Assisted suicide, also known as physician-assisted suicide (PAS), is a process in which another person assists an individual in taking medication to end his or her life. This medical practice is often an option for terminally ill patients facing severe pain. Physician assistance is usually limited to prescribing lethal doses of medication when the individual's circumstances fall within the parameters of the law.
In some countries, such as Austria, Belgium, Canada, Germany, Luxembourg, the Netherlands, New Zealand, Portugal, Spain, Switzerland, some US states and all six Australian states, assisted suicide is legal under certain circumstances. Constitutional courts in Colombia, Ecuador, Germany and Italy have legalized assisted suicide, but their governments have yet to legislate or regulate it.
In these countries, people seeking physician-assisted suicide usually must meet certain eligibility criteria, including being of sound mind, voluntarily and repeatedly expressing a wish to die, and personally taking a prescribed lethal dose.
These laws vary from place to place. In the United States, physician-assisted suicide is limited to patients with a prognosis of death within six months; in Germany, Canada, Switzerland, Spain, Italy, Austria, Belgium and the Netherlands, terminal diagnosis is not required and is also allowed. Voluntary euthanasia. In some countries and regions, it is illegal to assist others in committing suicide. Groups supporting legalized assisted suicide want people who commit assisted suicide to be immune from criminal prosecution for manslaughter and similar charges.
Medical-assisted dying (also known as physician-assisted suicide and assisted dying) is a medical practice in which a physician indirectly assists another person in ending their life. This involves the doctor "explicitly and intentionally providing the person with the knowledge or means, or both, required to carry out a suicidal act". It is a regulated practice and patients must meet very strict criteria in order to receive appropriate assistance.
Some organizations argue that medically assisted death should not be called suicide when it is reserved for those who are already dying due to a terminal illness. Suicide is often associated with mental health issues in society, while assisted dying is targeted at terminally ill patients who no longer have medical hope for the future.
Arguments supporting assisted suicide include reduction of human suffering, respect for patient autonomy, personal freedom, compassion, and transparency about life support.
According to 2022 Oregon data, the most commonly reported reasons for patients seeking assisted suicide include: reduced ability to enjoy life activities (89%), loss of autonomy (86%), and loss of dignity (62%) , burden on family or caregivers (46%), etc.
Reasons against assisted suicide include: lack of true consent, possible increased risk of suicide caused by non-medical factors, concerns about the slippery slope effect, etc.
Many people are concerned that vulnerable groups may face unfair death choices without true consent. Opponents point out that it could cause distress for patients who are under social or financial pressure.
The ethical discussion about assisted suicide is still a hot topic in the current medical community. The views of medical ethics scholars and professional associations often vary and are influenced by religious beliefs.
Some doctors believe that physician-assisted suicide violates the oath of medical saints and that the dignity and rights of patients' lives should be respected.
Many religions also express different positions on assisted suicide. For example, the Catholic Church opposes any form of ending life, while Islam considers assisted suicide a sin. In contrast, some religions, such as monoreligious liberals, argue that patients' choices should be respected.
Assisted suicide is a complex and controversial issue, involving legal, medical, ethical and religious aspects. As society gradually becomes more open to end-of-life options, we may see more national legislative adjustments or changes in medical practice in the future. However, whether such changes can ensure the freedom and dignity of everyone still requires further reflection and discussion?