This analysis highlights the legal and ethical complexities of voluntary assisted dying in mentally ill patients, implying the need for specialized psychiatric involvement.
ObjectiveTo highlight the medical, legal, and ethical complexities of voluntary assisted dying (VAD) particularly for patients with mental illness, specifically within the state of New South Wales in Australia, and explore the role Psychiatrists involved in VAD may play, including clarifying uncertainty relating to issues of capacity, the characteristics of the patient requesting VAD, the condition underpinning the request for VAD, and the VAD request itself, through three hypothetical case studies.ConclusionIt is essential that Psychiatrists understand their obligations under the VAD regime within their jurisdiction. VAD, particularly in vulnerable populations such as those with mental illness, presents numerous clinical challenges and is best addressed with a consensus-based approach to complex cases drawing on relevant expertise.
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Alamyar et al. (2026) studied this question.
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