{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T06:06:22Z","timestamp":1781849182115,"version":"3.54.5"},"reference-count":34,"publisher":"Public Library of Science (PLoS)","issue":"12","license":[{"start":{"date-parts":[[2024,12,13]],"date-time":"2024-12-13T00:00:00Z","timestamp":1734048000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001659","name":"German Research Foundation","doi-asserted-by":"crossref","award":["537566039"],"award-info":[{"award-number":["537566039"]}],"id":[{"id":"10.13039\/501100001659","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Suicide assistance is as a complex process comprising a series of stages, ranging from initial consultations with patients about end-of-life options to counselling bereaved family members. The role of healthcare professionals and other practitioners in this process varies according to national regulations and procedural requirements. After a decision of the German Federal Constitutional Court in 2020, suicide assistance is unregulated in Germany but official data about the implementation of suicide assistance is lacking.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Aims<\/jats:title>\n<jats:p>The project \u201cASEP\u2013Assisted suicide in Germany: Exploring the practice\u201d aims to generate and disseminate scientific knowledge on the practice of assisted suicide in Germany, based on the experiences of practitioners and family members.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Methods<\/jats:title>\n<jats:p>ASEP is a prospective, observational, qualitative study comprising three phases. In Phase 1, expert interviews will be conducted to identify involved professional groups, issues and stages of the implementation of suicide assistance in Germany. In phase 2, experiences of practitioners and family members, who were involved in the practice of suicide assistance in Germany, will be collected via semi-structured interviews and analysed. In phase 3, findings of phase 2 will be discussed in focus groups with experts to identify linkages between the practice of assisted suicide and the healthcare system and to develop recommendations on how these linkages should be organised.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Discussion<\/jats:title>\n<jats:p>The results of this study will gain insights into the practice of suicide assistance for the first time in Germany. The findings are expected to inform scientific societies, professional association, and policy makers about the current practice and provide recommendations for better linkages of assisted suicide with the healthcare system. In this way, the project provides an evidence-based impetus for a more transparent and well-founded handling of assisted suicide in the German healthcare system.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec005\">\n<jats:title>Trial registration<\/jats:title>\n<jats:p>The study was prospectively registered in the German Clinical Trials Register (Deutsches Register Klinischer Studien) (Registration N\u00b0 <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/clinicaltrials.gov\/ct2\/show\/DRKS00034574\" xlink:type=\"simple\">DRKS00034574<\/jats:ext-link>; date of registration: 04 July 2024). The study is searchable under the International Clinical Trials Registry Platform Search Portal of the World Health Organization, under the German Clinical Trials Register number.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0311880","type":"journal-article","created":{"date-parts":[[2024,12,13]],"date-time":"2024-12-13T18:36:38Z","timestamp":1734114998000},"page":"e0311880","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":4,"title":["Suicide assistance in Germany: A protocol for a multi-perspective qualitative study to explore the current practice"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3575-3817","authenticated-orcid":true,"given":"Sven","family":"Schwabe","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2602-9277","authenticated-orcid":true,"given":"Franziska A.","family":"Herbst","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5963-2526","authenticated-orcid":true,"given":"Stephanie","family":"Stiel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nils","family":"Schneider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,12,13]]},"reference":[{"issue":"3","key":"pone.0311880.ref001","doi-asserted-by":"crossref","first-page":"3540","DOI":"10.21037\/apm-20-637","article-title":"Assisted dying around the world: a status quaestionis","volume":"10","author":"S Mroz","year":"2021","journal-title":"Ann Palliat Med"},{"key":"pone.0311880.ref002","unstructured":"\u00c9ireann RT. Austrian parliament approves legalising assisted dying. https:\/\/www.rte.ie\/news\/world\/2021\/1216\/1267233-austria-assisted-suicide\/, 2021 (accessed 12 Dec 2022)."