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A systematic review of older adults' request for or attitude toward euthanasia or assisted-suicide

Title
A systematic review of older adults' request for or attitude toward euthanasia or assisted-suicide
Type
Another Publication in an International Scientific Journal
Year
2019
Authors
Dransart, DAC
(Author)
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Lapierre, S
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Erlangsen, A
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Canetto, SS
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Heisel, M
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Draper, B
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Lindner, R
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Richard Devantoy, S
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Cheung, G
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Scocco, P
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Gusmao, R
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FMUP
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De Leo, D
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Inoue, K
(Author)
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De Techterman, V
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Fiske, A
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Hong, JP
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Landry, M
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Lepage, AA
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Marcoux, I
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Na, PJ
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Neufeld, E
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Ummel, D
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Winslov, JH
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Wong, C
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Wu, J
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Wyart, M
(Author)
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Journal
Title: Aging & Mental HealthImported from Authenticus Search for Journal Publications
Vol. 25
Pages: 420-430
ISSN: 1360-7863
Publisher: Taylor & Francis
Other information
Authenticus ID: P-00R-HB0
Resumo (PT):
Abstract (EN): Objectives: Prevalence rates of death by euthanasia (EUT) and physician-assisted suicide (PAS) have increased among older adults, and public debates on these practices are still taking place. In this context, it seemed important to conduct a systematic review of the predictors (demographic, physical health, psychological, social, quality of life, religious, or existential) associated with attitudes toward, wishes and requests for, as well as death by EUT/PAS among individuals aged 60 years and over. Method: The search for quantitative studies in PsycINFO and MEDLINE databases was conducted three times from February 2016 until April 2018. Articles of probable relevance (n = 327) were assessed for eligibility. Studies that only presented descriptive data (n = 306) were excluded. Results: This review identified 21 studies with predictive analyses, but in only 4 did older adults face actual end-of-life decisions. Most studies (17) investigated attitudes toward EUT/PAS (9 through hypothetical scenarios). Younger age, lower religiosity, higher education, and higher socio-economic status were the most consistent predictors of endorsement of EUT/PAS. Findings were heterogeneous with regard to physical health, psychological, and social factors. Findings were difficult to compare across studies because of the variety of sample characteristics and outcomes measures. Conclusion: Future studies should adopt common and explicit definitions of EUT/PAS, as well as research designs (e.g. mixed longitudinal) that allow for better consideration of personal, social, and cultural factors, and their interplay, on EUT/PAS decisions.
Language: English
Type (Professor's evaluation): Dissemination
No. of pages: 11
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