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Physician-Assisted Suicide in Psychiatry: Developments in the Netherlands

Published online by Cambridge University Press:  29 July 2009

Johan Legemaate  and
J.K.M. Gevers
Johan Legemaate
Affiliation:
Professor of Health Law in the Department of Health Policy and Management, Erasmus University, The Netherlands.
J.K.M. Gevers
Affiliation:
Professor of Health Law at the University of Amsterdam, where he teaches both in the faculty of law and in the faculty of medicine. He is also one of the editors of the European Journal of Health Law.
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Extract

For more than two decades euthanasia and assisted suicide have been openly debated in the Netherlands. This development started in 1973 when the Regional Court in Leeuwarden decided a case in which a physician had administered a deadly dose of morphine to her terminally ill mother on the mother's serious and persistent request. In this case the court concluded that the average Dutch physician no longer considered it his or her duty to prolong a patient's life under all circumstances. The court accepted that in specific cases a physician is allowed to prevent serious and irreversible suffering, even if the patient's life is short ened. This case was the first in which a legal opening for euthanasia or assisted suicide was created. In this specific case the physician was formally declared guilty, but the court gave her a suspended sentence of one week imprisonment. This decision started a debate on euthanasia and assisted suicide throughout all levels of Dutch society.

Type
Special Section: Alpha and Omega: Ethics at the Edges of Life
Information
Cambridge Quarterly of Healthcare Ethics , Volume 6 , Issue 2 , Spring 1997 , pp. 175 - 188
Copyright
Copyright © Cambridge University Press 1997

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References

Notes

1. Van der Maas, PJ, Van Delden, JIM, Pijnenborg, L, Looman, CWN. Euthanasia and other medical decisions concerning the end of life. The Lancet 1991;338:669–74.CrossRefGoogle ScholarPubMed

2. Van Delden, JJM, Pijnenborg, L, Van der Maas, PJ. Dances with data. Bioethics 1993;7:323–9.CrossRefGoogle ScholarPubMed

3. Van Delden, JJM, Pijnenborg, L, Van der Maas, PJ. The Remmelink study: two years later. Hastings Center Report 1993;23(6):24–27.CrossRefGoogle ScholarPubMed

4. Griffiths, J. Assisted suicide in the Netherlands: the Chabot case. Modern Law Review 1995;58:232–48.CrossRefGoogle Scholar

5. Gevers, JKM. Legislation on euthanasia: recent developments in the Netherlands. Journal of Medical Ethics 1992;18:138–41.CrossRefGoogle ScholarPubMed

6. Dillman, RJM, Legemaate, J. Euthanasia in the Netherlands: the state of the legal debate. European journal of Health Law 1994;1:81–7.CrossRefGoogle Scholar

7. Legemaate, J. Legal aspects of euthanasia and assisted suicide in the Netherlands. Cambridge Quarterly of Healthcare Ethics 1995;4:112–21.Google ScholarPubMed

8. See note 7. Legemaate, 1995.Google Scholar

9. See note 4. Griffiths, 1995.Google Scholar

10. Griffiths, J. Medical behavior that shortens life: current developments in the Netherlands. Clinical Ethical Reports 1994;8:1–24.Google ScholarPubMed

11. Legemaate, J. Hulp bij zelfdoding in de psychiatrie: regels en opvattingen (Assisted suicide in psychiatry: guidelines and opinions). Maandblad Geestelijke volksgezondheid 1993;48:750–69.Google Scholar

12. Sutorius, EPhR. Zelfdoding psychiatrische patient en het recht (Assisted suicide in psychiatry and the law). In L., Boon, ed., Euthanasie and Zorgvuldigheid. Amstelveen: Stichting Sympoz, 1989:101–7.Google Scholar

13. See note 11. Legemaate, 1993.Google Scholar

14. See note 11. Legemaate, 1993.Google Scholar

15. Gevers, JKM. Physician assisted suicide in Dutch courts. Cambridge Quarterly of Healthcare Ethics 1996;5(2):96–9.CrossRefGoogle ScholarPubMed

