{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T09:48:11Z","timestamp":1782726491488,"version":"3.54.5"},"reference-count":84,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Death wishes and end-of-life legislation are increasingly relevant in ageing societies, where demographic shifts and evolving legal frameworks appear to raise complex ethical and clinical challenges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Summary<\/jats:title>\n                    <jats:p>Wishes to die among older adults are complex and not limited to mental illness or terminal illness. Although depression and demoralization are common, evidence suggests that many older individuals experience these wishes in the absence of psychiatric disorders. These experiences often reflect an existential response to cumulative losses in autonomy, identity, and social embeddedness. This review organizes existing literature using a multilevel explanatory framework. At the psychological\u2013existential and identity level, death wishes are associated with depression, demoralization, loss of meaning, and narrative disruption. At the social\u2013relational level, loneliness, perceived burdensomeness, and social disconnection play a central role. At the structural\u2013cultural level, ageism, societal narratives of dependency, and broader cultural meanings of ageing contribute to the emergence and interpretation of death wishes. At the legal\u2013ethical level, medical assistance in dying (MAiD) frameworks shape how autonomy, suffering, and legitimacy of death wishes are understood in different jurisdictions. Across these levels, death wishes appear to arise from interacting psychological, relational, and societal processes rather than from a single underlying cause. Qualitative studies further highlight the deeply personal nature of these experiences, often linked to feelings of being a burden, narrative closure, or perceived loss of future meaning. Clinically, evidence indicates that a purely psychiatric or autonomy-driven approach is insufficient. Instead, effective responses require narrative competence, existential sensitivity, and awareness of contextual influences. This review synthesizes these findings into an integrated conceptual framework and outlines key implications for clinical practice in geriatrics, psychiatry, and palliative care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Key message<\/jats:title>\n                    <jats:p>This review argues for a multidimensional approach that recognizes death wishes not only as clinical or legal phenomena, but as deeply human expressions of suffering, identity, and relationality in the context of ageing.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyt.2026.1791344","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T06:53:42Z","timestamp":1781852022000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Understanding death wishes in later life: a narrative review"],"prefix":"10.3389","volume":"17","author":[{"given":"Richard C.","family":"Oude Voshaar","sequence":"first","affiliation":[{"name":"Department of Psychiatry, University of Groningen, University Medical Center Groningen","place":["Groningen, Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Radboud M.","family":"Marijnissen","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Groningen, University Medical Center Groningen","place":["Groningen, Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1027\/0227-5910\/a000078","article-title":"Understanding why older people develop a wish to die: a qualitative interview study","volume":"32","author":"Rurup","year":"2011","journal-title":"Crisis"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-009440","article-title":"Experiences and motivations underlying wishes to die in older people who are tired of living: a research area in its infancy","volume":"6","author":"van Wijngaarden","year":"2016","journal-title":"BMJ Open"},{"key":"B3","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1186\/s12910-021-00632-4","article-title":"Current wishes to die; characteristics of middle-aged and older Dutch adults who are ready to give up on life: a cross-sectional study","volume":"22","author":"Kox","year":"2021","journal-title":"BMC Med Ethics"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1007\/s11673-020-10084-x","article-title":"The final act: an ethical analysis of Pia Dijkstra's euthanasia for a completed life","volume":"18","author":"Holzman","year":"2021","journal-title":"J Bioeth Inq"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2019.1697201","article-title":"A systematic review of older adults' request for or attitude toward euthanasia or assisted-suicide","volume":"25","author":"Dransart","year":"2021","journal-title":"Aging Ment Health"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\/2012\/002260","article-title":"Suicidal feelings in the twilight of life: a cross-sectional population-based study of 97-year-olds","volume":"3","author":"F\u00e4ssberg","year":"2013","journal-title":"BMJ Open"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.124.5.460","article-title":"Suicidal feelings in the general population: a prevalence study","volume":"124","author":"Paykel","year":"1974","journal-title":"Br