Résumés
Abstract
Medical assistance in dying (MAiD) is scheduled to be legalized in Canada as of March 2024 for individuals with mental disorder/illness as their sole underlying medical condition (MAiD MD-SUMC). As guidelines are being developed for the safe and consistent provision of MAiD MD-SUMC, sufficient consideration must be given to the interpretation of ambiguous terminology in current legislation, and to ensuring sound use of acceptable ethics principles in these interpretations.
Keywords:
- ethics,
- (ir)remediability,
- medical assistance in dying,
- MAiD,
- mental illness,
- principlism
Résumé
L’aide médicale à mourir (AMM) devrait être légalisée au Canada à partir de mars 2024 pour les personnes dont la seule condition médicale sous-jacente est un trouble ou une maladie mentale (AMM MM-SCMS). Dans le cadre de l’élaboration de lignes directrices visant à assurer la sécurité et la cohérence de l’AMM MM-SCMS, il convient d’accorder une attention suffisante à l’interprétation de la terminologie ambiguë de la législation actuelle et de veiller à ce que ces interprétations soient fondées sur des principes éthiques acceptables.
Mots-clés :
- éthique,
- (ir)remédiabilité,
- aide médicale à mourir,
- AMM,
- maladie mentale,
- principisme
Parties annexes
Bibliography
- 1. Canadian Medical Association. CMA Code of Ethics and Professionalism. 8 Dec 2018.
- 2. Keeling M, Bellefleur O. “Principlism” and frameworks in public health ethics. National Collaborating Centre for Healthy Public Policy. Jan 2016.
- 3. Government of Canada. Medical Assistance in Dying: Overview. 2016.
- 4. Government of Canada. Canada’s New Medical Assistance in Dying (MAID) Law. 2021.
- 5. Government of Canada. Changes to the Law: Extension of the Temporary Exclusion of Eligibility for Persons Suffering Solely from Mental Illness. 2023.
- 6. Kirby, J. Interpreting irremediability when a mental health disorder is the sole-qualifying medical condition for MAiD. Can J Bioeth / Rev Can Bioeth. 2022;(5)4:83-8.
- 7. Grassi L, Folesani F, Marella M, et al. Debating euthanasia and physician-assisted death in people with psychiatric disorders. Curr Psychiatry Rep. 2022;24(6):325-35.
- 8. Downie J, Schuklenk, U. Social determinants of health and slippery slopes in assisted dying debates: lessons from Canada. J Med Ethics. 2021;47(10):662-69.
- 9. Martínez-Martínez C, Richart-Martínez M, Ramos-Pichardo JD. Operational definition of serious mental illness: heterogeneity in a review of the research on quality-of-life interventions. J Am Psychiatr Nurses Assoc. 2020;26(3):229-44.
- 10. Zumstein N, Riese F. Defining severe and persistent mental illness—a pragmatic utility concept analysis. Front Psychiatry. 2020;11:648.
- 11. Ministry of Social Security, Ministry of Health. Euthanasia and assisted suicide: Law of 16 March 2009. 2010.
- 12. Ministerie van Volksgezondheid W en S. Euthanasia Code 2018 - Publication - Regional Euthanasia Review Committees. Ministerie van Volksgezondheid, Welzijn en Sport. 2019.
- 13. Kidd IJ, Spencer L, Carel H. Epistemic injustice in psychiatric research and practice. Philos Psychol. 2022.