{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T14:09:08Z","timestamp":1772546948886,"version":"3.50.1"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T00:00:00Z","timestamp":1771286400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T00:00:00Z","timestamp":1771286400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"DOI":"10.13039\/501100008001","name":"Universit\u00e4t zu K\u00f6ln","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100008001","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Bundesgesundheitsbl"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Einleitung<\/jats:title>\n                    <jats:p>Seit der Aufhebung des \u00a7\u00a0217 StGB Anfang 2020 stellen sich auch in der spezialisierten ambulanten Palliativversorgung (SAPV) neue Herausforderungen im Umgang mit W\u00fcnschen nach Suizidassistenz, die bislang kaum systematisch untersucht wurden. Ziel der Arbeit ist es, F\u00e4lle mit einem Wunsch nach Suizidassistenz in der SAPV darzustellen und zu analysieren. Auf dieser Grundlage sollen zentrale Herausforderungen in der Versorgung identifiziert und Ansatzpunkte f\u00fcr Strategien zum Umgang mit diesen W\u00fcnschen entwickelt werden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methoden<\/jats:title>\n                    <jats:p>Es wurde eine retrospektive Fallanalyse aller Patient:innen durchgef\u00fchrt, die zwischen 02\/2020 und 08\/2025 durch das SAPV-Team der Uniklinik K\u00f6ln betreut wurden und einen expliziten Wunsch nach Suizidassistenz ge\u00e4u\u00dfert haben. Die Daten wurden aus der elektronischen Dokumentation (PalliDoc\u00ae) extrahiert. Versorgungspraktische und -ethische Fragestellungen wurden im multiprofessionellen Team abgeleitet.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Insgesamt wurden sechs Patient:innen eingeschlossen. F\u00fcnf litten an amyotropher Lateralsklerose, eine Person an einer fortgeschrittenen onkologischen Erkrankung. Drei Patient:innen nahmen externe Suizidassistenz in Anspruch.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diskussion<\/jats:title>\n                    <jats:p>Zentrale Herausforderungen in der Versorgung betrafen die Rollenkl\u00e4rung der SAPV, die Kommunikation \u00fcber Suizidassistenz, die Begleitung von Nahestehenden sowie den Versorgungsabschluss. Eine klare organisationsinterne Haltung sowie definierte Kommunikationswege im Team und gegen\u00fcber Patient:innen sowie deren Nahestehenden wirken unterst\u00fctzend. Die Arbeit formuliert praxisrelevante Fragestellungen zur konzeptionellen Weiterentwicklung des Umgangs mit W\u00fcnschen nach Suizidassistenz.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00103-026-04200-2","type":"journal-article","created":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T18:29:24Z","timestamp":1771352964000},"page":"298-305","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Wunsch nach Suizidassistenz in der spezialisierten ambulanten Palliativversorgung (SAPV)\u00a0\u2013 Eine Fallserie und Implikationen f\u00fcr das Team","Care-related questions for specialized outpatient palliative care teams when faced with requests for assisted suicide: A\u00a0case series"],"prefix":"10.1007","volume":"69","author":[{"given":"Kerstin","family":"Kremeike","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heidrun","family":"Golla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruben","family":"Albrecht","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Montag","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelika","family":"Mollidor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Pusch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Schmidtke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Uta","family":"Welling","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raymond","family":"Voltz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,2,17]]},"reference":[{"key":"4200_CR1","unstructured":"Bundesverfassungsgericht (2020) Urteil des Zweiten Senats vom 26.\u00a0Februar 2020. 2\u00a0BvR 2347\/15, Rn.\u00a01\u2013343."},{"key":"4200_CR2","doi-asserted-by":"publisher","DOI":"10.1055\/a-1889-4705","author":"K Kremeike","year":"2022","unstructured":"Kremeike K, Bausewein C, Freytag A et al (2022) DNVF-Memorandum Versorgungsforschung im letzten Lebensjahr. 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