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. 2022 Sep 13;13(4):414–428. doi: 10.1136/spcare-2022-003715

Table 1.

Overview of included review articles relating to grief and bereavement of family/friends

Author, year Jurisdiction Study type Subjects/texts (time since MAiD) Demographics Type of MAiD Main question Main findings/concepts
Andriessen et al, 20205 Multiple/not specified Systematic Review 10 primary research articles NS Multiple Assess grief and mental health of people bereaved by euthanasia Bereaved individuals following euthanasia had similar to lower scores of disordered grief, mental health, and PTSD
Secrecy and lack of social support increase grief
Gamondi et al, 201910 Multiple/not specified Systematic Review 19 primary research articles NS Multiple Review family experiences of assisted dying Themes that represent experiences:
Context of the decision
Grounding the decision
Cognitive and emotional work
Experiencing the final farewell
Grief and bereavement
Goldberg et al, 202145 Multiple/not specified NS Qualitative and quantitative articles NS Multiple Summarise experiences and perspectives of caregivers Caregivers viewed MAID more favourably than dying by natural causes
It is unclear leads to better outcomes for caregivers, but psychosocial support is needed
Lowers et al, 20207 Multiple/not specified Narrative synthesis 34 end-of-life caregiving studies
eleven hastened death caregiving studies
NS Multiple Explore experiences of family and friends providing care at home at end of life for hastened death Caregivers actively work toward patient’s goal of a peaceful death in hastened death studies
HCPs play a major role in natural death and hastened death, and their understanding of legal abilities and personal willingness to provide practical support affect caregivers’ satisfaction
Ontario HIV Treatment Network, 2017 Multiple/not specified NS NS ‘mostly white… college educated’ Multiple Identify impact of MAID on family and friends There are shared responsibilities between patients, family members and HCPs
Opportunity to discuss death is important
Roest et al, 201916 Netherlands Systematic Review 14 primary research articles NS Multiple Explore family member involvement in MAID in the Netherlands Four themes identified:
Family-related reasons not to request MAID
Responsibilities during decision-making and performance of MAID
Grief after MAID is complicated
Physician-family relationship is important

HCPs, healthcare professionals; MAiD, medical assistance in dying; NS, not significant; PTSD, post-traumatic stress disorder .