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Assisted suicide describes the process by which a person, with the help of others, takes medications to die by suicide.[1] It was formerly referred to as physician-assisted suicide (PAS), but is now more commonly referred to as medical aid in dying.[2]
This medical practice is an end-of-life measure for a person suffering a painful, terminal illness.[3] Once it is determined that the person's situation qualifies under the laws for that location, the physician's assistance is usually limited to writing a prescription for a lethal dose of drugs. Voluntary euthanasia, meanwhile, is a related but distinct practice where the doctor has a more active role (euthanasia). Both fall under the concept of the right to die.
Medical aid in dying is legal in some countries, under certain circumstances, including Austria, Belgium, Canada, Germany, Luxembourg, the Netherlands, New Zealand, Portugal, Spain, Switzerland, parts of the United States and five out of six states in Australia. The constitutional courts of Colombia, Germany and Italy have legalized assisted suicide, but their governments have not yet legislated or regulated the practice. In most of those states or countries, to qualify for legal assistance, individuals who seek a physician-assisted suicide must meet certain criteria, including: they are of sound mind, voluntarily and repeatedly express their wish to die, and take the specified, lethal dose by their own hand. The laws vary in scope from place to place. In the United States, medical aid in dying is limited to those who have a prognosis of six months or less to live; in this sense, it is a similar qualification to being put on hospice. In other countries, such as Germany, Canada, Switzerland, Spain, Italy, Austria, Belgium and the Netherlands, a terminal diagnosis is not a requirement, and voluntary euthanasia is additionally allowed.
In some countries and jurisdictions, helping a person kill themself is illegal.[4] People who support legalizing medical aid in dying want the people who assist in a voluntary death to be exempt from criminal prosecution for manslaughter or similar crimes.