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Wibisono S, Minto K, Lizzio-Wilson M, Thomas EF, Crane M, Molenberghs P, Kho M, Amiot CE, Decety J, Breen LJ, Noonan K, Forbat L, Louis W. Attitudes Toward and Experience With Assisted-Death Services and Psychological Implications for Health Practitioners: A Narrative Systematic Review. OMEGA-JOURNAL OF DEATH AND DYING 2022:302228221138997. [PMID: 36357863 DOI: 10.1177/00302228221138997] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2023]
Abstract
A narrative systematic review was conducted to review studies that examine mental health implications of involvement in assisted-death services among health practitioners. Qualitative and quantitative studies were included to understand health practitioners' attitudes and experiences with assisted dying services, as well as to identify the mental health consequences. We identified 18 articles from 1591 articles drawn from seven major scientific databases (i.e., PubMed, MEDLINE, CINAHL, PsycINFO, Embase, Web of Science, and Scopus). Two raters independently evaluated the exclusion and inclusion decisions of the articles and examined methodological flaws in the selected articles. We found that engagement in assisted death services were not reliably associated with mental health outcomes such as anxiety and moral distress. Both positive and negative outcomes were reported, and psychological outcomes for practitioners were shown to vary based on factors including social support for health practitioners' views; their perceived capacity to care for the patients; and legislation.
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Affiliation(s)
- Susilo Wibisono
- School of Psychology, University of Queensland, Brisbane, QLD, Australia
- Department of Psychology, Universitas Islam Indonesia, Yogyakarta, Indonesia
| | - Kiara Minto
- School of Historical and Philosophical Inquiry, University of Queensland, Brisbane, QLD, Australia
| | - Morgana Lizzio-Wilson
- College of Education, Psychology, and Social Work, Flinders University, Adelaide, SA, Australia
| | - Emma F Thomas
- College of Education, Psychology, and Social Work, Flinders University, Adelaide, SA, Australia
| | - Monique Crane
- School of Psychological Sciences, Macquarie University, Sydney, NSW, Australia
| | | | - Madison Kho
- School of Psychological Sciences, Macquarie University, Sydney, NSW, Australia
| | - Catherine E Amiot
- Department of Psychology, The Universite du Quebec a Montreal, Montreal, QC, Canada
| | - Jean Decety
- Department of Psychology, The University of Chicago, Chicago, IL, USA
| | - Lauren J Breen
- Curtin School of Population Health and Enable Institute, Curtin University, Perth, WA, Australia
| | - Kerrie Noonan
- School of Social Sciences, Western Sydney University, Kingswood, Australia
| | - Liz Forbat
- Faculty of Social Science, University of Stirling, Stirling, UK
| | - Winnifred Louis
- School of Psychology, University of Queensland, Brisbane, QLD, Australia
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