An international consensus definition of the wish to hasten death and its related factors
Balaguer Santamaría, Albert (Universitat Internacional de Catalunya)
Monforte Royo, Cristina (Universitat Internacional de Catalunya)
Porta Sales, J. (Josep) (Universitat Internacional de Catalunya)
Alonso Babarro, Alberto (Hospital Universitario La Paz (Madrid))
Altisent, Rogelio (Universidad de Zaragoza)
Aradilla, Amor (Escola Universitària d'Infermeria i de Fisioteràpia "Gimbernat")
Bellido Pérez, Mercedes (Universitat Internacional de Catalunya)
Breitbart, William (Memorial Sloan Kettering Cancer Center)
Centeno, Carlos (Universidad de Navarra)
Cuervo Pinna, Miguel Ángel (Complejo Hospitalario Infanta Cristina (Badajoz))
Deliens, Luc (Vrije Universiteit Brussel)
Frerich, Gerrit (Uniklinik Köln (Colònia, Alemanya))
Gastmans, Chris (Katholieke Universiteit Leuven)
Lichtenfeld, Stephanie (Ludwig-Maximilians-Universität München)
Limonero García, Joaquim T. (Joaquim Timoteo) (Universitat Autònoma de Barcelona. Departament de Psicologia Bàsica, Evolutiva i de l'Educació)
Maier, Markus A. (Ludwig-Maximilians-Universität München)
Materstvedt, Lars Johan (Norges Teknisk-Naturvitenskapelige Universitet)
Nabal Vicuña, Maria (Hospital Arnau de Vilanova (Lleida, Catalunya))
Rodin, Gary (University of Toronto. Department of Psychiatry)
Rosenfeld, Barry (Fordham University. Department of Psychology)
Schroepfer, Tracy (University of Wisconsin-Madison. School of Social Work)
Tomas-Sabado, Joaquin (Escola Universitària d'Infermeria i de Fisioteràpia "Gimbernat". Escola d'Infermeria)
Trelis Navarro, Jordi (Institut d'Investigació Biomèdica de Bellvitge)
Villavicencio-Chávez, Christian (Universitat Internacional de Catalunya)
Voltz, Raymond (Uniklinik Köln)

Data:	2016
Resum:	Background: The desire for hastened death or wish to hasten death (WTHD) that is experienced by some patients with advanced illness is a complex phenomenon for which no widely accepted definition exists. This lack of a common conceptualization hinders understanding and cooperation between clinicians and researchers. The aim of this study was to develop an internationally agreed definition of the WTHD. Methods: Following an exhaustive literature review, a modified nominal group process and an international, modified Delphi process were carried out. The nominal group served to produce a preliminary definition that was then subjected to a Delphi process in which 24 experts from 19 institutions from Europe, Canada and the USA participated. Delphi responses and comments were analysed using a pre-established strategy. Findings: All 24 experts completed the three rounds of the Delphi process, and all the proposed statements achieved at least 79% agreement. Key concepts in the final definition include the WTHD as a reaction to suffering, the fact that such a wish is not always expressed spontaneously, and the need to distinguish the WTHD from the acceptance of impending death or from a wish to die naturally, although preferably soon. The proposed definition also makes reference to possible factors related to the WTHD. Conclusions: This international consensus definition of the WTHD should make it easier for clinicians and researchers to share their knowledge. This would foster an improved understanding of the phenomenon and help in developing strategies for early therapeutic intervention.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Publicat a:	PloS one, Vol. 11, núm. 1 (2016) , ISSN 1932-6203

DOI: 10.1371/journal.pone.0146184
PMID: 26726801

14 p, 317.5 KB

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