Assisted dying refers to the steps of the administration of a voluntary assisted dying substance and the administration of the substance. In Australia, assisted dying is now legal in all states. However, there is limited knowledge of what underpins the community’s attitudes toward assisted dying. It is important for health professionals to understand what underpins attitudes toward assisted dying when navigating the option with patients and family members. We used a survey based on the Tripartite Model of Attitudes to examine the degree to which beliefs, emotions, and experiences, as well as knowledge, underpinned attitudes towards assisted dying. With a sample of 108, we found emotions and beliefs to significantly explain attitudes towards assisted dying. Knowledge of assisted dying practices was low amongst the sample. Our findings suggest that education of assisted dying is required, and that attitudes towards assisted dying in the Australian community are underpinned by beliefs and emotions.
AllenP.BennetK.HeritageB. (2014). SPSS statistics version 22: A practical guide. Cengage Learning Australia Pty Limited.
2.
Australian Bureau of Statistics. (2016). Census of population and housing: Reflecting Australia – stories from the census (2071.0). http://www.abs.gov.au
3.
BreenL. J.CroucampC. J.ReesC. S. (2018). What do people really think about grief counseling? Examining community attitudes. Death Studies, 43(10), 611–618. https://doi.org/10.1080/07481187.2018.1506527
4.
CroucampC. J.O’ConnorM.PedersenA.BreenL. J. (2017). Predicting community attitudes towards asylum seekers: A multi-component model. Australian Journal of Psychology, 69(4), 237–246. https://doi.org/10.1111/ajpy.12149
5.
EaglyA. H.MladinicA.OttoS. (1994). Cognitive and affective bases of attitudes toward social groups and social policies. Journal of Experimental Social Psychology, 30(2), 113–137. https://doi.org/10.1006/jesp.1994.1006
6.
EmanuelE. J.Onwuteaka-PhilipsenB. D.UrwinJ. W.CohenJ. (2016). Attitudes and practices of euthanasia and physician-assisted suicide in the United States, Canada, and Europe. Journal of the American Medical Association, 316(1), 79–90. https://doi.org/10.1001/jama.2016.8499
7.
FabrigarL. R.PettyR. E.SmithS. M.CritesS. L. (2006). Understanding knowledge effects on attitude-behavior consistency: The role of relevance, complexity, and amount of knowledge. Journal of Personality and Social Psychology, 90(4), 556–577. https://doi.org/10.1037/0022-3514.90.4.556
8.
FaulF.ErdfelderE.LangA. G.BuchnerA. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191. https://doi.org/10.3758/bf03193146
9.
FreyL. M.HansJ. D. (2016). Attitudes toward assisted suicide: Does family context matter?Archives of Suicide Research, 20(2), 250–264. https://doi.org/10.1080/13811118.2015.1004477
10.
FrileuxS.LelièvreC.Muñoz SastreM. T.MulletE.SorumP. C. (2003). When is physician assisted suicide or euthanasia acceptable?Journal of Medical Ethics, 29(6), 330–336. https://doi.org/10.1136/jme.29.6.330
11.
GroveG.HughesI.LovellM.BestM. (2021). Content analysis of euthanasia polls in Australia and New Zealand: Words do matter. Internal Medicine Journal, 51(10), 1629–1635. https://doi.org/10.1111/imj.15377
12.
HamamuraT. (2012). Are cultures becoming individualistic? A cross-temporal comparison of individualism-collectivism in the United States and Japan. Personality and Social Psychology Review, 16(1), 3–24. https://doi.org/10.1177/1088868311411587
IBM Corp. (2017). IBM SPSS statistics for windows. Version 25 [software]. IBM Corp.
15.
IvoK.YounsuckK.HoY. Y.Sang-YeonS.SeogH. D.HyunahB.KenjiH.XiaomeiZ. (2012). A survey of the perspectives of patients who are seriously ill regarding end-of-life decisions in some medical institutions of Korea, China and Japan. Journal of Medical Ethics, 38(5), 310–316. https://doi.org/10.1136/medethics-2011-100153
16.
JhoH.YoonH.KimM. (2014). The relationship of science knowledge, attitude and decision making on socio-scientific issues: The case study of students’ debates on a nuclear power plant in Korea. Science & Education, 23(5), 1131–1151. https://doi.org/10.1007/s11191-013-9652-z
17.
KouwenhovenP.RaijmakersN.DeldenJ.RietjensJ.SchermerM.ThielG.TrappenburgM. J.van de VathorstS.van der VegtB. J.VezzoniC.WeyersH.van TolD. G.van der HeideA.HeideA. (2012). Opinions of health care professionals and the public after eight years of euthanasia legislation in The Netherlands: A mixed methods approach. Palliative Medicine, 27(3), 273–280. https://doi.org/10.1177/0269216312448507
18.
