US Hospice Structure and its Implications for the “Right to Die” Debate

This article is an analysis of the relationship between US hospice structure and the feeling of being a burden to others (FBO). A goal of US hospice care is to reduce the FBO. But in America, hospice is limited in its ability to do so because of the high caregiver burden it places on family members of dying people. Through a historical study, I show that this burden was excessive when the hospice system was created and has worsened over time. Through three ethnographic vignettes, I demonstrate how this burden inculcates in dying people the FBO. I then examine the bioethical implications of this finding for the existing US debate about physician-assisted suicide (PAS). The presence of FBO due to insufficient hospice care supports arguments made by PAS opponents about the social pressure placed on dying people. This finding is not itself sufficient to resolve the “right to die” debate. But it provides the ground for a compromise, across the debate, to reduce the FBO by changing US hospice structure. The resulting consensus will further the goals of both PAS proponents and opponents.
Source: Journal of Bioethical Inquiry - Category: Medical Ethics Source Type: research

Related Links:

OBJECTIVE: To identify age-related psychopathological disorders and psychological characteristics of mental development and mental state of minors who committed suicide. MATERIAL AND METHODS: The study included a continuous sample of 285 reports of post-mo...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
Conclusions: Suicide has shown a tendency toward reduction after the year 2000, with differences between urban and rural areas. PMID: 31529821 [PubMed - in process]
Source: Biomedica : Revista del Instituto Nacional de Salud - Category: International Medicine & Public Health Tags: Biomedica Source Type: research
September is National Suicide Prevention Awareness Month. In observance, Dr. Gordon has partnered with Dr. Volkow, Director of the National Institute on Drug Abuse (NIDA), to highlight a dimension of the opioid crisis that receives too little attention — the links between opioid use, opioid use disorder, and suicide.
Source: NIMH Directors Blog - Category: Psychiatry Authors: Source Type: blogs
September is National Suicide Prevention Awareness Month. In observance, Dr. Gordon has partnered with Dr. Volkow, Director of the National Institute on Drug Abuse (NIDA), to highlight a dimension of the opioid crisis that receives too little attention — the links between opioid use, opioid use disorder, and suicide.
Source: National Institute of Mental Health - Category: Psychiatry Authors: Source Type: news
Individuals who identify as transgender may be at a greater risk of psychological distress and suicide in adulthood if they were exposed to conversion therapy, according to astudy inJAMA Psychiatry. These risks were found to be particularly high if the individual was exposed to the therapy when they were 10 or younger.“Our results support the policy positions of the American Academy of Child and Adolescent Psychiatry, the American Psychiatric Association, the American Academy of Pediatrics, and the American Medical Association, which state that gender identity conversion therapy should not be conducted for tran sgend...
Source: Psychiatr News - Category: Psychiatry Tags: conversion therapy Jack Turban JAMA Psychiatry transgender U.S. Transgender Survey Source Type: research
This study utilized qualitative methodology to provide a rich description and a deeper understanding of the professional experiences and practices of twelve school counselors who work with adolescent students who self-harm. Four themes included: suicidal o...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
Condition:   NSSI Interventions:   Other: Dialectical behavior therapy;   Other: Social support group therapy Sponsor:   Nanjing Medical University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Source: BMJ Comments - Category: General Medicine Source Type: forums
You shouldn ’t feel ashamed for feeling suicidal. Here’s how you can push back.I saw a news item a few months ago that troubled me.[1] At first, the item was in regard to a K-pop idol (Goo Hara) who my third oldest daughter and I enjoyed watching and listening to in the group, KARA. During KARA’s heyday, my daughter and I followed all their videos and song releases. It was fun —at least until she discovered a guy who had his own rock band. Then dad and K-pop were replaced with an electric guitar and a husband. Poor Daddy.Reading about anybody’s suicide attempt is heartbreaking, but Goo’s...
Source: The Splintered Mind by Douglas Cootey - Category: Psychiatry Tags: Depression Family Goodreads Suicide Source Type: blogs
 Chrisa Hickey’s journey into mental health advocacy started when her son, Tim, was diagnosed with very early onset schizophrenia after being admitted to a psychiatric hospital for the first time at the age of 11.  He had been showing symptoms for years and had received a half dozen different diagnoses. His family was desperately looking for answers. Tim’s illness took a toll on the entire family, which was only exacerbated by the lack of information and resources available to them.  In America, fewer than 100 children per year are diagnosed with very early onset schizophrenia. Chrisa had to find ...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Bipolar Children and Teens Depression Family General Mental Health and Wellness Parenting Podcast Psychiatry Psychology Schizophrenia The Psych Central Show Source Type: blogs
More News: Depression | History of Medicine | Medical Ethics | Study | Suicide