{"id":"https://openalex.org/W7130516117","doi":"https://doi.org/10.7759/cureus.103876","title":"Assisted Dying, Pharmacological Lethality, and Suicide Risk Among Healthcare Workers: Ethical, Regulatory, and Mental Health Dimensions","display_name":"Assisted Dying, Pharmacological Lethality, and Suicide Risk Among Healthcare Workers: Ethical, Regulatory, and Mental Health Dimensions","publication_year":2026,"publication_date":"2026-02-18","ids":{"openalex":"https://openalex.org/W7130516117","doi":"https://doi.org/10.7759/cureus.103876","pmid":"https://pubmed.ncbi.nlm.nih.gov/41869100"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.103876","doi":"https://doi.org/10.7759/cureus.103876","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.103876","pdf_url":"https://www.cureus.com/articles/466139-assisted-dying-pharmacological-lethality-and-suicide-risk-among-healthcare-workers-ethical-regulatory-and-mental-health-dimensions.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/466139-assisted-dying-pharmacological-lethality-and-suicide-risk-among-healthcare-workers-ethical-regulatory-and-mental-health-dimensions.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5126667729","display_name":"Madhusudan P Singh","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405264754","display_name":"Shri Shankaracharya Professional University","ror":"https://ror.org/02wfvah75","country_code":"IN","type":"education","lineage":["https://openalex.org/I4405264754"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Madhusudan P Singh","raw_affiliation_strings":["Pharmacology and Therapeutics, Shri Shankaracharya Institute of Medical Sciences, Bhilai, IND"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Pharmacology and Therapeutics, Shri Shankaracharya Institute of Medical Sciences, Bhilai, IND","institution_ids":["https://openalex.org/I4405264754"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5089657807","display_name":"T. Pugazhenthan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I129734738","display_name":"All India Institute of Medical Sciences Raipur","ror":"https://ror.org/02ys8pq62","country_code":"IN","type":"education","lineage":["https://openalex.org/I129734738"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Pugazhenthan T","raw_affiliation_strings":["Pharmacology and Therapeutics, All India Institute of Medical Sciences Raipur, Raipur, IND"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Pharmacology and Therapeutics, All India Institute of Medical Sciences Raipur, Raipur, IND","institution_ids":["https://openalex.org/I129734738"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.09658485,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"18","issue":"2","first_page":"e103876","last_page":"e103876"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10376","display_name":"Suicide and Self-Harm Studies","score":0.7113999724388123,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10376","display_name":"Suicide and Self-Harm Studies","score":0.7113999724388123,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10795","display_name":"Healthcare professionals\u2019 stress and burnout","score":0.07069999724626541,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13099","display_name":"Health, Medicine and Society","score":0.04190000146627426,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/assisted-dying","display_name":"assisted dying","score":0.8730000257492065},{"id":"https://openalex.org/keywords/medical-assistance-in-dying","display_name":"medical assistance in dying","score":0.9580000042915344},{"id":"https://openalex.org/keywords/suicide-risk","display_name":"suicide risk","score":0.5540000200271606},{"id":"https://openalex.org/keywords/moral-injury","display_name":"moral injury","score":0.7210000157356262},{"id":"https://openalex.org/keywords/occupational-stress","display_name":"occupational stress","score":0.6650000214576721},{"id":"https://openalex.org/keywords/mental-health-of-healthcare-workers","display_name":"mental health of healthcare workers","score":0.7350000143051147},{"id":"https://openalex.org/keywords/patient-autonomy","display_name":"patient autonomy","score":0.847000002861023},{"id":"https://openalex.org/keywords/ethical-dilemmas","display_name":"ethical dilemmas","score":0.5559999942779541},{"id":"https://openalex.org/keywords/regulatory-reform","display_name":"regulatory reform","score":0.621999979019165},{"id":"https://openalex.org/keywords/suicide-prevention","display_name":"suicide