Attitudes toward euthanasia and physician-assisted suicide among Italian primary care physicians

The public debate about euthanasia and assisted suicide is less pronounced in Italy than in other countries, and data about this topic are lacking: Th e aim of this study was to investigate primary care physicians' experience in requests for and opinions about euthanasia and/or assisted suicide for t erminally ill patients and the relationship between attitudes and professio nal variables. Three-hundred thirty-six general practitioners completed the Euthanasia Questionnaire to assess attitudes toward euthanasia and/or assi sted suicide and the Maslach Burnout Inventory to examine burnout symptoms. The rate of requests for euthanasia or assisted suicide was low (11 % and 4.5 %, respectively). Only a minority of the physicians endorsed euthanasia and/or assisted suicide. Agreement with the practice of euthanasia/assiste d suicide was correlated with non-Catholic religious affiliation, inexperie nce in treating terminally ill patients, and the burnout dimension of deper sonalization. The fact that professional as well as individual factors (e.g ., inexperience, non-Catholic affiliation, burnout) were associated with fa vorable attitudes toward euthanasia and/or assisted suicide underscores the need to examine the problem as a complex phenomenon involving the dyadic p atient-doctor relationship. J Pain Symptom Manage 1999;17:188-196. (C) U.S. Cancer Pain Relief Committee, 1999.