16. See note 12. Sutorius, 1989.Google Scholar

17. Chabot, BE. Hulp bij zelfdoding: drie rechtszaken (Assisted suicide: three cases in court). Maandblad Geestelijke volksgezondheid 1993;48:715–37.Google Scholar

18. See note 4. Griffiths, 1995.Google Scholar

19. See note 4. Griffiths, 1995.Google Scholar

20. See note 7. Legemaate, 1995.Google Scholar

21. Gevers, S. Physician-assisted suicide: new developments in the Netherlands. Bioethics 1995;9:309–12.CrossRefGoogle ScholarPubMed

22. See note 11. Legemaate, 1993.Google Scholar

23. See note 21. Gevers, 1995.Google Scholar

24. See note 10. Griffiths, 1994.Google Scholar

25. Koerselman, GF. Balanssuicide als myths‘Over ‘Zelf Beschikt,’ door B.E. Chabot (Balance suicide as a myth. On B.E. Chabot's ‘Zelf Beschikt’). Maandhlad Geestelijke volksgezondheid 1994;49:515–27.Google Scholar

26. See note 11. Legemaate, 1993.Google Scholar

27. See note 25. Koerselman, 1994.Google Scholar

28. See note 4. Griffiths, 1995.Google Scholar

29. See note 25. Koerselman, 1994.Google Scholar

30. See note 4. Griffiths, 1995.Google Scholar

31. Senate of Canada. On life and death: Report of the Special Senate Committee on Euthanasia and Assisted Suicide. Canada: ministry of Supply and Services, 1995.Google Scholar

32. Ward, BJ, Tate, PA. Attitudes among NHS doctors to requests for euthanasia. British Medical Journal 1994;308:1332–4.CrossRefGoogle ScholarPubMed

33. Kenis, Y. Artsen en actieve euthanasie: Opinie en praktijk (Physicians and euthanasia: Opinions and actual practice). Medisch Contact 49:921–4.Google Scholar

34. See note 31. Senate of Canada 1995.Google Scholar

35. Dinwiddie, SH. Physician-assisted suicide: epistemological problems. Medicine and Law 1992:345–52.Google ScholarPubMed

36. Annas, GJ. Physician-assisted suicide: Michigan's temporary solution. New England Journal of Medicine 1993;328:1573–6.CrossRefGoogle ScholarPubMed

37. Hendin, H. Seduced by death: doctors, patients, and the Dutch cure. Issues in Law & Medicine 1994;10:123–68.Google ScholarPubMed

38. Miller, FG, Quill, TE, Brody, H et al. , Regulating physician-assisted death. New England Journal of Medicine 1994;331:119–23.CrossRefGoogle ScholarPubMed

39. Quill, TE, Cassel, CK, Meier, DE. Proposed clinical criteria for physician-assisted suicide. New En gland Journal of Medicine 1992;327:1380–4.CrossRefGoogle ScholarPubMed

40. Miller, FG, Brody, H. Professional integrity and physician-assisted death. Hastings Center Report 1995;25(3):8–17.CrossRefGoogle ScholarPubMed

41. See note 7. Legemaate, 1995.Google Scholar

42. Pijnenborg, L. End-of-Life Decisions in Dutch Medical Practice. PhD Thesis, Erasmus University of Rotterdam, Department of Public Health, 1994.Google Scholar

43. Schwartz, R. Euthanasia and assisted suicide in The Netherlands. Cambridge Quarterly of Health care Ethics 1995;4:111–2.CrossRefGoogle ScholarPubMed

44. Burgess, JA. The great slippery-slope argument. Journal of Medical Ethics 1993;19:169–74.CrossRefGoogle ScholarPubMed

45. See note 4. Griffiths, 1995.Google Scholar