title: [Limits to euthanasia].
abstract: A recent survey showed that less than half of Dutch physicians would find it conceivable to grant a request for euthanasia from a patient suffering from psychiatric disease or dementia, or who is tired of life. Because of a broader interpretation by the Regional Review Committees of the official criteria for due care, all recent cases of euthanasia in these specific groups of patients had been accepted. In this commentary it is argued that, following recent social developments in the Netherlands (including cuts in provision of care for the elderly and of mental health care, and a narrowed view about end-of-life issues), the official euthanasia criteria for due care are no longer suitable if we are to avoid a 'slippery slope' effect in cases such as those mentioned above. The criteria of a) a voluntary and well-considered request and b) absence of reasonable treatment alternatives are particularly under pressure. A plea is hold for a return to stricter interpretation of the criteria.
authors.affiliation: Dr. S.J. de Kort, specialist ouderengeneeskunde en ethicus (susannedekort@hotmail.com).
authors.forename: Susanne J
authors.initials: SJ
authors.lastname: de Kort
mesh_terms: D000368:Aged; D003704:Dementia / Q000523:psychology*; D005065:Euthanasia / Q000523:psychology*; D006801:Humans; D009426:Netherlands; D010820:Physicians / Q000523:psychology*; D011788:Quality of Life; D017236:Suicide, Assisted / Q000523:psychology