J Psychiatry"},{"key":"B8","volume-title":"Kennissynthese ouderen en het zelfgekozen levenseinde","author":"van der Heide","year":"2014"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnu026","article-title":"Passive suicide ideation: an indicator of risk among older adults seeking aging services","volume":"55","author":"van Orden","year":"2015","journal-title":"Gerontologist"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1186\/1472-684x-13-38","article-title":"What a wish to die can mean: reasons, meanings and functions of wishes to die, reported from 30 qualitative case studies of terminally ill cancer patients in palliative care","volume":"13","author":"Ohnsorge","year":"2014","journal-title":"BMC Palliat Care"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3524","article-title":"Intentions in wishes to die: analysis and a typology \u2013 a report of 30 qualitative case studies of terminally ill cancer patients in palliative care","volume":"23","author":"Ohnsorge","year":"2014","journal-title":"Psycho-Oncology"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1027\/0227-5910\/a000079","article-title":"Wishes to die in older people. A quantitative study of prevalence and associated factors","volume":"32","author":"Rurup","year":"2011","journal-title":"Crisis"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.152.8.1185","article-title":"Desire for death in the terminally ill","volume":"152","author":"Chochinov","year":"1995","journal-title":"Am J Psychiatry"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/24.5.389","article-title":"Factors associated with the wish to die in elderly people","volume":"24","author":"Jorm","year":"1995","journal-title":"Age Ageing"},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.153.8.1015","article-title":"Suicidal feelings in a population sample of nondemented 85-year-olds","volume":"153","author":"Skoog","year":"1996","journal-title":"Am J Psychiatry"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0447.2000.102002135.x","article-title":"Death wishes in the very elderly: data from a 3-year follow-up study","volume":"102","author":"Forsell","year":"2000","journal-title":"Acta Psychiatr Scand"},{"key":"B17","doi-asserted-by":"publisher","first-page":"342","DOI":"10.1186\/s12877-020-01735-0","article-title":"Prevalence and characteristics of older adults with a persistent death wish without severe illness: a large cross-sectional survey","volume":"20","author":"Hartog","year":"2020","journal-title":"BMC Geriatr"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afab010","article-title":"The 'wish to die' in later life: prevalence, longitudinal course and mortality. Data from TILDA","volume":"50","author":"Briggs","year":"2021","journal-title":"Age Ageing"},{"key":"B19","first-page":"D5461","article-title":"Persons aged 75 and above who have a death wish while not being seriously ill: who are these people","volume":"165","author":"Zomers","year":"2021","journal-title":"Ned Tijdschr Geneeskd"},{"key":"B20","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1436218","article-title":"Social disconnection correlates of a \"wish to die\" among a large community-dwelling cohort of older adults","volume":"12","author":"Ward","year":"2024","journal-title":"Front Public Health"},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.2190\/3qxd-ur0h-k8fh-2cu8","article-title":"Chronic medical conditions and wishes to die among older primary care patients","volume":"36","author":"Kim","year":"2006","journal-title":"Int J Psychiatry Med"},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.1176\/appi.psy.47.6.504","article-title":"Desire for hastened death among patients with advanced AIDS","volume":"47","author":"Rosenfeld","year":"2006","journal-title":"Psychosomatics"},{"key":"B23","doi-asserted-by":"publisher","DOI":"10.1002\/gps.4624","article-title":"Death wishes among older people assessed for home support and long-term aged residential care","volume":"32","author":"Cheung","year":"2017","journal-title":"Int J Geriatr Psychiatry"},{"key":"B24","doi-asserted-by":"publisher","first-page":"348","DOI":"10.1186\/s12877-020-01762-x","article-title":"Life worth living: cross-sectional study on the prevalence and determinants of the wish to die in elderly patients hospitalized in an internal medicine ward","volume":"20","author":"Bornet","year":"2020","journal-title":"BMC Geriatrics"},{"key":"B25","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16392","article-title":"Wish to die in older patients: development and validation of two assessment instruments","volume":"68","author":"D\u00fcrst","year":"2020","journal-title":"J Am Geriatr Soc"},{"key":"B26","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5706","article-title":"Thoughts of death and suicidality among patients with cancer: examining subtypes and their association with mental disorders","volume":"30","author":"Vehling","year":"2021","journal-title":"Psycho-Oncology"},{"key":"B27","doi-asserted-by":"publisher","DOI":"10.1177\/0030222817732465","article-title":"A captive, a wreck, a piece of dirt: aging anxieties embodied in older people with a death wish","volume":"80","author":"van Wijngaarden","year":"2019","journal-title":"Omega (Westport)"},{"key":"B28","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2007.01237.x","article-title":"The role of cognitive functioning and distress in suicidal ideation in older adults","volume":"55","author":"Ayalon","year":"2007","journal-title":"J Am Geriatr Soc"},{"key":"B29","volume-title":"Why people die by suicide","author":"Joiner","year":"2005"},{"key":"B30","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(14)70222-6","article-title":"The psychology of suicidal behaviour","volume":"1","author":"O'Connor","year":"2014","journal-title":"Lancet Psychiatry"},{"key":"B31","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2021.719309","article-title":"A narrative view on older adults' wish to die: a qualitative study","volume":"12","author":"Appel","year":"2021","journal-title":"Front Psychol"},{"key":"B32","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.153.8.1001","article-title":"Relationships of age and axis I diagnosis in victims of completed suicide: a psychological autopsy study","volume":"153","author":"Conwell","year":"1996","journal-title":"Am J Psychiatry"},{"key":"B33","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.142.5.559","article-title":"Hopelessness and eventual suicide: a 10-year prospective study of patients hospitalized with suicidal ideation","volume":"142","author":"Beck","year":"1985","journal-title":"Am J Psychiatry"},{"key":"B34","doi-asserted-by":"crossref","first-page":"119527","DOI":"10.1016\/j.jad.2025.119527","article-title":"Determinants of death wishes and the impact of considering life complete in geriatric-psychiatric outpatients","volume":"387","author":"Verlinden","year":"2025","journal-title":"J Affect Disord"},{"key":"B35","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2015.05.015","article-title":"Ready to give up on life: the lived experience of older people who feel life is completed and no longer worth living","volume":"138","author":"van Wijngaarden","year":"2015","journal-title":"Soc Sci Med"},{"key":"B36","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1614.2002.01086.x","article-title":"Demoralization: its phenomenology and importance","volume":"36","author":"Clarke","year":"2002","journal-title":"Aust N Z J Psychiatry"},{"key":"B37","doi-asserted-by":"publisher","DOI":"10.1177\/10499091231154887","article-title":"Prevalence, associated factors and adverse outcomes of demoralization in cancer patients: a decade of systematic review","volume":"40","author":"Wang","year":"2023","journal-title":"Am J Hosp Palliat Care"},{"key":"B38","volume-title":"The life cycle completed","author":"Erikson","year":"1982"},{"key":"B39","doi-asserted-by":"publisher","DOI":"10.1037\/a0025358","article-title":"Thwarted belongingness and perceived burdensomeness: construct validity and psychometric properties of the Interpersonal Needs Questionnaire","volume":"24","author":"van Orden","year":"2012","journal-title":"Psychol Assess"},{"key":"B40","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2022.2116402","article-title":"Validating the interpersonal theory of suicide among older adults pre- and peri-COVID-19","volume":"27","author":"Okan","year":"2023","journal-title":"Aging Ment Health"},{"key":"B41","volume-title":"Man's search for meaning","author":"Frankl","year":"1985"},{"key":"B42","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2015.08.007","article-title":"Does recognition of meaning in life confer resiliency to suicide ideation among community-residing older adults? A longitudinal investigation","volume":"24","author":"Heisel","year":"2016","journal-title":"Am J Geriatr Psychiatry"},{"key":"B43","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2025.03.012","article-title":"Four-year associations of wish-to-die trajectories with changes in the frailty of European citizens aged 50 and over","volume":"379","author":"de Maio Nascimento","year":"2025","journal-title":"J Affect Disord"},{"key":"B44","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2021.734049","article-title":"Older adults who experience their lives to be completed and no longer worth living: a systematic mini-review into used terminology, definitions, and interpretations","volume":"12","author":"Appel","year":"2021","journal-title":"Front Psychol"},{"key":"B45","doi-asserted-by":"publisher","DOI":"10.3390\/medsci7020025","article-title":"Spiritual care in palliative care: a systematic review of the recent European literature","volume":"7","author":"Gijsberts","year":"2019","journal-title":"Med Sci (Basel)"},{"key":"B46","doi-asserted-by":"publisher","DOI":"10.52225\/narra.v5i3.2753","article-title":"Death contemplation and mental well-being in elderly Thai Buddhist meditation practitioners","volume":"5","author":"Glushich","year":"2025","journal-title":"Narra J"},{"key":"B47","doi-asserted-by":"publisher","DOI":"10.1007\/s10943-022-01498-5","article-title":"Perspectives of major world religions regarding euthanasia and assisted suicide: a comparative analysis","volume":"61","author":"Grove","year":"2022","journal-title":"J Relig Health"},{"key":"B48","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2024.4006","article-title":"Requests for medical assistance in dying by young Dutch people with psychiatric