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A Conceptual Framework for Thinking About Physician-Assisted Death for Persons With a Mental Disorder

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Physician-assisted death (PAD) has been enacted in a number of international jurisdictions, with several extending access to PAD for persons whose condition is not terminal, including those with a mental disorder. We argue that based on the state of the literature, it is too early to make well-defined recommendations on how relevant fields can proceed legally, ethically, and clinically, particularly in regard to PAD for persons with a mental disorder. The aim of this paper is to introduce a framework for further discussions on PAD for persons with a mental disorder to stimulate thoughtful and considered debate in our field. We provide a brief discussion of the principles that guide regulatory frameworks on PAD practices worldwide, including a discussion of jurisdictions in Europe and North America that allow PAD for those suffering from an incurable non-terminal disease, illness, or disability. Next, we present a conceptual framework as a series of questions that address legal, ethical, and clinical dilemmas arising from this trend. We conclude with a summary of guidelines on the practice of PAD from international jurisdictions in order to assist in the development of potential legal and professional regulations.
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Shaffer, C. S., Cook, A. N., & Connolly, D. A. (2016). A conceptual framework for thinking about physician-assisted death for persons with a mental disorder. Psychology, Public, Policy and Law, 22, 141-157. doi:10.1037/law0000082
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Psychology, Public, Policy and Law
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A conceptual framework for thinking about physician-assisted death for persons with a mental disorder
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