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Attitudes toward euthanasia and physician assisted suicide: A survey among medical students, oncology clinicians, and palliative care specialists

  • M.C. MARINI (a1), H. NEUENSCHWANDER (a1) and F. STIEFEL (a2)
  • DOI:
  • Published online: 01 September 2006

Objective: The aim of this study was to compare the results of surveys about attitudes toward euthanasia and related issues that was conducted among palliative care specialists, health care professionals of a cancer center, and first- and second-year medical students.

Methods: By means of an anonymous questionnaire with different hypothetical scenarios concerning physician assisted suicide (PAS) and related issues, 726 members of the Swiss Association for Palliative Care (SAPC), 148 health care professionals of the Institute of Oncology of Italian speaking Switzerland (IOSI), and 140 medical students of the University of Fribourg, Switzerland, were surveyed.

Results: Among palliative care specialists a decreasing number supported PAS, direct active euthanasia (DAE), DAE for psychiatric patients, DAE in incompetent patients, and life terminating acts without explicit request (LAWER). Professionals of the cancer center were more in favor of DAE and PAS than palliative care specialists, but less in favor than medical students.

Significance of results: Significant variations among different professionals exist in attitudes toward euthanasia. The hypothesis that familiarity with the care of severely ill and dying patients is an important underlying factor explaining variance has been confirmed by these surveys.

Corresponding author
Corresponding author: F. Stiefel, M.D., Psychiatry Service, University Hospital, CH-1011 Lausanne, Switzerland. E-mail:
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Asch, D.A. (1996). The role of critical care nurses in euthanasia and assisted suicide. New England Journal of Medicine, 334, 13741379.

Bachman, J.G., Alcser, K.H., Doukas, D.J., et al. (1996). Attitudes of Michigan physicians and the public toward legalizing physician-assisted suicide and voluntary euthanasia. New England Journal of Medicine, 334, 303309.

Bittel, N., Neuenschwander, H., & Stiefel, F. (2002). Euthanasia: A survey by the Swiss Association for Palliative Care. Supportive Care in Cancer, 10, 265271.

Caddel, D.P. & Newton, R.R. (1995). Euthanasia: American attitudes toward the physician's role. Social Science & Medicine, 40, 16711681.

de Wachter, M.A. (1989). Active euthanasia in the Netherlands. JAMA, 262, 33163319.

Deckard, G., Meterko, M., & Field, D. (1994). Physician burnout: An examination of personal, professional, and organization relationship. Medical Care, 32, 745754.

Duberstein, P.R., Conwell, Y., Cox, C., et al. (1995). Attitudes toward self-determined death: A survey of primary care physicians. Journal of the American Geriatric Society, 43, 395400.

Emanuel, E.J. (1996). Oregon's physician-assisted suicide law. Provisions and problems. Archives of Internal Medicine, 156, 825829.

Emanuel, E.J., Fairclough, D.L., Daniels, E.R., et al. (1996). Euthanasia and physician-assisted suicide: Attitudes of oncology patients, oncologists, and the public. Lancet, 347, 18051810.

Graber, M.A., Levy, B.I., Weir, R.F., et al. (1996). Patients' view about physicians' participation in assisted suicide and euthanasia. Journal of General Internal Medicine, 11, 7176.

Grassi, L., Magnani, K., & Ercolani, M. (1999). Attitude toward euthanasia and physician-assisted suicide among Italian primary care physicians. Journal of Pain and Symptom Management, 17, 188196.

Groenewoud, J.H., van der Mas, P.J., van der Wal, G., et al. (1997). Physician-assisted death in psychiatric practice in the Netherlands. New England Journal of Medicine, 336, 17951801.

Meier, D.E., Emmons, C.A., Wallenstein, S., et al. (1998). A national survey of physician-assisted suicide and euthanasia in the United States. New England Journal of Medicine, 338, 19932001.

Molloy, D.W. (1999). Euthanasia and physician-assisted suicide. New England Journal of Medicine, 340, 15171518.

Portenoy, R.K., Coyle, N., Kash, K.M., et al. (1997). Determinants of the willingness to endorse assisted suicide. A survey of physicians, nurses, and social workers. Psychosomatics, 38, 277287.

Quill, T.E. (1991). Death and dignity: A case of individualized decision making. New England Journal of Medicine, 324, 691694.

Ramirez, A., Graham, J., Richards, M.A., et al. (1996). Mental health of hospital consultants: The effect of stress and satisfaction at work. Lancet, 347, 724728.

Ryan, C.J. & Kaye, M. (1996). Euthanasia in Australia: The Northern Territory Rights of the Terminally Ill Act. New England Journal of Medicine, 334, 326328.

Sepulveda, C., Marlin, A., Yoshida, T., et al. (2002). Palliative care: The World Health Organisation's global perspective. Journal of Pain and Symptom Management, 24, 9196.

Shuman, C.R., Fournet, G.P., Zelhart, P.F., et al. (1992). Attitudes of registered nurses toward euthanasia. Death Studies, 16, 115.

Stevens, C.A. & Hassan, R. (1994). Management of death, dying and euthanasia: Attitudes and practice of medical pratictioners in South Australia. Journal of Medical Ethics, 20, 4146.

Van der Heide, A., Deliens, L., Faisst, K., et al. (2003). End-of-life decision-making in six European countries: Descriptive study. Lancet, 362(9381), 345350.

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Palliative & Supportive Care
  • ISSN: 1478-9515
  • EISSN: 1478-9523
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