Table 3

Family Physician-Reported Patients’ Motives for Decisions to Hasten Death by VSED (99 Patients) and Physician Involvement

Characteristic% (95% CI)
Patient’s Motive
Somatic79 (70–86)
 Fatigue, general weakness60 (50–69)
 Physical deterioration51 (41–60)
 Pain18 (11–26)
 Dyspnea9 (5–17)
 Other physical symptoms8 (4–16)
Existential77 (68–85)
 Suffering without hope for improvement41 (32–51)
 Tired of living40 (32–51)
 Missing a purpose in life38 (29–48)
Dependence58 (48–67)
 Being dependent32 (23–42)
 Disability, immobility30 (22–40)
 (Fear of) loss of autonomy27 (19–36)
 Not wanting to be a burden on family anymore15 (9–24)
 No longer being able to reside independently7 (3–14)
Loss of dignity, loss of self37 (28–47)
 Loss of dignity29 (21–39)
 Cognitive decline or inability to communicate11 (6–19)
Social21 (14–30)
 Loneliness15 (9–24)
 Death of a loved one8 (4–16)
Psychiatric suffering14 (9–23)
 Depressive symptoms13 (8–22)
 Fear, anxiety3 (1–9)
Physician’s involvement and attitude
Physician had suggested the possibility of VSED to the patient18 (11–27)
Physician could agree with the patient’s decision to hasten death by VSED94 (87–97)
Patient had requested for PAS19 (12–28)
  • PAS = physician-assisted suicide; VSED = voluntary stopping of eating and drinking.

  • Note: Missing values ranged from 2.0% to 4.0%.