McAfeeC. A.JordanT. R.CegelkaD.PolavarapuM.WotringA.Wagner-GreeneV. R.HamdanZ. (2022). COVID-19 brings a new urgency for advance care planning: Implications of death education. Death Studies, 46(1), 91–96. https://doi.org/10.1080/07481187.2020.1821262
19.
MrozS.DierickxS.DeliensL.CohenJ.ChambaereK. (2021). Assisted dying around the world: A status quaestionis. Annals of Palliative Medicine, 10(3), 3540–3553. https://doi.org/10.21037/apm-20-637
20.
O’ConnorM.HewittL. Y.TuffinP. H. (2013). Community pharmacists’ attitudes toward palliative care: An Australian nationwide survey. Journal of Palliative Medicine, 16(12), 1575–1581. https://doi.org/10.1089/jpm.2013.0171
21.
O’ConnorM.MandelC.MewettG.CatfordD. C. H. J.McMaughJ. (2021a). Implementing voluntary assisted dying in Victoria, Australia. The International Journal of Health Planning and Management, 36(3), 602–609. https://doi.org/10.1002/hpm.3126
22.
O’ConnorM.MartinC.WillmottL.HaywoodD.LawrenceB. J.BreenL. J. (2021b). Australian health professionals’ attitudes toward voluntary assisted dying: A cross-sectional survey. Social Sciences, 10(11), 429. https://doi.org/10.3390/socsci10110429
23.
O’ConnorM.PooleyJ. (2000). Environmental education and attitudes: Emotions and beliefs are what is needed. Environment and Behavior, 32(5), 711–723. https://doi.org/10.1177/0013916500325007
24.
O’ConnorM. M.HuntR. W.GardnerJ.DraperM.MaddocksI.MalowneyT.OwlerB. K. (2018). Documenting the process of developing the Victorian voluntary assisted dying legislation. Australian Health Review, 42(6), 621–626. https://doi.org/10.1071/AH18172
25.
Parliament of Western Australia. (2018).My life, my choice: The report of the joint select committee on end of life choices (report 1). http://www.parliament.wa.gov.au
RaeN.JohnsonM. H.MalpasP. J. (2015). New Zealander’s attitudes toward physician-assisted dying. Journal of Palliative Medicine, 18(3), 259–265. https://doi.org/10.1089/jpm.2014.0299
28.
RipamontiL. (2018). Lives not worth living: Rethinking autonomy and assisted dying in the light of profound disability. Journal of Disability & Religion, 22(3), 317–330. https://doi.org/10.1080/23312521.2018.1481804
29.
RothbaumF.TrommsdorffG. (2007). Do roots and wings complement or oppose on another? In GrusecJ.HastingsP. (Eds.), The handbook of socialization (pp. 461–489). The Guilford Press.
30.
Royal Australasian College of Physicians. (2018). Statement on voluntary assisted dying. https://www.racp.edu.au
StolzE.BurketN.GroßschädlF.RáskyÉ.StroneggerW. J.FriedlW. (2015). Determinants of public attitudes towards euthanasia in adults and physician-assisted death in neonates in Austria: A national survey. PloS One, 10(4), e0124320. https://doi.org/10.1271/journal.pone.0124320
33.
TomlinsonE.StottJ. (2015). Assisted dying in dementia: A systematic review of the international literature on the attitudes of health professionals, patients, carers, and the public, and the factors associated with these. International Journal of Geriatric Psychiatry, 30(1), 10–20. https://doi.org/10.1002/gps.4169
34.
WillmottL.FeeneyR.VillarK.D.ChambaereK.YatesPMitchellG.WhiteB. (2022). Assisted deaths prior to the voluntary assisted dying Act 2017 (vic): Would patients have met the eligibility criteria to request voluntary assisted dying?Journal of Law and Medicine, 29(3), 811–828.
35.
YoungJ.EganR.WalkerS.Graham-DeMelloA.JacksonC. (2019). The euthanasia debate: Synthesising the evidence on New Zealander’s attitudes. Kōtuitui: New Zealand Journal of Social Sciences Online, 14(1), 1–21. https://doi.org/10.1080/1177083X.2018.1532915
36.
ZannaM. P.RempelJ. K. (1988). Attitudes: A new look at an old concept. In Bar-TalD.KruglanskiA. W. (Ed), The social psychology of knowledge (pp. 315–334). Cambridge University Press.
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