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Suicide, Hastening Death, and Psychiatry
Arch Intern Med. 1998;158:1973-1976.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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INTRODUCTION
THE NEW attention being paid to patients at the end of life,1-2 the accelerating number of deaths preceded by the decision to withhold or withdraw life-support treatment,3 and the impassioned arguments about physician-assisted suicide4 all signify that a monumental change has taken place in medical care. The hospice movement has articulated the belief that aggressive, highly technological medical care is unsuitable for many individuals,5 and life-limiting medical decisions have become increasingly more acceptable. Even euthanasia, with its direct link to suicide, has become subject to a healthy and vigorous debate in professional journals, the mass media, and the US Supreme Court.6-7
I am a psychiatrist whose opinions have been shaped by a decade-long series of clinical research studies investigating discontinuation of the life-support treatment of dialysis. The specialty of psychiatry is especially concerned with self-destructive behaviors, and considers with interest our society's increasing tolerance for noncurative treatments and planned deaths.8 . . . [Full Text of this Article]
HISTORY'S LESSONS
TERMINAL ILLNESS AND SUICIDE
A FRAMEWORK FOR SUICIDE AND LIFE-LIMITING BEHAVIORS
CONCLUSIONS
Lewis M. Cohen, MD
Department of Psychiatry Baystate Medical Center 759 Chestnut St Springfield, MA 01199
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