{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T19:06:22Z","timestamp":1789239982759,"version":"build-2803163510"},"reference-count":29,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T00:00:00Z","timestamp":1779148800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T00:00:00Z","timestamp":1779148800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100004440","name":"Wellcome","doi-asserted-by":"publisher","award":["[203132\/Z\/16\/Z]"],"award-info":[{"award-number":["[203132\/Z\/16\/Z]"]}],"id":[{"id":"10.13039\/100004440","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Bioethics"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>The voluntary stopping of eating and drinking (VSED) is a phenomenon whereby an individual with decision\u2010making capacity chooses to cease eating and drinking with the intention of ending their own life. This is widely acknowledged as a lawful, albeit uncommon, end\u2010of\u2010life decision. It is now generally accepted that patients undertaking VSED should have access to appropriate palliative care, as per any other form of dying. However, it remains unclear whether terminal sedation (TS), the use of sedative drugs to treat intolerable symptoms at the end of life, should form part of this palliative care. In this paper, we explore and defend the use of TS in the management of VSED. We argue that TS is medically appropriate in the management of patients undertaking VSED who develop refractory delirium and have previously consented to TS. We further argue that, given the life expectancy window in cases of VSED, the appropriate use of sedation during this time does not hasten death and fits within the 2\u2010week limit applied to traditional TS. We conclude that TS is medically and ethically appropriate in the management of VSED.<\/jats:p>","DOI":"10.1111\/bioe.70127","type":"journal-article","created":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T10:50:12Z","timestamp":1779187812000},"page":"886-892","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Should Terminal Sedation Be Expanded to Individuals Who Choose to Die Via the Voluntary Stopping of Eating and Drinking?"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-5962-4864","authenticated-orcid":false,"given":"Laura","family":"Gilbertson","sequence":"first","affiliation":[{"name":"Uehiro Oxford Institute University of Oxford Oxford UK"},{"name":"The Royal Melbourne Hospital Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3958-8633","authenticated-orcid":false,"given":"Dominic","family":"Wilkinson","sequence":"additional","affiliation":[{"name":"Uehiro Oxford Institute University of Oxford Oxford UK"},{"name":"John Radcliffe Hospital Oxford UK"},{"name":"Murdoch Children's Research Institute Melbourne Victoria Australia"},{"name":"Centre for Biomedical Ethics, National University of Singapore Yong Loo Lin School of Medicine  Singapore"},{"name":"Department of Paediatrics School of Clinical Sciences, Faculty of Medicine Nursing and Health Sciences, Monash University Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian","family":"Savulescu","sequence":"additional","affiliation":[{"name":"Uehiro Oxford Institute University of Oxford Oxford UK"},{"name":"Murdoch Children's Research Institute Melbourne Victoria Australia"},{"name":"Centre for Biomedical Ethics, National University of Singapore Yong Loo Lin School of Medicine  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,19]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2006.0139"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-5994.2011.02511.x"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/jme-2022-108511"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.15200"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/medethics-2013-101379"},{"issue":"2","key":"e_1_2_10_7_1","first-page":"376","article-title":"Voluntary Palliated Starvation: A Lawful and Ethical Way to Die?","volume":"22","author":"White B.","year":"2014","journal-title":"Journal of Law and Medicine"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00481-023-00793-3"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2007.10.004"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2020.06.019"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/bioe.12838"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1023\/b:meta.0000025096.25317.22"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/medethics-2011-100353"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2024.0206"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-017-0950-1"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2010.04.033"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1943-278X.1972.tb00082.x"},{"issue":"97","key":"e_1_2_10_18_1","first-page":"257","article-title":"[Hastening Death by Voluntary Stopping of Eating and Drinking. A New Mode of Assisted Suicide?]","volume":"29","author":"Requena P.","year":"2018","journal-title":"Cuadernos De Bioetica: Revista Oficial De La Asociacion Espanola De Bioetica Y Etica Medica"},{"key":"e_1_2_10_19_1","unstructured":"Royal Dutch Medical Association (KNMG) Caring for People Who Stop Eating and Drinking to Hasten the End of Life (p. 90) (2024) https:\/\/www.knmg.nl\/actueel\/publicaties\/publications-in-english."},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/104990919501200205"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.21037\/apm-19-525"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2011.37.3795"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2014.05.009"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.1109"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1089\/109662103322144655"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11912-002-0022-2"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2007.01.005"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.12924"},{"issue":"4","key":"e_1_2_10_29_1","first-page":"337","article-title":"End\u2010of\u2010Life Issues in Advanced Dementia","volume":"61","author":"Arcand M.","year":"2015","journal-title":"Canadian Family Physician Medecin de Famille Canadien"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.18785"}],"container-title":["Bioethics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bioe.70127","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/bioe.70127","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bioe.70127","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T19:03:53Z","timestamp":1789239833000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/bioe.70127"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,19]]},"references-count":29,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/bioe.70127"],"URL":"https:\/\/doi.org\/10.1111\/bioe.70127","archive":["Portico"],"relation":{},"ISSN":["0269-9702","1467-8519"],"issn-type":[{"value":"0269-9702","type":"print"},{"value":"1467-8519","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,19]]},"assertion":[{"value":"2025-07-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}