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. 2020 Jun 2;84(4):1100–1121. doi: 10.1177/0030222820926771

Table 1.

Description of Underlying Suffering at Start of Counselling and Seriousness of Disease (According to Counselor) of Counselees Passing Away Through Self-Ingesting Self-Collected Lethal Medication (MED) Divided by Primary Underlying Suffering at Start of Counseling (According to Counselor; N = 273; Missing N = 2).


Primary underlying suffering

All (N = 273)

Physical suffering (N = 114)

Psychiatric suffering (N = 86)

Psychological or no suffering (N = 71)
N % N % (95% CI) N % (95% CI) N % (95% CI)
Description of underlying suffering a,b N = 271 N = 85 c N = 69 c
Physical suffering N = 114 42
 Accumulation problems of old age d 38 14 26 23 [16, 31] 0 0 [0, 3] 12 17 [10, 28]
 Dementia 19 7 11 10 [5, 16] 1 1 [0, 5] 7 10 [5, 19]
 Cancer 16 6 14 12 [7, 19] 0 0 [0, 3] 2 3 [1, 9]
 Rheumatic 13 5 12 11 [6, 17] 1 1 [0, 5] 0 0 [0, 4]
 Pain 12 4 12 11 [6, 17] 0 0 [0, 3] 0 0 [0, 4]
 Physical other e 67 25 49 43 [34, 52] 12 14 [8, 23] 6 9 [4, 17]
Psychiatric suffering N = 86 32
 Mood disorders 59 22 2 2 [0, 6] 51 60 [49, 70] 6 9 [4, 17]
 Personality disorders 36 13 0 0 [0, 2] 33 39 [29, 49] 3 4 [1, 11]
 Trauma and stress disorders 24 9 1 1 [0, 4] 17 20 [13, 29] 6 9 [4, 17]
 Fear disorders 24 9 0 0 [0, 2] 14 16 [10, 25] 4 6 [2, 13]
 Obsessive-compulsive disorder 20 7 1 1 [0, 4] 14 16 [10, 25] 5 7 [3, 15]
 Psychiatric other f 6 2 0 0 [0, 2] 5 6 [2, 12] 1 1 [0, 7]
Psychological or no suffering N = 71 26
 Completed life 52 19 12 11 [6, 17] 6 7 [3, 14] 32 46 [35, 58]
 Self-determination 11 4 3 3 [1, 7] 0 0 [0, 3] 8 12 [6, 21]
 Psychological other g 22 8 6 5 [2, 11] 2 2 [0, 7] 14 20 [12, 31]
Seriousness of disease N = 249 h N = 107 h N = 76 i N = 64 h
 Terminal/serious disease 162 65 84 79 [70, 85] 62 82 [72, 89] 16 25 [15, 37]
 No (serious) disease 87 35 23 22 [15, 30] 14 18 [11, 28] 48 75 [63, 84]

Note. CI = confidence interval.

aOnly the clarifications of underlying suffering mentioned if suffering occurred in ≥ 4% of all counselees.

bAdds up to more than 100% due to comorbidity.

cMissing less than 5%.

dAn accumulation of problems related to old age concerns a comorbidity of lesser nonserious problems of old age, for example, problems with mobility, loss of eyesight, weakening physical condition, and so forth.

ePhysical other includes sleep-wake disorders, heart and vascular diseases, Parkinson’s disease, muscular diseases, osteoporosis, chronic obstructive pulmonary disease, tinnitus, neurological disorders, autism, Lyme disease, and deafness.

fPsychiatric other includes feeding and eating disorders.

gPsychological other includes grief, loneliness, addiction, gender issues, and family problems.

hMissing between 5% and 10%.

iMissing ≥ 10%.