Practice and Palliative Care, Hannover Medical School, Hannover, Germany.ORCID https://orcid.org/0000-0002-3575-3817
Franziska A HerbstInstitute for General Practice and Palliative Care, Hannover Medical School, Hannover, Germany.ORCID https://orcid.org/0000-0003-2602-9277

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOver the past 20 years, assisted dying practices have been legalised in an increasing number of countries around the world. After a decision of the German Federal Constitutional Court in 2020, suicide assistance is unregulated in Germany but official data about the implementation of suicide assistance is lacking.

aimThis study aims to explore the providers of and participants in suicide assistance in Germany.

methods16 semi-structured qualitative expert interviews were conducted with scientists, officials, journalists and members of right-to-die organisations between May and July 2025. Experts were chosen due to their extensive theoretical and practical knowledge of the practice of assisted suicide in Germany. The interviews were digitally recorded, transcribed verbatim and analysed using qualitative content analysis, according to Mayring.

resultsA total of five main providers and participants involved in the practice of assisted suicide in Germany were identified: 1) right-to-die organisations, 2) medical and non-medical suicide assistants, 3) treating physicians, 4) funeral directors and 5) relatives and friends. Right-to-die organisations and suicide assistants from various professions regularly provide suicide assistance and carry out all relevant tasks, including the provision of information, organisation, implementation and documentation. Treating physicians, funeral directors, relatives and friends may be asked to provide suicide assistance in individual cases and take on specific tasks. Other healthcare professionals (e.g., nurses, pharmacists) and professional groups (e.g., police officers, prosecutors) may also be confronted with suicide assistance and become involved in the process. DISCUSSION: Given the minimal regulation of assisted suicide in Germany, the landscape of providers and supporters appears to be diversifying and growing increasingly complex. Future research should examine the roles, experiences, challenges and best practices of the various actors involved in the provision of assisted suicide.

trial registrationThe study was prospectively registered in the German Clinical Trials Register (Deutsches Register Klinischer Studien) under Registration N° DRKS00034574, on 04 July 2024. It is also searchable via the International Clinical Trials Registry Platform Search Portal of the World Health Organization, under the same registration number.

Indexed as

Suicide, AssistedGermanyHumansInterviews as TopicPhysiciansRight to Die

Identifiers

PMID42313743
PMCPMC13278400

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