Family Physician-Reported Patients’ Motives for Decisions to Hasten Death by VSED (99 Patients) and Physician Involvement
Characteristic | % (95% CI) |
---|---|
Patient’s Motive | |
Somatic | 79 (70–86) |
Fatigue, general weakness | 60 (50–69) |
Physical deterioration | 51 (41–60) |
Pain | 18 (11–26) |
Dyspnea | 9 (5–17) |
Other physical symptoms | 8 (4–16) |
Existential | 77 (68–85) |
Suffering without hope for improvement | 41 (32–51) |
Tired of living | 40 (32–51) |
Missing a purpose in life | 38 (29–48) |
Dependence | 58 (48–67) |
Being dependent | 32 (23–42) |
Disability, immobility | 30 (22–40) |
(Fear of) loss of autonomy | 27 (19–36) |
Not wanting to be a burden on family anymore | 15 (9–24) |
No longer being able to reside independently | 7 (3–14) |
Loss of dignity, loss of self | 37 (28–47) |
Loss of dignity | 29 (21–39) |
Cognitive decline or inability to communicate | 11 (6–19) |
Social | 21 (14–30) |
Loneliness | 15 (9–24) |
Death of a loved one | 8 (4–16) |
Psychiatric suffering | 14 (9–23) |
Depressive symptoms | 13 (8–22) |
Fear, anxiety | 3 (1–9) |
Physician’s involvement and attitude | |
Physician had suggested the possibility of VSED to the patient | 18 (11–27) |
Physician could agree with the patient’s decision to hasten death by VSED | 94 (87–97) |
Patient had requested for PAS | 19 (12–28) |
PAS = physician-assisted suicide; VSED = voluntary stopping of eating and drinking.
Note: Missing values ranged from 2.0% to 4.0%.