Background and Objectives: In 2016, Medical Assistance in Dying (MAiD) became legal in Canada for those suffering a grievous and untreatable medical condition. Currently, it is not available to minors or to those with an untreatable mental illness, although it is likely the scope of MAiD will be widened to include persons with severe and untreatable mental illnesses. However, little is known about the factors predicting acceptance or rejection of MAiD for persons with either a grievous medical condition or an untreatable mental illness. Methods: A survey was administered to 438 undergraduate students to examine factors associated with their acceptance or rejection of MAiD. The survey included four different scenarios: a young or old person with an untreatable medical condition, and a young or old person with an untreatable mental illness. Demographic questions (age, sex, religion, etc), personality measures, and an attitude towards euthanasia scale were also administered, as well as questions assessing participants’ general understanding of MAiD and their life experiences with death and suicide. Results/Conclusion: Overall, most of the Canadian undergraduate participants accepted MAiD for both terminally ill and mentally ill patients; however, different variables, such as age, religion, and ethnicity, predicted the acceptance or rejection of MAiD for each scenario.
1. Government of Canada . 2021. Medical assistance in dying. March 18, 2021. Accessed June 14, 2021.
https://www.canada.ca/en/health-canada/services/medical-assistance-dying.html.
Google Scholar2. Government of Canada . 2021. Criminal Code of Canada, R. S. C., 1985, c. C-46. June 6, 2021. Accessed Jun 16, 2021.
https://laws-lois.justice.gc.ca/eng/acts/c-46/page-53.html#h-119953.
Google Scholar3. Weiss, GL, Lupkin, LN. First-year college students’ attitudes about end-of-life decision-making. Omega (Westport). 2009–2010;60(2):143-163. doi:
10.2190/om.60.2.c Google Scholar |
SAGE Journals4. Frileux, S, Leliévre, C, Muñoz Sastre, MT, Mullet, E, Sorum, PC. When is physician assisted suicide or euthanasia acceptable? J Med Ethics. 2003;29(6):330-336. doi:
10.1136/jme.29.6.330 Google Scholar |
Crossref |
Medline5. Charland, LC, LicJur, TL, Wada, K. Decision-making capacity to consent to medical assistance in dying for persons with mental disorders. J Ethics Ment Health. 2016; 2016 (open volume):1-14. May 26 2016. Accessed June 2, 2021.
https://papers.ssrn.com/sol3/papers.cfm?abstract_id = 2784291.
Google Scholar6. von Fuchs, R . MAid and mental illness: critical thoughts, constructive thoughts. J Ethics Ment Health. 2017;10:1-6.
https://jemh.ca/issues/v9/documents/JEMH%20final%20Reflection-iii.pdf.
Google Scholar7. Hurwitz, TA . Euthanasia in mental illness: a four part series. Part II: sadness and suicidality: why mentally ill patients request euthanasia. J Ethics Ment Health. 2018;10:1-6. Accessed June 2, 2021.
https://jemh.ca/issues/v9/documents/JEMH%20final%20Reflection-.
Google Scholar8. Walker-Renshaw, B, Finley, M, Gervais, BL. Carter v. Canada (attorney general): will the S.C.C.'s Decision on physician-assisted death apply to persons suffering from severe mental illness? Health Law Can. 2015;2016;36(3):74-79. PMID: 27169201.
Google Scholar9. Government of Canada . Bill C-7: An Act to amend the Criminal Code (medical assistance in dying). October 21, 2020. Accessed June 16, 2021. https://www.justice.gc.ca/eng/csj-sjc/pl/charter-charte/c7.html.
Google Scholar10. Aghababaei, N, Farahani, H, Hatami, J. Euthanasia attitude: a comparison of two scales. J Med Ethics Hist Med. 2011;4:(9
https://journals.tums.ac.ir/abs/19413.
