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Table 2 Psychiatrists’ attitudes toward euthanasia in general and in psychiatry

From: Belgian psychiatrists’ attitudes towards, and readiness to engage in, euthanasia assessment procedures with adults with psychiatric conditions: a survey

Attitude statements

Response in N/%a

Combined percentages

Totally disagree

Disagree

Neutral

Agree

Totally agree

Agree + Totally agree

St1: Euthanasia should only be legally allowed for the terminally ill.

40

21.7%

70

38.0%

19

10.3%

32

17.4%

23

12.5%

55

29.9%

St2: Euthanasia should be legally allowed for the non-terminally ill, but only when based on somatic illnesses.

53

28.8%

91

49.5%

20

10.9%

13

7.1%

7

3.8%

20

10.9%

St3: Euthanasia should remain legally allowed for patients with psychiatric illnesses.

17

9.2%

19

10.3%

11

6.0%

68

37.0%

69

37.5%

137

74.5%

St4: A psychiatric patient can suffer unbearably.

2

1.1%

1

0.5%

7

3.8%

37

20.1%

137

74.5%

174

94.6%

St5: A psychiatric patient’s death request can be well considered, and not only considered as a symptom of the patient’s psychopathology.

4

2.2%

8

4.3%

10

5.4%

92

50.0%

70

38.0%

162

88%

St6: A psychiatric patient can find herself in a medically hopeless situation.

5

2.7%

9

4.9%

16

8.7%

67

36.4%

87

47.3%

154

83.7%

St7: For a psychiatric patient, a lack of reasonable treatment perspectives can exist.

2

1.1%

23

12.5%

17

9.2%

76

41.3%

66

35.9%

142

77.2%

St8: Euthanasia assessment in psychiatric patients is compatible with a psychotherapeutic relationship.

26

14.1%

31

16.8%

30

16.3%

60

32.6%

37

20.1%

97

52.7%

St9: During the assessment of a psychiatric patient’s euthanasia request, potentially effective therapeutic treatment options should be taken into account.

7

3.8%

34

18.5%

36

19.6%

74

40.2%

33

17.9%

107

58.1%

St10: During the assessment of a psychiatric patient’s euthanasia request, the focus should not only be placed on the patient’s medical condition, but also on the patient’s whole life context.

6

3.3%

10

5.4%

19

10.3%

77

41.8%

72

39.1%

149

80.9%

St11: Euthanasia is an acceptable alternative to prevent for suicide.b

35

19.1%

33

18.0%

35

19.1%

64

35.0%

16

8.7%

80

43.7%

St12: In psychiatric patients, physician-assisted suicide (physician provides the lethal drugs to the patient who then self-administers it) is more acceptable than euthanasia (physician administers the lethal drugs to the patient).

36

19.6%

41

22.3%

49

26.6%

46

25.0%

12

6.5%

58

31.5%

St13: In some cases, there is mention of psychiatric euthanasia assessment that was too lightly dealth with.c

2

1.1%

16

8.7%

39

21.3%

66

36.1%

60

32.8%

126

68.9%

  1. a Range Likert scale: from 1 “totally disagree” to 5 “totally agree”. For all items: Minimum score = 1 and maximum score = 5
  2. b Missings: n = 2 (St11 and St13: n = 1, missings from 2 different psychiatrists)