Can patients be at risk of self-harm after being found ineligible for a medically-assisted death?


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2 comments

  1. Dhruv Nayyar

    Thank you for this article. These situations at the intersection of mental health and MAiD take very careful reflection to navigate ethically and compassionately. I do hope the individual who sent in this question finds that their Uncle is well supported through this process, regardless of the outcome.

    We reflected on a particularly challenging request in the early days after MAiD had been legalized in Ontario:

    “Request for medical assistance in dying after a suicide attempt in a 75-year-old man with pancreatic adenocarcinoma”

    https://www.cmaj.ca/content/191/30/E838.full

  2. Kathy kastner

    Adding this excellent research: Care Considerations in a Patient- and Family-Centered Medical Assistance in Dying Program :”exploring and validating the emotional journey, navigating the uncertain, judgmental experiences, and the emotional impact on families and the care team. Physical PFCC considerations included: sensitivity in eligibility assessments, weaving in interdisciplinary care, provision of anticipatory guidance, and death location. Spiritual PFCC considerations included: honoring choice, listening to life stories, supporting spiritual needs, and acknowledging loss”. https://doi.org/10.1177/0825859720951661

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