Euthanasia and depression: a prospective cohort study among terminally ill cancer patients.

@article{vanderLee2005EuthanasiaAD,
  title={Euthanasia and depression: a prospective cohort study among terminally ill cancer patients.},
  author={Marije L. van der Lee and Johanna G. van der Bom and Nikkie B Swarte and A. Peter M. Heintz and Alexander de Graeff and Jan van den Bout},
  journal={Journal of clinical oncology : official journal of the American Society of Clinical Oncology},
  year={2005},
  volume={23 27},
  pages={
          6607-12
        }
}
PURPOSE To study the association between depression and the incidence of explicit requests for euthanasia in terminally ill cancer patients. PATIENTS AND METHODS A prospective cohort study was conducted on 138 consecutive cancer patients with an estimated life expectancy of 3 months or less, in the period between September 1999 and August 2003. At inclusion, participants completed the Hospital Anxiety and Depression Scale. To identify "depressed mood" we used a cutoff score of 20. Kaplan… 

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References

SHOWING 1-10 OF 36 REFERENCES

Desire for death in the terminally ill.

The desire for death in terminally ill patients is closely associated with clinical depression--a potentially treatable condition--and can also decrease over time, and informed debate about euthanasia should recognize the importance of psychiatric considerations, as well as the inherent transience of many patients' expressed desire to die.

Depression, hopelessness, and desire for hastened death in terminally ill patients with cancer.

Depression and hopelessness are the strongest predictors of desire for hastened death in this population of terminally ill cancer patients and provide independent and unique contributions.

Attitudes and desires related to euthanasia and physician-assisted suicide among terminally ill patients and their caregivers.

At the follow-up interview, half of the terminally ill patients who had considered euthanasia or PAS for themselves changed their minds, while an almost equal number began considering these interventions.

Attitudes of terminally ill patients toward euthanasia and physician-assisted suicide.

Many patients with advanced cancer favor policies that would allow them access to both euthanasia and physician-assisted suicide if pain and physical symptoms became intolerable, and psychological considerations may be at least as salient as physical symptoms.

Factors associated with the wish to hasten death: a study of patients with terminal illness

Psychological and social factors are related to a WTHD among terminally ill cancer patients and greater attention needs to be paid to the assessment of psychological and social issues in order to provide appropriate therapeutic interventions forterminally ill patients.

Relations between desire for early death, depressive symptoms and antidepressant prescribing in terminally ill patients with cancer.

Better recognition and treatment of depression might improve the lives of people with terminal illness and so lessen desire for early death, whether natural or by suicide.

Patient requests for euthanasia and assisted suicide in terminal illness. The role of the psychiatrist.

Interest in physician-assisted suicide among ambulatory HIV-infected patients.

Patients' interest in physician-assisted suicide appeared to be more a function of psychological distress and social factors than physical factors, and the importance of psychiatric and psychosocial assessment and intervention in the care of patients who express interest in or request physician- assisted suicide is highlighted.

Adjuvant psychological therapy for patients with cancer: a prospective randomised trial.

Adjuvant psychological therapy produces significant improvement in various measures of psychological distress among cancer patients, and the effect of therapy observed at eight weeks persists in some but not all measures at four month follow up.

Euthanasia and other medical decisions concerning the end of life