prevention","score":0.8360000252723694}],"concepts":[{"id":"https://openalex.org/C2776743756","wikidata":"https://www.wikidata.org/wiki/Q5097921","display_name":"Safeguarding","level":2,"score":0.8385999798774719},{"id":"https://openalex.org/C2992695702","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental healthcare","level":3,"score":0.810699999332428},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7441999912261963},{"id":"https://openalex.org/C65414064","wikidata":"https://www.wikidata.org/wiki/Q484105","display_name":"Autonomy","level":2,"score":0.708899974822998},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.6894000172615051},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.6614000201225281},{"id":"https://openalex.org/C2778139618","wikidata":"https://www.wikidata.org/wiki/Q13440398","display_name":"Workforce","level":2,"score":0.5284000039100647},{"id":"https://openalex.org/C125370674","wikidata":"https://www.wikidata.org/wiki/Q1527480","display_name":"Stressor","level":2,"score":0.4740999937057495},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.44679999351501465},{"id":"https://openalex.org/C187155963","wikidata":"https://www.wikidata.org/wiki/Q629029","display_name":"Occupational safety and health","level":2,"score":0.4271000027656555},{"id":"https://openalex.org/C2777363581","wikidata":"https://www.wikidata.org/wiki/Q15098235","display_name":"Harm","level":2,"score":0.42179998755455017},{"id":"https://openalex.org/C526869908","wikidata":"https://www.wikidata.org/wiki/Q3298118","display_name":"Suicide prevention","level":3,"score":0.39890000224113464},{"id":"https://openalex.org/C3017957026","wikidata":"https://www.wikidata.org/wiki/Q689846","display_name":"Assisted suicide","level":2,"score":0.35740000009536743},{"id":"https://openalex.org/C2777351106","wikidata":"https://www.wikidata.org/wiki/Q49371","display_name":"Legislation","level":2,"score":0.3418000042438507},{"id":"https://openalex.org/C166735990","wikidata":"https://www.wikidata.org/wiki/Q1750812","display_name":"Human factors and ergonomics","level":3,"score":0.33970001339912415},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.3327000141143799},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.3301999866962433},{"id":"https://openalex.org/C2776674806","wikidata":"https://www.wikidata.org/wiki/Q12135","display_name":"Mental illness","level":3,"score":0.328900009393692},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.3260999917984009},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.28200000524520874},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.28049999475479126},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.2728999853134155},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.272599995136261},{"id":"https://openalex.org/C190385971","wikidata":"https://www.wikidata.org/wiki/Q373494","display_name":"Injury prevention","level":3,"score":0.25519999861717224},{"id":"https://openalex.org/C2777471088","wikidata":"https://www.wikidata.org/wiki/Q7144984","display_name":"Patient advocacy","level":3,"score":0.2549000084400177}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.7759/cureus.103876","doi":"https://doi.org/10.7759/cureus.103876","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.103876","pdf_url":"https://www.cureus.com/articles/466139-assisted-dying-pharmacological-lethality-and-suicide-risk-among-healthcare-workers-ethical-regulatory-and-mental-health-dimensions.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmid:41869100","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41869100","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13005045","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13005045/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13005045/pdf/cureus-0018-00000103876.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Cureus","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.7759/cureus.103876","doi":"https://doi.org/10.7759/cureus.103876","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.103876","pdf_url":"https://www.cureus.com/articles/466139-assisted-dying-pharmacological-lethality-and-suicide-risk-among-healthcare-workers-ethical-regulatory-and-mental-health-dimensions.