Assisted suicide

[5] Once it is determined that the person's situation qualifies under the laws for that location, the physician's assistance is usually limited to writing a prescription for a lethal dose of drugs.

Arguments in support of assisted suicide include In 2022 in the Oregon program, the most frequently reported end-of-life concerns were Previous years had seen similar factors.

[25][26] The original oath however has been modified many times and, contrary to popular belief, is not required by most modern medical schools, nor confers any legal obligations on individuals who choose to take it.

The AMA Code of Ethics Opinion 5.7 reads that "Physician-assisted suicide is fundamentally incompatible with the physician's role as healer" and that it would be "difficult or impossible to control, and would pose serious societal risks" but does not explicitly prohibit the practice.

In the AMA Code of Ethics Opinion 1.1.7, which the AMA states "articulates the thoughtful moral basis for those who support assisted suicide", it is written that outside of specific situations in which physicians have clear obligations, such as emergency care or respect for civil rights, "physicians may be able to act (or refrain from acting) in accordance with the dictates of their conscience without violating their professional obligations.

[38][35] Additionally, the Catholic Church recommends that terminally ill patients should receive palliative care, which deals with physical pain while treating psychological and spiritual suffering as well, instead of physician-assisted suicide.

Deepak Sarma, a professor of South Asian religions and philosophy at Case Western Reserve University in Cleveland, explains, "If you circumvent karma by taking some action to stop suffering, you will pay for it later.".

[56] In January 2019 the British Royal College of Physicians announced it would adopt a position of neutrality until two-thirds of its members think it should either support or oppose the legalization of medical aid in dying.

[57] In September 2021, the largest doctors union in the United Kingdom, the British Medical Association, adopted a neutral stance towards a change in the law on assisted dying, replacing their position of opposition which had been in place since 2006.

Decades of opinion research show that physicians in the US and several European countries are less supportive of the legalization of medical aid in dying than the general public.

[59] A 1997 study by Glasgow University's Institute of Law & Ethics in Medicine found pharmacists (72%) and anaesthetists (56%) to be generally in favor of legalizing PAS.

[67] A report published in January 2017 by NPR suggests that the thoroughness of protections that allow physicians to refrain from participating in the municipalities that legalized assisted suicide within the United States presently creates a lack of access by those who would otherwise be eligible for the practice.

[71] An anonymous, confidential postal survey of all General Practitioners in Northern Ireland, conducted in the year 2000, found that over 70% of responding GPs were opposed to physician-assisted suicide and voluntary active euthanasia.

Research published by Health Canada illustrates physician preference for physician-administered voluntary euthanasia, citing concerns about effective administration and prevention of the potential complications of self-administration by patients.

[131] In May 2011, Zhong Yichun, a farmer, was sentenced to two years imprisonment by the People's Court of Longnan County, in China's Jiangxi Province for assisting Zeng Qianxiang to die by suicide.

[131] In May 1997 the Colombian Constitutional Court allowed for the voluntary euthanasia of sick patients who requested to end their lives, by passing Article 326 of the 1980 Penal Code.

Though his mother was arrested for aiding in her son's death and later acquitted, the case did jump-start new legislation which states that when medicine serves "no other purpose than the artificial support of life" it can be "suspended or not undertaken".

[138] Whereas the traditional approach for establishing an assisted dying service has always been based on identifying criteria for who was eligible for it predicated on a view regarding a person's acceptable quality of life (e.g. condition of health or illness), the ruling by the German court stated that government in pluralist societies can not do so as it would violate one's autonomy, the principle of person-state separation.

[154] The proposition, which was lodged by the Council of Ministers, proposes that a legal assisted dying service should be set up for residents over the age of 18 with a terminal illness or other incurable suffering.

Physician-assisted suicide became allowed under the act approved in 2001 which became effective in 2002 and states the specific procedures and requirements needed in order to provide such assistance.

Physician-assisted death can only be permitted to adults, by their own decision, who are experiencing suffering of great intensity and who have a permanent injury of extreme severity or a serious and incurable disease.

[162] On 30 April 2015, the High Court in Pretoria granted Advocate Robin Stransham-Ford an order that would allow a doctor to assist him in taking his own life without the threat of prosecution.

A person brought to court on a charge could presumably avoid conviction by proving that they were "motivated by the good intentions of bringing about a requested death for the purposes of relieving "suffering" rather than for "selfish" reasons.

[166] In order to avoid conviction, the person has to prove that the deceased knew what he or she was doing, had the capacity to make the decision, and had made an "earnest" request, meaning they asked for death several times.

Independent MSP Margo MacDonald's "End of Life Assistance Bill" was brought before the Scottish Parliament to permit physician-assisted suicide in January 2010.

[citation needed] The Assisted Dying for Terminally Ill Adults (Scotland) Bill was introduced by Liam McArthur MSP on 27 March 2024.

[195] Assisted suicide, while criminal, does not appear to have caused any convictions, as article 37 of the Penal Code (effective 1934) states: "The judges are authorized to forego punishment of a person whose previous life has been honorable where he commits a homicide motivated by compassion, induced by repeated requests of the victim.

A written request which must be witnessed by two different people, one of which cannot be a family member, and then another waiting period by the patient's doctor in which they say whether they are eligible for the drugs or not ("Death with Dignity").

In July 2009, British conductor Sir Edward Downes and his wife Joan died together at a suicide clinic outside Zürich "under circumstances of their own choosing".

Moments after drinking the liquid, Smedley begged for water, gasped for breath and became red, he then fell into a deep sleep where he snored heavily while holding his wife's hand.

Overview of where medical aid in dying is legal in at least some circumstances:
Medical aid in dying is legal.
Legalized by court ruling, but not legislated or regulated
Medical aid in dying is illegal.
Status of assisted suicide around the world:
Physician-assisted suicide is legal. [ note 1 ]
Legalized by court ruling, but not legislated or regulated
Physician-assisted suicide is illegal.
Rates of euthanasia and assisted suicide (EAS) have increased substantially in developed countries, with wide variance in the rates of increase. [ 75 ]
Current status of assisted suicide in Europe:
Medical aid in dying is legal. [ note 1 ]
Legalized by court ruling, but not legislated or regulated
Medical aid in dying is not legal.
States where Medical Aid in Dying is legal
Secobarbital was one of the most commonly prescribed drugs for physician-assisted suicide in the United States. [ 208 ]