关键词: assisted suicide depression end of life euthanasia medical assistance in dying mental illness schizophrenia

来  源:   DOI:10.1177/10499091241247835

Abstract:
OBJECTIVE: In 2027, Canadians whose only medical condition is an untreatable mental illness and who otherwise meet all eligibility criteria will be able to request Medical Assistance in Dying (MAiD). This study investigates the attitudes of undergraduate students towards widening the scope of MAiD for physical illness for certain psychiatric conditions. We were interested in understanding if age, information, and type of mental illness influenced undergraduates\' acceptance or rejection of MAiD for mental illness (MAiD-MI).
METHODS: 413 undergraduate students participated in this study which examined the factors that correlate with the acceptance or rejection of MAiD-MI. Four scenarios were presented in which age (older or younger) and illness type (depression or schizophrenia) were manipulated. Demographic questions and measures assessing personality, religion, and attitudes towards euthanasia were administered. Questions assessing participants\' general understanding of MAiD and their life experiences with death and suicide were also asked.
RESULTS: Most of the participants accepted MAiD-MI for both depression and schizophrenia. As hypothesized, support for MAiD-MI was higher for patients with schizophrenia than for depression. Also as hypothesized, support was higher for older patients than for younger patients. Variables such as religion, personality and political affiliation were also associated with acceptance or rejection of MAiD-MI. Finally, consistent with our hypotheses, participants\' understanding of MAiD and experiences with death and suicide was predictive of support for MAiD-MI.
摘要:
目标:2027年,唯一的医疗状况是无法治愈的精神疾病且符合所有资格标准的加拿大人将能够申请临终医疗援助(MAiD)。这项研究调查了本科生对扩大某些精神疾病的MAiD范围的态度。我们有兴趣了解年龄,信息,和精神疾病的类型影响大学生接受或拒绝MAiD的精神疾病(MAiD-MI)。
方法:413名本科生参加了这项研究,研究了与接受或拒绝MAiD-MI相关的因素。提出了四种情况,其中年龄(年龄更大或更小)和疾病类型(抑郁症或精神分裂症)被操纵。人口统计问题和评估人格的措施,宗教,以及对安乐死的态度。还询问了评估参与者对MAiD的一般理解以及他们对死亡和自杀的生活经历的问题。
结果:大多数参与者接受了抑郁症和精神分裂症的MAiD-MI。正如假设的那样,精神分裂症患者对MAiD-MI的支持高于抑郁症患者.同样作为假设,老年患者的支持率高于年轻患者.宗教等变量,人格和政治倾向也与接受或拒绝MAiD-MI相关.最后,与我们的假设一致,参与者对MAiD的理解以及死亡和自杀经历可以预测对MAiD-MI的支持。
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