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9907000064849854,"display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7130516117.pdf","grobid_xml":"https://content.openalex.org/works/W7130516117.grobid-xml"},"referenced_works_count":37,"referenced_works":["https://openalex.org/W1993981288","https://openalex.org/W2119200560","https://openalex.org/W2124168868","https://openalex.org/W2151059055","https://openalex.org/W2166906622","https://openalex.org/W2171150899","https://openalex.org/W2275498380","https://openalex.org/W2464433786","https://openalex.org/W2771102057","https://openalex.org/W2797674406","https://openalex.org/W2883934270","https://openalex.org/W2899289935","https://openalex.org/W2901784373","https://openalex.org/W2949349585","https://openalex.org/W2970120188","https://openalex.org/W3041567685","https://openalex.org/W3084838441","https://openalex.org/W3157680454","https://openalex.org/W3175579276","https://openalex.org/W3197554461","https://openalex.org/W4205480227","https://openalex.org/W4210464458","https://openalex.org/W4210995270","https://openalex.org/W4212877896","https://openalex.org/W4224311839","https://openalex.org/W4226190843","https://openalex.org/W4281742049","https://openalex.org/W4306795659","https://openalex.org/W4311633702","https://openalex.org/W4312018823","https://openalex.org/W4312134981","https://openalex.org/W4318777086","https://openalex.org/W4378951987","https://openalex.org/W4385879426","https://openalex.org/W4390788692","https://openalex.org/W4391651275","https://openalex.org/W4407568021"],"related_works":[],"abstract_inverted_index":{"The":[0,66,199],"intersection":[1],"of":[2,60,82,88,97,109,156,256],"assisted":[3,51,180,220,237],"dying":[4,52,74,181,221,238],"and":[5,13,19,56,94,122,136,164,182,192,212,239],"suicides":[6,61,110,165],"among":[7,111,150],"healthcare":[8,36,83,112,151,183,210,240],"workers":[9],"presents":[10],"a":[11,232],"complex":[12],"multifaceted":[14],"challenge,":[15],"blending":[16],"ethical,":[17],"regulatory,":[18],"mental":[20,119,204,254],"health":[21,120,205],"considerations.":[22],"This":[23],"manuscript":[24,103,200],"explores":[25],"the":[26,47,57,63,80,85,95,102,106,167,177,189,209,229,253],"bipolar":[27],"association":[28],"between":[29,50,179],"these":[30],"two":[31],"phenomena,":[32],"focusing":[33],"on":[34],"how":[35],"professionals,":[37],"particularly":[38],"those":[39,257],"with":[40],"access":[41,124],"to":[42,125,171,217,235],"potent":[43],"pharmacological":[44,157],"agents,":[45],"navigate":[46],"fine":[48],"line":[49],"in":[53,73,161],"clinical":[54],"settings":[55],"alarming":[58],"trend":[59],"within":[62,208],"medical":[64,71,197],"community.":[65],"ethical":[67,245],"dilemmas":[68],"posed":[69],"by":[70,116,196],"assistance":[72],"(MAiD)":[75],"protocols":[76,222],"are":[77,223],"examined,":[78],"including":[79],"responsibilities":[81],"providers,":[84],"delicate":[86],"balance":[87],"patient":[89,249],"autonomy":[90],"versus":[91],"societal":[92],"norms,":[93],"safeguarding":[96],"vulnerable":[98],"populations.":[99],"In":[100],"parallel,":[101],"delves":[104],"into":[105,188],"concerning":[107],"rise":[108],"workers,":[113],"often":[114],"exacerbated":[115],"workplace":[117],"stress,":[118],"challenges,":[121],"easy":[123],"lethal":[126],"medications.":[127],"Recent":[128],"post-pandemic":[129],"data":[130],"highlight":[131],"moral":[132],"injury,":[133],"workforce":[134],"attrition,":[135],"expanding":[137],"MAiD":[138,163],"eligibility":[139],"criteria":[140],"as":[141],"emerging":[142],"stressors":[143],"that":[144,219,247],"may":[145],"further":[146],"compound":[147],"suicide":[148,242],"risk":[149],"professionals.":[152,198],"A":[153],"detailed":[154],"analysis":[155],"agents":[158],"commonly":[159],"used":[160],"both":[162,236],"highlights":[166],"regulatory":[168,215],"measures":[169],"needed":[170],"prevent":[172],"misuse.":[173],"Case":[174],"studies":[175],"illustrate":[176],"overlap":[178],"worker":[184,241],"suicides,":[185],"offering":[186],"insights":[187],"psychological,":[190],"emotional,":[191],"systemic":[193],"pressures":[194],"faced":[195],"calls":[201],"for":[202,214,231],"stronger":[203],"support":[206],"systems":[207],"community":[211],"advocates":[213],"reforms":[216],"ensure":[218],"not":[224],"exploited.":[225],"Ultimately,":[226],"it":[227],"emphasizes":[228],"need":[230],"nuanced":[233],"approach":[234],"prevention,":[243],"promoting":[244],"frameworks":[246],"respect":[248],"rights":[250],"while":[251],"protecting":[252],"well-being":[255],"who":[258],"provide":[259],"care.":[260]},"counts_by_year":[],"updated_date":"2026-09-25T08:18:29.962427","created_date":"2026-02-19T00:00:00"}
