In Reply We agree with Ms Hodel and Dr Trachsel when they conclude, “With improvements in the quality of care, there might be fewer requests for EAS.” According to the article by Dr Kim and colleagues,1 most patients receiving EAS for psychiatric conditions did not receive accurate treatment for their mental state and level of suffering that could have led to avoiding EAS. Dr Trachsel and colleagues2 suggested palliative care in psychiatry for severe persistent mental illness, including long-term residential care patients with severe chronic schizophrenia and insufficient quality of life; those with therapy-refractory depression; and persons with severe, long-standing, therapy-refractory anorexia nervosa. Most EAS psychiatric patients in the series by Kim and colleagues did not meet these criteria.
Olié E, Courtet P. Euthanasia or Assisted Suicide in Patients With Psychiatric Illness—Reply. JAMA. 2016;316(20):2154-2155. doi:10.1001/jama.2016.16289