{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T23:09:04Z","timestamp":1779232144814,"version":"3.51.4"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T00:00:00Z","timestamp":1774310400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychiatr Prax"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Die Entscheidung des Bundesverfassungsgerichts zur Zul\u00e4ssigkeit der\nSuizidassistenz wirft grundlegende Fragen nach klinischen und\nverfahrensbezogenen Standards im Umgang mit vulnerablen Patient:innen auf.\nGerade bei psychischen Erkrankungen stellt die Pr\u00fcfung der\nFreiverantwortlichkeit eine besondere Herausforderung dar. Der vorliegende\nFallbericht beschreibt eine Patientin mit rezidivierender depressiver St\u00f6rung\nund histrionischer Pers\u00f6nlichkeitsst\u00f6rung, die w\u00e4hrend einer teilstation\u00e4ren\npsychiatrischen Behandlung mit Unterst\u00fctzung einer Sterbehilfeorganisation\nverstarb. Das externe Gutachten basiert auf einem einmaligen Videogespr\u00e4ch zw\u00f6lf\nTage zuvor. Der Fall zeigt, wie depressive Symptomatik und ambivalente\nTherapieeinstellungen die Beurteilung eines freiverantwortlich begr\u00fcndeten\nSterbewunsches erschweren und verweist auf den Bedarf an klaren,\nkontextsensiblen Kriterien zur Einsch\u00e4tzung der Freiverantwortlichkeit sowie an\nverl\u00e4sslichen institutionellen Qualit\u00e4tssicherungsverfahren.<\/jats:p>","DOI":"10.1055\/a-2823-7177","type":"journal-article","created":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T23:41:41Z","timestamp":1774395701000},"page":"215-217","source":"Crossref","is-referenced-by-count":0,"title":["Assistierter Suizid w\u00e4hrend teilstation\u00e4rer psychiatrischer\nBehandlung: Ein Fallbericht und klinisch-ethische Implikationen"],"prefix":"10.1055","volume":"53","author":[{"given":"Ziyan","family":"Xu","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Psychiatrie und Psychotherapie III, Universit\u00e4t Ulm, Ulm,\nGermany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Connemann","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Psychiatrie und Psychotherapie III, Universit\u00e4t Ulm, Ulm,\nGermany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathalie","family":"Oexle","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Psychiatrie und Psychotherapie II, Universit\u00e4t Ulm und BKH\nG\u00fcnzburg, Ulm, Germany"},{"name":"Universit\u00e4tsklinikum Leipzig, Klinik und Poliklinik f\u00fcr Psychiatrie und\nPsychotherapie, Leipzig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernhard","family":"Connemann","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Psychiatrie und Psychotherapie III, Universit\u00e4t Ulm, Ulm,\nGermany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2026,3,24]]},"reference":[{"key":"ref2","doi-asserted-by":"crossref","first-page":"708","DOI":"10.21037\/apm-23-472","article-title":"Assisted suicide in persons with mental disorders: a review of clinical-ethical\narguments and recommendations","volume":"13","author":"G Marckmann","year":"2024","journal-title":"Ann Palliat Med"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.jpsychires.2020.12.006","article-title":"Euthanasia and assisted suicide in psychiatric patients: a systematic review of\nthe literature","volume":"135","author":"R Calati","year":"2021","journal-title":"J Psychiatr Res"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1001\/jamapsychiatry.2015.2887","article-title":"Euthanasia and assisted suicide of patients with psychiatric disorders in the\nNetherlands 2011 to 2014","volume":"73","author":"S Y Kim","year":"2016","journal-title":"JAMA Psychiatry"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"e91","DOI":"10.1192\/j.eurpsy.2025.10041","article-title":"Assessment of decisional capacity. A systematic review and analysis of\ninstruments regarding their applicability to requests for assisted suicide","volume":"68","author":"L Kupsch","year":"2025","journal-title":"Eur Psychiatry"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"101797","DOI":"10.1016\/j.ssmph.2025.101797","article-title":"Policies on dying: Assisted suicide in Germany","volume":"30","author":"C S Villalba","year":"2025","journal-title":"SSM Popul Health"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1016\/S2215-0366(24)00136-6","article-title":"Psychological and psychosocial interventions for treatment-resistant\nschizophrenia: a systematic review and network meta-analysis","volume":"11","author":"N H Salahuddin","year":"2024","journal-title":"Lancet Psychiatry"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1007\/s00103-021-03469-9","article-title":"Suizid und Suizidbeihilfe aus rechtlicher und ethischer Perspektive","volume":"65","author":"T Henking","year":"2022","journal-title":"Bundesgesundheitsblatt Gesundheitsforschung\nGesundheitsschutz"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1136\/jme-2023-109079","article-title":"Beneficence cannot justify voluntary euthanasia and physician-assisted\nsuicide","volume":"50","author":"P Panayiotou","year":"2024","journal-title":"J Med Ethics"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1111\/bioe.70038","article-title":"Three Roles for Clinical Ethicists to Provide Clarity and Guidance on\nPhysician-Assisted Suicide\/Euthanasia","author":"K Drabiak","year":"2025","journal-title":"Bioethics"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1007\/s00194-023-00669-2","article-title":"Assistierte Suizide in M\u00fcnchen\u2013Rolle der Sterbehilfeorganisationen und der\nbeteiligten \u00c4rzte","volume":"34","author":"S Gleich","year":"2024","journal-title":"Rechtsmedizin"},{"key":"ref14","doi-asserted-by":"crossref","DOI":"10.5771\/9783748934974","volume-title":"Assistierter Suizid und Freiverantwortlichkeit: Wissenschaftliche Erkenntnisse,\nethische und rechtliche Debatten, Fragen der Umsetzung","author":"M Bobbert","year":"2022"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1055\/a-2010-1011","article-title":"\u00c4rztlich assistierter Suizid f\u00fcr Menschen mit psychischen St\u00f6rungen","volume":"42","author":"K M\u00fcller","year":"2023","journal-title":"Nervenheilkunde"}],"container-title":["Psychiatrische Praxis"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2823-7177.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T23:01:50Z","timestamp":1779231710000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2823-7177"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,24]]},"references-count":12,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2026,5,12]]},"published-print":{"date-parts":[[2026,5]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2823-7177","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0303-4259","1439-0876"],"issn-type":[{"value":"0303-4259","type":"print"},{"value":"1439-0876","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,24]]}}}