Association between clinician factors and a patient's wish to hasten death: terminally ill cancer patients and their doctors

Psychosomatics
Brian KellyMarguerite Robertson

Abstract

This study investigated the clinical factors associated with a wish to hasten death among patients with advanced cancer receiving palliative care, with a focus on the role of clinician-related factors. Patients were grouped into high- and low-scoring groups on the basis of their wish to hasten death; doctor-patient pairs were formed. Questionnaire data collected from patients and their treating doctors were subjected to multivariate analysis. Significant predictors of a high wish to hasten death in terminally ill patients from among treating clinicians included the clinician's perception of the patient's lower optimism and greater emotional suffering, the patient indicating a wish to hasten death, the doctor willing to assist the patient in hastening death (if requested and legal), and the doctor reporting less training in psychotherapy. When these variables were combined with patient factors identified in a previous study, the model significantly predicted a wish to hasten death with the following variables-patient factors: a higher perceived burden on others, higher depressive symptom scores, and lower family cohesion; physician factors: the doctor willing to assist the patient in hastening death (if requested and legal), the...Continue Reading

References

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Citations

Apr 9, 2010·Der Schmerz·S StielL Radbruch
May 27, 2008·Palliative & Supportive Care·Brian KellyPat Treston
Jun 7, 2006·Journal of Palliative Medicine·Harvey M ChochinovMike Harlos
Apr 14, 2006·Current Opinion in Psychiatry·Ralf Ilchef
Jan 20, 2007·Primary Care Companion to the Journal of Clinical Psychiatry·Maytal Guy, Theodore A Stern
Jul 17, 2010·General Hospital Psychiatry·Tomer T LevinDavid W Kissane
Feb 21, 2006·Anesthesiology Clinics·Christopher A GibsonWilliam Breitbart
Feb 12, 2015·Palliative & Supportive Care·Peter HudsonCees Hertogh
Mar 20, 2014·BMJ Supportive & Palliative Care·Keith G WilsonRobin L Fainsinger
Aug 24, 2005·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Marije L van der LeeJan van den Bout
Oct 19, 2007·Palliative Medicine·Marit KarlssonAnna Milberg
Feb 9, 2012·The Australian and New Zealand Journal of Psychiatry·Marina J Vamos
Sep 8, 2010·Psycho-oncology·Cristina Monforte-RoyoAlbert Balaguer
Jun 22, 2020·BMJ Supportive & Palliative Care·Jodhi RutherfordBen P White
Apr 9, 2009·The Medical Journal of Australia·Brian J Kelly, Jane Turner
May 3, 2021·Bulletin du cancer·Marie Hasdenteufel, Bruno Quintard

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