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This research, undertaken in Queensland, Australia aimed to explore community members' knowledge of voluntary assisted dying (VAD) 17 months after it became a lawful option. Adults living in Queensland ( = 1000) completed an online survey about knowledge of VAD as a legal option and awareness of how to access VAD and information about it. Quotas were set for age, gender and geographical region within Queensland.

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"Doctor I would like to die. Please help.".

Psychodyn Psychiatry

January 2025

Professor of Psychiatry, Columbia University Irving Medical Center; Senior Consultant, Consultation-Liaison Psychiatry, New York Presbyterian Hospital-Milstein Hospital.

The request for hastened death by patients with psychiatric disorders poses a professional conundrum for psychiatrists. Issues of transference and countertransference loom large in such situations. Primitive defense mechanisms, particularly projective identification need to be addressed in understanding the request.

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Background: Medical Assistance in Dying (MAID) on psychiatric grounds is a subject of increasing relevance to Dutch mental health care. In addition to different advantages, there are disadvantages.

Aim: To highlight some consequences of MAID on psychiatric grounds and to offer solutions to mitigate these.

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