Attitudes on euthanasia among medical students and doctors in Sri Lanka: a cross sectional study

Abstract Background Euthanasia is a topic of intense ethical debate and it is illegal in most countries at present, including Sri Lanka. The aim of this descriptive cross-sectional study of medical students and practicing doctors was to explore the acceptance of euthanasia and physician assisted sui...

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Main Authors: H. M. M. T. B. Herath, K. W. S. M. Wijayawardhana, U. I. Wickramarachchi, Chaturaka Rodrigo
Format: Article
Language:English
Published: BMC 2021-12-01
Series:BMC Medical Ethics
Subjects:
Online Access:https://doi.org/10.1186/s12910-021-00731-2
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author H. M. M. T. B. Herath
K. W. S. M. Wijayawardhana
U. I. Wickramarachchi
Chaturaka Rodrigo
author_facet H. M. M. T. B. Herath
K. W. S. M. Wijayawardhana
U. I. Wickramarachchi
Chaturaka Rodrigo
author_sort H. M. M. T. B. Herath
collection DOAJ
description Abstract Background Euthanasia is a topic of intense ethical debate and it is illegal in most countries at present, including Sri Lanka. The aim of this descriptive cross-sectional study of medical students and practicing doctors was to explore the acceptance of euthanasia and physician assisted suicide (PAS), and factors influencing this opinion. Methods A customised online questionnaire which explored opinions on euthanasia was administered to first and final year medical undergraduates in University of Colombo and practicing doctors with more than 5 years of work experience at The National Hospital of Sri Lanka. Attitudes on euthanasia and PAS were also assessed with the attitudes towards euthanasia (ATE) Scale, which is a 10-item questionnaire. Results A total of 425 individuals responded (males: 178, 42%, age: median – 27 years), which included 143 (33.6%) first-year medical undergraduates, 141 (33.2%) final-year medical undergraduates and 141 (33.2%) practicing doctors. More participants (200, 47.1%) favoured legalizing euthanasia than those directly opposing it (110, 25.9%), but a significant proportion (27%) remained undecided. The mean scores of ATE questionnaire from the whole sample were generally unfavourable towards euthanasia/PAS. Accepting euthanasia as an option for oneself (p =  < 0.001) was the strongest predictor of favouring euthanasia/PAS or supporting its legalization. Conclusion In this cross-sectional survey, more respondents supported legalisation of euthanasia in Sri Lanka than those openly opposing it. Yet, a significant minority that responded as “undecided” for legalisation, were more likely to have unfavourable ATE.
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spelling doaj.art-5f1dcd0efb3c4406b122aff24c0e9aa02022-12-21T21:43:24ZengBMCBMC Medical Ethics1472-69392021-12-012211810.1186/s12910-021-00731-2Attitudes on euthanasia among medical students and doctors in Sri Lanka: a cross sectional studyH. M. M. T. B. Herath0K. W. S. M. Wijayawardhana1U. I. Wickramarachchi2Chaturaka Rodrigo3Institute of Neurology, National Hospital of Sri LankaDepartment of Paediatrics, Faculty of Medicine, University of ColomboDepartment of Anatomy, Faculty of Medicine, University of MoratuwaDepartment of Pathology, School of Medical Sciences, UNSW SydneyAbstract Background Euthanasia is a topic of intense ethical debate and it is illegal in most countries at present, including Sri Lanka. The aim of this descriptive cross-sectional study of medical students and practicing doctors was to explore the acceptance of euthanasia and physician assisted suicide (PAS), and factors influencing this opinion. Methods A customised online questionnaire which explored opinions on euthanasia was administered to first and final year medical undergraduates in University of Colombo and practicing doctors with more than 5 years of work experience at The National Hospital of Sri Lanka. Attitudes on euthanasia and PAS were also assessed with the attitudes towards euthanasia (ATE) Scale, which is a 10-item questionnaire. Results A total of 425 individuals responded (males: 178, 42%, age: median – 27 years), which included 143 (33.6%) first-year medical undergraduates, 141 (33.2%) final-year medical undergraduates and 141 (33.2%) practicing doctors. More participants (200, 47.1%) favoured legalizing euthanasia than those directly opposing it (110, 25.9%), but a significant proportion (27%) remained undecided. The mean scores of ATE questionnaire from the whole sample were generally unfavourable towards euthanasia/PAS. Accepting euthanasia as an option for oneself (p =  < 0.001) was the strongest predictor of favouring euthanasia/PAS or supporting its legalization. Conclusion In this cross-sectional survey, more respondents supported legalisation of euthanasia in Sri Lanka than those openly opposing it. Yet, a significant minority that responded as “undecided” for legalisation, were more likely to have unfavourable ATE.https://doi.org/10.1186/s12910-021-00731-2EuthanasiaSri LankaCross sectional studyPhysician assisted suicide
spellingShingle H. M. M. T. B. Herath
K. W. S. M. Wijayawardhana
U. I. Wickramarachchi
Chaturaka Rodrigo
Attitudes on euthanasia among medical students and doctors in Sri Lanka: a cross sectional study
BMC Medical Ethics
Euthanasia
Sri Lanka
Cross sectional study
Physician assisted suicide
title Attitudes on euthanasia among medical students and doctors in Sri Lanka: a cross sectional study
title_full Attitudes on euthanasia among medical students and doctors in Sri Lanka: a cross sectional study
title_fullStr Attitudes on euthanasia among medical students and doctors in Sri Lanka: a cross sectional study
title_full_unstemmed Attitudes on euthanasia among medical students and doctors in Sri Lanka: a cross sectional study
title_short Attitudes on euthanasia among medical students and doctors in Sri Lanka: a cross sectional study
title_sort attitudes on euthanasia among medical students and doctors in sri lanka a cross sectional study
topic Euthanasia
Sri Lanka
Cross sectional study
Physician assisted suicide
url https://doi.org/10.1186/s12910-021-00731-2
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AT uiwickramarachchi attitudesoneuthanasiaamongmedicalstudentsanddoctorsinsrilankaacrosssectionalstudy
AT chaturakarodrigo attitudesoneuthanasiaamongmedicalstudentsanddoctorsinsrilankaacrosssectionalstudy