Seven deaths in Darwin : case studies under the Rights of the Terminally III Act, Northern Territory, Australia.
Background During the 9 months between July, 1996, and March, 1997, the provision of euthanasia for the terminally ill was legal in the Northern Territory of Australia.
Seven patients made formal use of the Rights of the Terminally III (ROTI) Act ; 1 four died under the Act.
We report their clinical details and the decision-making process required by the Act.
Methods We taped in-depth interviews with the general practitioner who provided euthanasia.
Further information was available from public texts created by patients, the media, and the coroner.
Findings All seven patients had cancer, most at advanced stages.
Three were socially isolated.
Symptoms of depression were common.
Having met criteria of the Act, some patients deferred their decision for a time before proceeding with euthanasia.
Medical opinions about the terminal nature of illness differed.
Interpretation Provision of opinions about the terminal nature of illness and the mental health of the patient, as required by the ROTI Act, created problematic gatekeeping roles for the doctors involved.
Mots-clés Pascal : Euthanasie, Suicide assisté, Questionnaire, Santé mentale, Aide décision, Etiologie, Relation médecin malade, Etude cas, Homme, Australie, Océanie, Ethique, Système nerveux pathologie, Psychopathologie, (ROTI) Droit de Mourir
Mots-clés Pascal anglais : Euthanasia, Assisted suicide, Questionnaire, Mental health, Decision aid, Etiology, Physician patient relation, Case study, Human, Australia, Oceania, Ethics, Nervous system diseases, Psychopathology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0470322
Code Inist : 002B18C14. Création : 19/02/1999.