Rational Suicide, Euthanasia, and the Very Old: Two Case Reports

Suicide amongst the very old is an important public health issue. Little is known about why older people may express a wish to die or request euthanasia and how such thoughts may intersect with suicide attempts. Palliative care models promote best care as holistic and relieving suffering without has...

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Main Authors: Anne Pamela Frances Wand, Carmelle Peisah, Brian Draper, Carolyn Jones, Henry Brodaty
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Psychiatry
Online Access:http://dx.doi.org/10.1155/2016/4242064
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author Anne Pamela Frances Wand
Carmelle Peisah
Brian Draper
Carolyn Jones
Henry Brodaty
author_facet Anne Pamela Frances Wand
Carmelle Peisah
Brian Draper
Carolyn Jones
Henry Brodaty
author_sort Anne Pamela Frances Wand
collection DOAJ
description Suicide amongst the very old is an important public health issue. Little is known about why older people may express a wish to die or request euthanasia and how such thoughts may intersect with suicide attempts. Palliative care models promote best care as holistic and relieving suffering without hastening death in severely ill patients; but what of those old people who are tired of living and may have chronic symptoms, disability, and reduced quality of life? Two cases of older people who attempted suicide but expressed a preference for euthanasia were it legal are presented in order to illustrate the complexity underlying such requests. The absence of a mood or anxiety disorder underpinning their wishes to die further emphasises the importance of understanding the individual’s narrative and the role of a formulation in guiding broad biopsychosocial approaches to management.
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spelling doaj-art-8c251b4c174e4da98e72e7fd1c55c88f2025-02-03T01:22:35ZengWileyCase Reports in Psychiatry2090-682X2090-68382016-01-01201610.1155/2016/42420644242064Rational Suicide, Euthanasia, and the Very Old: Two Case ReportsAnne Pamela Frances Wand0Carmelle Peisah1Brian Draper2Carolyn Jones3Henry Brodaty4Older Persons’ Mental Health Service, St George Hospital, Kogarah, NSW, AustraliaSchool of Psychiatry, University of New South Wales, Sydney, NSW, AustraliaAcademic Department for Aged Care Psychiatry, Eastern Suburbs Mental Health Service, Randwick, NSW, AustraliaOlder Persons’ Mental Health Service, St George Hospital, Kogarah, NSW, AustraliaDementia Collaborative Research Centre and Centre for Healthy Brain Ageing, University of New South Wales, Sydney, NSW, AustraliaSuicide amongst the very old is an important public health issue. Little is known about why older people may express a wish to die or request euthanasia and how such thoughts may intersect with suicide attempts. Palliative care models promote best care as holistic and relieving suffering without hastening death in severely ill patients; but what of those old people who are tired of living and may have chronic symptoms, disability, and reduced quality of life? Two cases of older people who attempted suicide but expressed a preference for euthanasia were it legal are presented in order to illustrate the complexity underlying such requests. The absence of a mood or anxiety disorder underpinning their wishes to die further emphasises the importance of understanding the individual’s narrative and the role of a formulation in guiding broad biopsychosocial approaches to management.http://dx.doi.org/10.1155/2016/4242064
spellingShingle Anne Pamela Frances Wand
Carmelle Peisah
Brian Draper
Carolyn Jones
Henry Brodaty
Rational Suicide, Euthanasia, and the Very Old: Two Case Reports
Case Reports in Psychiatry
title Rational Suicide, Euthanasia, and the Very Old: Two Case Reports
title_full Rational Suicide, Euthanasia, and the Very Old: Two Case Reports
title_fullStr Rational Suicide, Euthanasia, and the Very Old: Two Case Reports
title_full_unstemmed Rational Suicide, Euthanasia, and the Very Old: Two Case Reports
title_short Rational Suicide, Euthanasia, and the Very Old: Two Case Reports
title_sort rational suicide euthanasia and the very old two case reports
url http://dx.doi.org/10.1155/2016/4242064
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AT carolynjones rationalsuicideeuthanasiaandtheveryoldtwocasereports
AT henrybrodaty rationalsuicideeuthanasiaandtheveryoldtwocasereports