},{"key":"pone.0311880.ref003","unstructured":"Cohen J, Chambaere K., Euthanasia. https:\/\/doi.org\/10.1036\/1097-8542.24685, 2021 (accessed 12 Dec 2022)"},{"issue":"6","key":"pone.0311880.ref004","doi-asserted-by":"crossref","first-page":"1564","DOI":"10.1016\/j.jpainsymman.2018.02.011","article-title":"Implementation of Medical Assistance in Dying: A Scoping Review of Health Care Providers\u2019 Perspectives","volume":"55","author":"JK Fujioka","year":"2018","journal-title":"J Pain Symptom Manage"},{"issue":"4","key":"pone.0311880.ref005","doi-asserted-by":"crossref","first-page":"636","DOI":"10.1007\/s11606-018-4811-1","article-title":"Health Care Providers\u2019 Experiences with Implementing Medical Aid-in-Dying in Vermont: a Qualitative Study","volume":"34","author":"M Buchbinder","year":"2019","journal-title":"Journal of General Internal Medicine"},{"issue":"1","key":"pone.0311880.ref006","doi-asserted-by":"crossref","DOI":"10.1186\/1472-6939-10-18","article-title":"Reporting of euthanasia and physician-assisted suicide in the Netherlands: Descriptive study","volume":"10","author":"H Buiting","year":"2009","journal-title":"BMC Medical Ethics"},{"issue":"6","key":"pone.0311880.ref007","doi-asserted-by":"crossref","first-page":"482","DOI":"10.7326\/0003-4819-132-6-200003210-00010","article-title":"Should assisted suicide be only physician assisted? University of Pennsylvania Center for Bioethics Assisted Suicide Consensus Panel","volume":"132","author":"K Faber-Langendoen","year":"2000","journal-title":"Ann Intern Med"},{"issue":"7","key":"pone.0311880.ref008","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1177\/0269216307082475","article-title":"Impact of euthanasia on primary care physicians in the Netherlands","volume":"21","author":"H van Marwijk","year":"2007","journal-title":"Palliat Med"},{"issue":"1","key":"pone.0311880.ref009","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1111\/j.1365-2648.2007.04224.x","article-title":"Euthanasia and physician-assisted suicide in the Dutch homecare sector: the role of the district nurse","volume":"58","author":"GG van Bruchem-van de Scheur","year":"2007","journal-title":"J Adv Nurs"},{"issue":"5","key":"pone.0311880.ref010","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1046\/j.1466-7657.45.no.5issue341.7.x","article-title":"Euthanasia and assisted suicide in The Netherlands: clarifying the practice and the nurse\u2019s role","volume":"45","author":"AJ van der Arend","year":"1998","journal-title":"Int Nurs Rev"},{"issue":"16","key":"pone.0311880.ref011","doi-asserted-by":"crossref","first-page":"1253","DOI":"10.2146\/ajhp170122","article-title":"The pharmacist and medical aid in dying","volume":"74","author":"MT Hughes","year":"2017","journal-title":"Am J Health Syst Pharm"},{"issue":"3","key":"pone.0311880.ref012","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1080\/15524256.2012.708295","article-title":"What their terms of living and dying might be: hospice social workers discuss Oregon\u2019s Death with Dignity Act","volume":"8","author":"EM Norton","year":"2012","journal-title":"J Soc Work End Life Palliat Care"},{"issue":"4","key":"pone.0311880.ref013","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1037\/0278-6133.20.4.302","article-title":"Physician-assisted dying: review of issues and roles for health psychologists","volume":"20","author":"SR Sears","year":"2001","journal-title":"Health Psychol"},{"issue":"12","key":"pone.0311880.ref014","doi-asserted-by":"crossref","first-page":"727","DOI":"10.1136\/jme.2011.045492","article-title":"\u2019Unbearable suffering\u2019: a qualitative study on the perspectives of patients who request assistance in dying","volume":"37","author":"MK Dees","year":"2011","journal-title":"J Med Ethics"},{"issue":"1","key":"pone.0311880.ref015","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1177\/0269216312463259","article-title":"Perspectives of decision-making in requests for euthanasia: a qualitative research among patients, relatives and treating physicians in the Netherlands","volume":"27","author":"MK Dees","year":"2013","journal-title":"Palliat Med"},{"issue":"4","key":"pone.0311880.ref016","doi-asserted-by":"crossref","first-page":"1085","DOI":"10.1016\/j.jpainsymman.2017.12.482","article-title":"Family Caregivers\u2019 Reflections on Experiences of Assisted Suicide in Switzerland: A Qualitative Interview Study","volume":"55","author":"C Gamondi","year":"2018","journal-title":"J Pain Symptom Manage"},{"issue":"22","key":"pone.0311880.ref017","first-page":"e123","article-title":"Practice of euthanasia among physicians and nurses in German hospitals","volume":"145","author":"KH Beine","year":"2020","journal-title":"Deutsche medizinische Wochenschrift"},{"key":"pone.0311880.ref018","unstructured":"Deutscher Bundestag. Bundestag lehnt Gesetzentw\u00fcrfe zur Reform der Sterbehilfe ab. https:\/\/www.bundestag.de\/dokumente\/textarchiv\/2023\/kw27-de-suiziddebatte-954918, 2023 (accessed Jul 2023)."