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. 2020 Jun 2;84(4):1100–1121. doi: 10.1177/0030222820926771
Foundation Foundation De Einder was founded in 1995 as a result of dissatisfaction with the situation that people with a wish to end life were confronted with closed doors or were only offered ways to cure the wish to end life. This often resulted in these people having to continue life with unbearable suffering, or in committing a mutilating suicide in isolation, causing a lot of suffering for close ones and involuntary involved (Foundation De Einder, 2016).
Aim The goal of the foundation is “to promote and – if deemed necessary – to offer professional counseling for people with a wish to end life who ask for help, with respect for the autonomy of the person asking for help […]” (Foundation De Einder, p. 9). Contrary to suicide prevention or crisis intervention organizations, Foundation De Einder regards ending your own life as a possible outcome and gives information about self-euthanasia (Vink, 2013). Autonomy is regarded as an important value. Seen as an addition to the—since 2001 in the Netherlands legally regulated—medicalized approach of physician assistance in dying (PAD), Foundation De Einder works in cooperation with independent counselors to offer counseling focused on demedicalized assistance in suicide (DAS).
Work method People who wish to self-determine the timing and manner of their own end of life contact Foundation De Einder themselves. They are referred to counselors working in cooperation with Foundation De Einder who offer nondirective counseling, which consists of having conversations, offering mental support, and providing general information on self-euthanasia. These three forms of assistance by laypersons are regarded as nonpunishable assistance in suicide (The Netherlands Case Law, 1995). The counseling is not aimed at a certain choice or direction but is “aimed at attaining the highest possible quality of the choice and -- if it comes to that -- the highest possible quality of implementation of the wish to end one's own life” (Foundation De Einder, 2016, p. 26). The counseling is aimed at creating an as large as possible clarity regarding the wish to end one’s life and possible suicide. This covers the mental process of decision making and might include matters such as considering alternatives, timing of death, and consideration of others. If the counselee decides to act upon his or her desire to end their life, the counseling is aimed at realizing the best possible preparations for self-euthanasia. This covers the practical preparation and might include gathering means for and the effectuation ending your own life (Foundation De Einder, 2016; Vink, 2008).