disorders","volume":"82","author":"Schweren","year":"2025","journal-title":"JAMA Psychiatry"},{"key":"B49","volume-title":"Voltooid leven: de wens om te sterven in breder perspectief","year":"2016"},{"key":"B50","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.210929","article-title":"Establishing irremediable psychiatric suffering in the context of medical assistance in dying in the Netherlands: a qualitative study","volume":"194","author":"van Veen","year":"2022","journal-title":"CMAJ"},{"key":"B51","doi-asserted-by":"publisher","DOI":"10.1177\/07067437221087052","article-title":"Irremediable psychiatric suffering in the context of medical assistance in dying: a Delphi-study","volume":"67","author":"van Veen","year":"2022","journal-title":"Can J Psychiatry"},{"key":"B52","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2015.2887","article-title":"Euthanasia and assisted suicide of patients with psychiatric disorders in the Netherlands 2011 to 2014","volume":"73","author":"Kim","year":"2016","journal-title":"JAMA Psychiatry"},{"key":"B53","doi-asserted-by":"publisher","DOI":"10.1136\/bmjment-2023-300729","article-title":"Patients requesting and receiving euthanasia for psychiatric disorders in the Netherlands","volume":"26","author":"Kammeraat","year":"2023","journal-title":"BMJ Ment Health"},{"key":"B54","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2020.07.006","article-title":"Commentary letter to the editor on the study of Mangino et al.: euthanasia and assisted suicide of persons with dementia","volume":"28","author":"Marijnissen","year":"2020","journal-title":"Am J Geriatr Psychiatry"},{"key":"B55","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.857131","article-title":"Euthanasia in dementia: a narrative review of legislation and practices in the Netherlands and Belgium","volume":"13","author":"Marijnissen","year":"2022","journal-title":"Front Psychiatry"},{"key":"B56","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16692","article-title":"Physicians' and public attitudes toward euthanasia in people with advanced dementia","volume":"68","author":"Brinkman-Stoppelenburg","year":"2020","journal-title":"J Am Geriatr Soc"},{"key":"B57","doi-asserted-by":"publisher","DOI":"10.1186\/s12910-022-00745-4","article-title":"Health care providers' ethical perspectives on waiver of final consent for medical assistance in dying (MAiD): a qualitative study","volume":"23","author":"Variath","year":"2022","journal-title":"BMC Med Ethics"},{"key":"B58","volume-title":"Medical assistance in dying: national conversation on advance requests","year":"2025"},{"key":"B59","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2011.02.002","article-title":"Suicide in older adults","volume":"34","author":"Conwell","year":"2011","journal-title":"Psychiatr Clin North Am"},{"key":"B60","doi-asserted-by":"publisher","DOI":"10.1136\/jme.2007.023887","article-title":"Suicide assisted by two Swiss right-to-die organisations","volume":"34","author":"Fischer","year":"2008","journal-title":"J Med Ethics"},{"key":"B61","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1186\/s12904-020-00587-0","article-title":"Barriers to advance care planning: a qualitative study of seriously ill Chinese patients and their families","volume":"19","author":"Cheung","year":"2020","journal-title":"BMC Palliat Care"},{"key":"B62","doi-asserted-by":"publisher","DOI":"10.1136\/jme.2011.045492","article-title":"'Unbearable suffering': a qualitative study on the perspectives of patients who request assistance in dying","volume":"37","author":"Dees","year":"2011","journal-title":"J Med Ethics"},{"key":"B63","doi-asserted-by":"publisher","DOI":"10.1136\/jme.2007.020909","article-title":"Dealing with requests for euthanasia: a qualitative study investigating the experience of general practitioners","volume":"34","author":"Georges","year":"2008","journal-title":"J Med Ethics"},{"key":"B64","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2005.08.391","article-title":"Dignity therapy: a novel psychotherapeutic intervention for patients near the end of life","volume":"23","author":"Chochinov","year":"2005","journal-title":"J Clin Oncol"},{"key":"B65","doi-asserted-by":"publisher","DOI":"10.1136\/spcare-2024-pcc.43","article-title":"Exploring older people's end of life care preferences over time: a scoping review","volume":"39","author":"Robinson","year":"2025","journal-title":"Palliative Med"},{"key":"B66","doi-asserted-by":"publisher","DOI":"10.7334\/psicothema2023.261","article-title":"Suicidal ideation, social participation, loneliness, and mobility limitations: longitudinal evidence in older European adults","volume":"36","author":"Torres","year":"2024","journal-title":"Psicothema"},{"key":"B67","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2023.2271870","article-title":"Internalized ageism as a risk factor for suicidal ideation in later life","volume":"28","author":"Gendron","year":"2024","journal-title":"Aging Ment Health"},{"key":"B68","doi-asserted-by":"publisher","first-page":"150","DOI":"10.1186\/s12904-025-01784-5","article-title":"The heart of palliative care is relational: a scoping review of the ethics of care in palliative medicine","volume":"24","author":"Bertaud","year":"2025","journal-title":"BMC