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Determinants of Public Attitudes towards Euthanasia in Adults and Physician-Assisted Death in Neonates in Austria: A National Survey

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  • Erwin Stolz
  • Nathalie Burkert
  • Franziska Großschädl
  • Éva Rásky
  • Willibald J Stronegger
  • Wolfgang Freidl

Abstract

Background: Euthanasia remains a controversial topic in both public discourses and legislation. Although some determinants of acceptance of euthanasia and physician-assisted death have been identified in previous studies, there is still a shortage of information whether different forms of euthanasia are supported by the same or different sub-populations and whether authoritarian personality dispositions are linked to attitudes towards euthanasia. Methods: A large, representative face-to-face survey was conducted in Austria in 2014 (n = 1,971). Respondents faced three scenarios of euthanasia and one of physician assisted death differing regarding the level of specificity, voluntariness and subject, requiring either approval or rejection: (1) abstract description of euthanasia, (2) abstract description of physician-assisted suicide, (3) the case of euthanasia of a terminally-ill 79-year old cancer patient, and (4) the case of non-voluntary, physician assisted death of a severely disabled or ill neonate. A number of potential determinants for rejection ordered in three categories (socio-demographic, personal experience, orientations) including authoritarianism were tested via multiple logistic regression analyses. Results: Rejection was highest in the case of the neonate (69%) and lowest for the case of the older cancer patient (35%). A consistent negative impact of religiosity on the acceptance across all scenarios and differential effects for socio-economic status, area of residence, religious confession, liberalism, and authoritarianism were found. Individuals with a stronger authoritarian personality disposition were more likely to reject physician-assisted suicide for adults but at the same time also more likely to approve of physician-assisted death of a disabled neonate. Conclusion: Euthanasia in adults was supported by a partially different sub-population than assisted death of disabled neonates.

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  • Erwin Stolz & Nathalie Burkert & Franziska Großschädl & Éva Rásky & Willibald J Stronegger & Wolfgang Freidl, 2015. "Determinants of Public Attitudes towards Euthanasia in Adults and Physician-Assisted Death in Neonates in Austria: A National Survey," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-15, April.
  • Handle: RePEc:plo:pone00:0124320
    DOI: 10.1371/journal.pone.0124320
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    References listed on IDEAS

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    5. Cohen, Joachim & Marcoux, Isabelle & Bilsen, Johan & Deboosere, Patrick & van der Wal, Gerrit & Deliens, Luc, 2006. "European public acceptance of euthanasia: Socio-demographic and cultural factors associated with the acceptance of euthanasia in 33 European countries," Social Science & Medicine, Elsevier, vol. 63(3), pages 743-756, August.
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