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American Journal of Hospice and Palliative Medicine®
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The Japan HOspice and Palliative Care Evaluation Study (J-HOPE Study): Views About Legalization of Death With Dignity and Euthanasia Among the Bereaved Whose Family Member Died at Palliative Care Units

Nao Okishiro, MD

Hospice, Gratia Hospital, Osaka, nao730{at}ll.em-net.ne.jp

Mitsunori Miyashita, RN, PhD

Department of Adult Nursing/Palliative Care Nursing, School of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo

Satoru Tsuneto, MD, PhD

Department of Palliative Medicine, Osaka University Graduate School of Medicine, Osaka

Kazuki Sato, RN, MHS

Department of Adult Nursing/Palliative Care Nursing, School of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo

Yasuo Shima, MD

Department of Palliative Medicine, Tsukuba Medical Center Hospital, Tsukuba Japan

There has been a debate in appropriateness of legalization of death with dignity and euthanasia in Japan. To clarify views about these issues, we conducted a large nationwide study of the bereaved whose family member died at palliative care units. The percentages of 429 bereaved family members (response rate 65%) who affirmed legal authorization were 52 for death with dignity and 45 for euthanasia and who affirmed assignment at the discretion of the physician involved were 37 for death with dignity and 38 for euthanasia. In conclusion, views about legalization of death with dignity and euthanasia among the bereaved are inconsistent. No consensus is reached as to legislation of these issues.

Key Words: palliative care • bereavement • death with dignity • euthanasia • Japan

American Journal of Hospice and Palliative Medicine®, Vol. 26, No. 2, 98-104 (2009)
DOI: 10.1177/1049909108327027
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