title: Characteristics of patients requesting and receiving physician-assisted death.
abstract: BACKGROUND
  Surveys have shown that physicians in the United States report both receiving and honoring requests for physician assistance with a hastened death. The characteristics of patients requesting and receiving physician aid in dying are important to the development of public policy.
  
  
  OBJECTIVE
  To determine patient characteristics associated with acts of physician-assisted suicide.
  
  
  METHODS
  Physicians among specialties involved in care of the seriously ill and responding to a national representative prevalence survey on physician-assisted suicide and euthanasia were asked to describe the demographic and illness characteristics of the most recent patient whose request for assisted dying they refused as well as the most recent request honored.
  
  
  RESULTS
  Of 1902 respondents (63% of those surveyed), 379 described 415 instances of their most recent request refused and 80 instances of the most recent request honored. Patients requesting assistance were seriously ill, near death, and had a significant burden of pain and physical discomfort. Nearly half were described as depressed at the time of the request. The majority made the request themselves, along with family. In multivariate analysis, physicians were more likely to honor requests from patients making a specific request who were in severe pain (odds ratio, 2.4; 95% confidence interval, 1.01-5.7) or discomfort (odds ratio, 6.5; 95% confidence interval, 2.6-16.1), had a life expectancy of less than 1 month (odds ratio, 4.3; 95% confidence interval, 1.7-10.8), and were not believed to be depressed at the time of the request (odds ratio, 0.2; 95% confidence interval, 0.1-0.5).
  
  
  CONCLUSIONS
  Persons requesting and receiving assistance in dying are seriously ill with little time to live and a high burden of physical suffering.
authors.affiliation: Hertzberg Palliative Care Institute, Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York, NY 10029, USA.
authors.forename: Diane E
authors.initials: DE
authors.lastname: Meier
authors.forename: Carol-Ann
authors.initials: CA
authors.lastname: Emmons
authors.forename: Ann
authors.initials: A
authors.lastname: Litke
authors.forename: Sylvan
authors.initials: S
authors.lastname: Wallenstein
authors.forename: R Sean
authors.initials: RS
authors.lastname: Morrison
mesh_terms: D000328:Adult; D000368:Aged; D016009:Chi-Square Distribution; D033101:Euthanasia, Active, Voluntary / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007267:Injections; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010361:Patients / Q000523:psychology*; D017236:Suicide, Assisted / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D019452:Terminally Ill; D014481:United States