title: [Exploring and Responding to a Wish to Hasten Death of a patient with Advanced Illness].
abstract: It is not uncommon for patients with an advanced disease to express a desire to their physician to hasten their death. Recent studies show that the motivation of such a desire is multifactorial and multidimensional, including depression, physical, psycho-social and spiritual suffering, fears about the process of dying and/or misunderstandings about the options for end-of-life care. The objective of this paper is to propose to the physician how to explore the dimensions of this request and some elements to answer it.
authors.affiliation: Service de soins palliatifs, Département de Médecine, CHUV, Lausanne.
authors.forename: Claudia
authors.initials: C
authors.lastname: Mazzocato
authors.affiliation: Haute école de santé (HES-SO), Genève.
authors.forename: Laurence
authors.initials: L
authors.lastname: Séchaud
mesh_terms: D016223:Advance Directives; D001293:Attitude to Death; D005194:Family Practice; D006801:Humans; D009042:Motivation; D010819:Physician's Role; D012307:Risk Factors; D017236:Suicide, Assisted / Q000523:psychology*; D013557:Switzerland; D013727:Terminal Care / Q000523:psychology*
keywords: Antizipierende Planung eines Therapieprojektes; Gesteigerter Todeswunsch; Palliativpflege; Rolle des Hausarztes; advance care planning; desire to hasten death; désir d'hâter la survenue de la mort; palliative care; planification anticipée du projet thérapeutique; role of the general practitioner; rôle du médecin généraliste; soins palliatifs