Google Scholar |
Medline11. Buiting, HM, Deeg, DJ, Knol, DL, et al. Older peoples’ attitudes towards euthanasia and an end-of-life pill in The Netherlands: 2001–2009. J Med Ethics. 2012 May;38(5):267-273. doi:
10.1136/medethics-2011-100066 Google Scholar |
Crossref |
Medline12. Butt, ZA, Overholser, JC, Danielson, CK. Predictors of attitudes towards physician-assisted suicide. Omega (Westport). 2003;47(2):107-117. doi:
10.2190/DY9Y-YA97-WG3N-CQTH Google Scholar |
SAGE Journals |
ISI13. Weiss, GL . Attitudes of college students about physician-assisted suicide: the influence of life experiences, religiosity, and belief in autonomy. Death Stud. 1996;20(6):587-599. doi:
10.1080/07481189608252764 Google Scholar |
Crossref |
Medline |
ISI14. Pomfret, S, Mufti, S, Seale, C. Medical students and end of life decisions: the influence of religion. Future Healthc J. 2018;5(1):25-29.
https://doi.org/10.7861/futurehosp.5-1-25 Google Scholar |
Crossref |
Medline15. Rae, N, Johnson, MH, Malpas, PJ. New Zealander's attitudes toward physician-assisted dying. J Palliat Med. 2015;18(3):259-265. doi:
10.1089/jpm.2014.0299 Google Scholar |
Crossref |
Medline16. Bator, EX, Philpott, B, Costa, AP. This moral coil: a cross-sectional survey of Canadian medical student attitudes toward medical assistance in dying. BMC Med Ethics. 2017;18:58. doi:
10.1186/s12910-017-0218-5 Google Scholar |
Crossref |
Medline17. Falconer, J, Couture, F, Demir, KK, Lang, M, Shefman, Z, Woo, M. Perceptions and intentions toward medical assistance in dying among Canadian medical students. BMC Med Ethics. 2019;20:22. doi:
10.1186/s12910-019-0356-z Google Scholar |
Crossref |
Medline18. XXXX.
Google Scholar19. John, OP, Donahue, EM, Kentle, RL. 1991. The Big Five Inventory -Version 4a and 54. Technical Report. Institute of Personality and Social Research. University of California.
Google Scholar |
Crossref20. Beck, AT, Steer, RA, Brown, GK. Beck Depression Inventory–II (BDI-II). Psychological Corporation; 1996.
Google Scholar21. Amirkhan, JH . A factor analytically derived measure of coping: the coping strategy indicator. J Pers Soc Psychol. 1990;59(5):1066-1074. doi:
10.1037/0022-3514.59.5.1066 Google Scholar |
Crossref |
ISI22. Van Orden, KA, Cukrowicz, KC, Witte, TK, Joiner, TE. Thwarted belongingness and perceived burdensomeness: construct validity and psychometric properties of the interpersonal needs questionnaire. Psychol Assess. 2012;24(1):197-215. doi:
10.1037/a0025358 Google Scholar |
Crossref |
Medline |
ISI23. Tordella, MA, Neutens, JJ. An instrument to appraise attitudes of college students toward euthanasia. J Sch Health. 1979;49(6):351-352. doi:
10.1111/j.1746-1561.1979.tb07728.x Google Scholar |
Crossref |
Medline |
ISI24. O’Connor, M . Decrepit death as a discourse of death in older age: implications for policy. Int J Older People Nurs. 2009;4(4):263-271. doi:
10.1111/j.1748-3743.2009.00173.x Google Scholar |
Crossref |
Medline25. IPSOS . Large majority (86%) of Canadians support (50% strongly/36% somewhat) supreme court of Canada decision about medical assistance in dying. February 6, 2020. Accessed June 12, 2021.
https://www.ipsos.com/en-ca/news-polls/Attitudes_Towards_MAID-2020-02-06.
Google Scholar26. NDP News . New Democrats continue to advocate for changes to medical assistance in dying. January 31, 2020. Accessed June 1, 2021. https://www.ndp.ca/news/new-democrats-continue-advocate-changes-medical-assistance-dying.
Google Scholar
Comments (0)