{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:10:38Z","timestamp":1777921838810,"version":"3.51.4"},"reference-count":49,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T00:00:00Z","timestamp":1775520000000},"content-version":"unspecified","delay-in-days":96,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951526102028_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>In this study, we aimed to elucidate the underlying structural mechanisms that generate a desire for hastened death (DHD) in patients with terminal cancer from a whole-person perspective based on insights from palliative-care professionals (PCPs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526102028_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted semi-structured interviews with 36 PCPs experienced in caring for patients with terminal cancer and DHD, followed by a thematic analysis based on Boyatzis\u2019 hybrid approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526102028_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified 6 themes that characterize the underlying structural mechanisms of DHD. DHD arises from feelings such as loss of self-control, inability to escape adverse circumstances, confronting death and letting go of life, pain of loneliness, being unable to accept living life as it is, and feeling unable to live with the thought of being an inconvenience to others, in addition to physical and psychological pain. In contrast, certain patients who had built good relationships with family members and\/or PCPs found new meaning and value in their current lives, expressing a desire to live in the moment and choosing to continue living until the end.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526102028_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>This study provides the first comprehensive analysis of the underlying structural mechanisms of DHD in patients with terminal cancer from a whole-person perspective. DHD with spiritual pain is linked to the loss of future orientation, autonomy, and meaningful relationships through interconnected structural pathways, leading to feelings of worthlessness and existential meaninglessness. The identified framework demonstrates that these underlying mechanisms operate through an interplay of existential, relational, and autonomy-related factors extending beyond physical and psychological symptoms, reflecting an interconnected human experience across physical, psychological, social, and spiritual dimensions. This study established an evidence-based framework enabling healthcare professionals to implement whole-person approaches to recognize the multidimensional nature of DHD and address existential distress across all dimensions of human experience in end-of-life care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951526102028","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T08:24:27Z","timestamp":1775550267000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Exploring the underlying structural mechanisms and whole-person perspectives on the desire for hastened death in patients with terminal cancer: A qualitative study"],"prefix":"10.1017","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9465-1207","authenticated-orcid":false,"given":"Yuko","family":"Matsumura","sequence":"first","affiliation":[{"name":"Kyoto University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroki","family":"Kato","sequence":"additional","affiliation":[{"name":"Aino University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eiko","family":"Maetaki","sequence":"additional","affiliation":[{"name":"Kansai Medical University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kengo","family":"Imai","sequence":"additional","affiliation":[{"name":"Seirei Mikatahara General Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuke","family":"Hiratsuka","sequence":"additional","affiliation":[{"name":"Takeda General Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideyuki","family":"Kashiwagi","sequence":"additional","affiliation":[{"name":"Iizuka Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koji","family":"Amano","sequence":"additional","affiliation":[{"name":"Osaka International Cancer Institute"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yutaka","family":"Hatano","sequence":"additional","affiliation":[{"name":"Yoshida Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masanori","family":"Mori","sequence":"additional","affiliation":[{"name":"Seirei Mikatahara General Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatsuya","family":"Morita","sequence":"additional","affiliation":[{"name":"Seirei Mikatahara General Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuki","family":"Shirai","sequence":"additional","affiliation":[{"name":"Kyoto University"},{"name":"Kansai Medical University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keiko","family":"Tamura","sequence":"additional","affiliation":[{"name":"Kyoto University"},{"name":"Osaka Dental University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keiko","family":"Sato","sequence":"additional","affiliation":[{"name":"Kyoto University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2026,4,7]]},"reference":[{"key":"S1478951526102028_ref39","unstructured":"QSR International Pty Ltd (2018) NVivo Qualitative Data Analysis Software. 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Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e100"}}