{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T22:57:22Z","timestamp":1771455442025,"version":"3.50.1"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychother Psychosom Med Psychol"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Mit dem Urteil des Bundesverfassungsgerichts werden zunehmend F\u00e4lle von\n                        assistiertem Suizid in Deutschland durchgef\u00fchrt. Die psychischen und\n                        psychosozialen Belastungen von An- und Zugeh\u00f6rigen im Kontext des\n                        assistierten Suizids wurden hingegen bisher nur unzureichend untersucht.\n                        Ziel der Studie ist es spezifische Belastungsfaktoren, sowie die Beweggr\u00fcnde\n                        f\u00fcr die Inanspruchnahme einer spezialisierten Beratungsstelle f\u00fcr An- und\n                        Zugeh\u00f6rige von Personen, die einen assistierten Suizid in Erw\u00e4gung ziehen\n                        oder durchgef\u00fchrt haben, zu analysieren.<\/jats:p>\n                  <jats:p>Es handelt sich um eine Querschnittsstudie, die die Baseline-Daten von An-\n                        und Zugeh\u00f6rigen (N=23) auswertet. Neben soziodemografischen Daten\n                        wurden psychische Belastungsfaktoren, Entscheidungsprozesse und\n                        Beratungsanliegen der An- und Zugeh\u00f6rigen erfasst, sowie Erkrankungen und\n                        Motive f\u00fcr den assistierten Suizid seitens der sterbewilligen Person.\n                        Depressive Symptomatik wurde mit dem Patient Health Questionnaire erfasst.\n                        Die Datenerhebung erfolgte \u00fcber Frageb\u00f6gen sowie qualitative\n                        Freitextantworten, die mittels qualitativer Inhaltsanalyse ausgewertet\n                        wurden.<\/jats:p>\n                  <jats:p>Die Mehrheit der An- und Zugeh\u00f6rigen (83%) suchte Unterst\u00fctzung in der Phase\n                        vor dem assistierten Suizid, insbesondere wenn bereits ein fester\n                        Sterbetermin vereinbart war. 30,4% der Teilnehmenden wiesen eine\n                        mittelgradige depressive Symptomatik auf, 47,8% zeigten leichte depressive\n                        Symptome. Die Hauptbelastungsfaktoren umfassten ambivalente Gef\u00fchle zwischen\n                        Unterst\u00fctzung und Distanzierung, moralische Konflikte, Unsicherheiten\n                        bez\u00fcglich der eigenen Rolle, antizipatorische Trauer und Umgang mit der\n                        Planung der Phase vor dem assistierten Suizid, einschlie\u00dflich des\n                        Sterbetages. An- und Zugeh\u00f6rige berichteten zudem \u00fcber soziale\n                        Stigmatisierung und Schwierigkeiten, mit anderen \u00fcber den assistierten\n                        Suizid zu sprechen. Die h\u00e4ufigsten Gr\u00fcnde f\u00fcr den assistierten Suizid der\n                        sterbewilligen Person waren der Wunsch nach Kontrolle \u00fcber den eigenen Tod,\n                        Angst vor unw\u00fcrdigem Sterben sowie der Verlust der Autonomie.<\/jats:p>\n                  <jats:p>Die Ergebnisse zeigten, dass An- und Zugeh\u00f6rige von Personen, die einen\n                        assistierten Suizid in Anspruch nehmen, einer hohen emotionalen Belastung\n                        ausgesetzt sind. Besonders die antizipatorische Trauer sowie das Wissen um\n                        einen festgelegten Todestermin f\u00fchrten zu einem komplexen Erleben zwischen\n                        Akzeptanz, Schuldgef\u00fchlen und Hilflosigkeit. Dar\u00fcber hinaus besteht ein\n                        hoher Beratungsbedarf, insbesondere hinsichtlich emotionaler Verarbeitung,\n                        rechtlicher Unsicherheiten und der sozialen Integration nach dem\n                        Verlust.<\/jats:p>\n                  <jats:p>Diese Ergebnisse verdeutlichen die erhebliche emotionale Belastung von An-\n                        und Zugeh\u00f6rigen von Personen, die einen assistierten Suizid in Anspruch\n                        nehmen, und unterstreichen die Notwendigkeit gezielter psychosozialer\n                        Unterst\u00fctzung. Zuk\u00fcnftige Forschung sollte wirksame Beratungsans\u00e4tze weiter\n                        untersuchen, um mit antizipativer Trauer, moralischen Konflikten und\n                        sozialer Stigmatisierung in diesem Kontext umzugehen.<\/jats:p>","DOI":"10.1055\/a-2633-6971","type":"journal-article","created":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T22:45:49Z","timestamp":1754001949000},"page":"457-464","source":"Crossref","is-referenced-by-count":2,"title":["Psychosoziale Belastungen von An- und Zugeh\u00f6rigen im Kontext des\n                    assistierten Suizids: Ergebnisse einer spezialisierten\n                    Beratungsstelle"],"prefix":"10.1055","volume":"75","author":[{"given":"Birgit","family":"Wagner","sequence":"additional","affiliation":[{"name":"Klinische Psychologie, MSB Medical School Berlin GmbH,\n                    Berlin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Hofmann","sequence":"additional","affiliation":[{"name":"Klinische Psychologie, MSB Medical School Berlin GmbH,\n                    Berlin"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,7,31]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1154","DOI":"10.1177\/10497323231196827","article-title":"Relatives\u2019 Experiences of Being Involved in Assisted Dying: A Qualitative\n                    Study","volume":"33","author":"C Boven","year":"2023","journal-title":"Qual Health Res"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1136\/spcare-2022-003715","article-title":"Grief and bereavement of family and friends around medical assistance in dying:\n                    scoping review","volume":"13","author":"H Yan","year":"2023","journal-title":"BMJ Supportive & Palliative 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