},{"key":"pone.0311880.ref019","unstructured":"Tagesschau. Interview zur Regelung der Sterbehilfe, \"An vielen Stellen kann Menschen geholfen werden\u201c. https:\/\/www.tagesschau.de\/wissen\/gesundheit\/sterbehilfe-debatte-bundestag-ethikrat-buyx-100.html, 2023 (Accessed Jul 2023)."},{"key":"pone.0311880.ref020","unstructured":"Tagesschau.de. Sterbehilfevereine halfen bei fast 350 Suiziden. https:\/\/www.tagesschau.de\/inland\/gesellschaft\/sterbehilfe-deutschland-101.html, 2021; (accessed 01 Dec 2022)."},{"issue":"Suppl 1","key":"pone.0311880.ref021","doi-asserted-by":"crossref","first-page":"S20","DOI":"10.1016\/S1344-6223(02)00091-3","article-title":"Active euthanasia and physician-assisted suicide: the German discussion","volume":"5","author":"M Oehmichen","year":"2003","journal-title":"Leg Med (Tokyo)"},{"issue":"1","key":"pone.0311880.ref022","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1186\/s12910-017-0170-4","article-title":"Beyond cultural stereotyping: views on end-of-life decision making among religious and secular persons in the USA, Germany, and Israel.","volume":"18","author":"M Schweda","year":"2017","journal-title":"BMC Medical Ethics"},{"issue":"04","key":"pone.0311880.ref023","doi-asserted-by":"crossref","first-page":"e32","DOI":"10.1055\/s-0041-111182","article-title":"Organisierte Suizidbeihilfe in Deutschland","volume":"141","author":"F Bruns","year":"2016","journal-title":"Dtsch Med Wochenschr"},{"issue":"4","key":"pone.0311880.ref024","doi-asserted-by":"crossref","first-page":"1758","DOI":"10.1111\/j.1475-6773.2006.00684.x","article-title":"Qualitative data analysis for health services research: developing taxonomy, themes, and theory","volume":"42","author":"EH Bradley","year":"2007","journal-title":"Health Serv Res"},{"key":"pone.0311880.ref025","volume-title":"Qualitative research & evaluation","author":"MQ Patton","year":"2015","edition":"4"},{"issue":"9596","key":"pone.0311880.ref026","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1016\/S0140-6736(07)61602-X","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies","volume":"370","author":"E von Elm","year":"2007","journal-title":"Lancet"},{"key":"pone.0311880.ref027","article-title":"Qualitative content analysis: theoretical foundation, basic procedures and software solution","author":"P Mayring","year":"2014"},{"issue":"1","key":"pone.0311880.ref028","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1177\/1525822X05279903","article-title":"How Many Interviews Are Enough?: An Experiment with Data Saturation and Variability","volume":"18","author":"G Guest","year":"2006","journal-title":"Field Methods"},{"key":"pone.0311880.ref029","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1186\/1471-2288-13-14","article-title":"Developing longitudinal qualitative designs: lessons learned and recommendations for health services research","volume":"13","author":"L Calman","year":"2013","journal-title":"BMC Med Res Methodol"},{"key":"pone.0311880.ref030","unstructured":"GmbH DDP, F4 Audiotranskription [computer software]. 2012, Marburg."},{"key":"pone.0311880.ref031","unstructured":"MAXQDA, MAXQDA2020: Software for qualitative data analysis. 2020, VERBI Software Consult Sozialforschung GmbH: Berlin."},{"key":"pone.0311880.ref032","unstructured":"Leiner, D.J. SoSci Survey (Version 3.1.06) [Computer software]. 2019. https:\/\/www.soscisurvey.de. [Assessed 2022 Mar 07]."},{"issue":"1","key":"pone.0311880.ref033","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1186\/s12904-019-0470-1","article-title":"How to help researchers in palliative care improve responsiveness to migrants and other underrepresented populations: developing and testing a self-assessment instrument","volume":"18","author":"M Torensma","year":"2019","journal-title":"BMC Palliat Care"},{"key":"pone.0311880.ref034","unstructured":"American Psychological Association. Ethical principles of psychologists and code of conduct. In: Sharing Research Data for Verification. US; 2010. 8.14."}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0311880","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,13]],"date-time":"2024-12-13T18:36:50Z","timestamp":1734115010000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0311880"}},"subtitle":[],"editor":[{"given":"Emma","family":"Campbell","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2024,12,13]]},"references-count":34,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2024,12,13]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0311880","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,13]]}}}