Palliat Care"},{"key":"B69","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951525000458","article-title":"Ethics and moral empathy in end-of-life palliative care","volume":"23","author":"Ibrahim","year":"2025","journal-title":"Palliat Support Care"},{"key":"B70","doi-asserted-by":"publisher","DOI":"10.1186\/s12910-022-00766-z","article-title":"Ethics education to support ethical competence learning in healthcare: an integrative systematic review","volume":"23","author":"Andersson","year":"2022","journal-title":"BMC Med Ethics"},{"key":"B71","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1186\/s12904-024-01408-4","article-title":"Effects of dignity therapy on psychological distress and wellbeing of palliative care patients and family caregivers - a randomized controlled study","volume":"23","author":"Seiler","year":"2024","journal-title":"BMC Palliat Care"},{"key":"B72","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2023.0336","article-title":"Engaging mortality: effective implementation of dignity therapy","volume":"27","author":"Wilkie","year":"2024","journal-title":"J Palliat Med"},{"key":"B73","doi-asserted-by":"publisher","first-page":"269","DOI":"10.1186\/s12904-025-01876-2","article-title":"Narrative identity at the end of life: a qualitative analysis of dignity therapy interviews from an existential perspective","volume":"24","author":"Devuyst","year":"2025","journal-title":"BMC Palliat Care"},{"key":"B74","doi-asserted-by":"publisher","DOI":"10.1002\/hast.4960","article-title":"Epistemic humility in the age of assisted dying","volume":"55","author":"Riley","year":"2025","journal-title":"Hastings Cent Rep"},{"key":"B75","doi-asserted-by":"publisher","first-page":"1434","DOI":"10.1186\/s12909-025-07765-9","article-title":"A reflective learning conversation debriefing model for interprofessional simulation based education","volume":"25","author":"Almomani","year":"2025","journal-title":"BMC Med Educ"},{"key":"B76","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1186\/s12904-025-01681-x","article-title":"Interdisciplinary strategies for establishing a trusting relation as a pre-requisite for existential conversations in palliative care: a grounded theory study","volume":"24","author":"Lagerin","year":"2025","journal-title":"BMC Palliat Care"},{"key":"B77","doi-asserted-by":"publisher","DOI":"10.1097\/SPC.0000000000000664","article-title":"Effectiveness of dignity therapy in the context of culturally competent care in people with palliative care needs: a systematic review of systematic reviews","volume":"17","author":"Johnston","year":"2023","journal-title":"Curr Opin Support Palliat Care"},{"key":"B78","doi-asserted-by":"publisher","DOI":"10.21037\/apm-24-35","article-title":"Psilocybin-assisted psychotherapy for existential distress: practical considerations for therapeutic application-a review","volume":"13","author":"Kim","year":"2024","journal-title":"Ann Palliat Med"},{"key":"B79","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2024.102212","article-title":"Breaking the links between ageism and health: an integrated perspective","volume":"95","author":"Henry","year":"2024","journal-title":"Ageing Res Rev"},{"key":"B80","doi-asserted-by":"publisher","DOI":"10.1177\/07334648241248297","article-title":"Perceived ageism in health care: a hybrid concept analysis","volume":"43","author":"Liu","year":"2024","journal-title":"J Appl Gerontol"},{"key":"B81","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2024.108419","article-title":"Implementation of the psycho-existential symptom assessment scale in palliative care: qualitative analysis of stakeholders perspectives","volume":"130","author":"Michael","year":"2025","journal-title":"Patient Educ Couns"},{"key":"B82","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2023.104624","article-title":"Effectiveness of dignity therapy on well-being among patients under palliative care: a systematic review and meta-analysis","volume":"149","author":"Wulandari","year":"2024","journal-title":"Int J Nurs Stud"},{"key":"B83","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.70148","article-title":"Loneliness and isolation: are they associated with the wish for an earlier end of life","volume":"25","author":"Hajek","year":"2025","journal-title":"Geriatr Gerontol Int"},{"key":"B84","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2025.1589487","article-title":"Nursing ethical dimensions of euthanasia and medically assisted suicide for older people in need of long-term care","volume":"16","author":"Seidlein","year":"2025","journal-title":"Front Psychiatry"}],"container-title":["Frontiers in Psychiatry"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2026.1791344\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T09:36:36Z","timestamp":1782725796000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2026.1791344\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,19]]},"references-count":84,"alternative-id":["10.3389\/fpsyt.2026.1791344"],"URL":"https:\/\/doi.org\/10.3389\/fpsyt.2026.1791344","relation":{},"ISSN":["1664-0640"],"issn-type":[{"value":"1664-0640","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,19]]},"article-number":"1791344"}}