Understanding death wishes in later life: a narrative review - Report - MDSpire

Understanding death wishes in later life: a narrative review

  • By

  • Richard C. Oude Voshaar

  • Radboud M. Marijnissen

  • June 19, 2026

  • 0 min

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Clinical Report: Exploring End-of-Life Desires in the Elderly

Overview

This narrative review examines the complex phenomenon of death wishes among older adults, emphasizing that these wishes are not solely linked to mental illness or terminal conditions. It highlights the multifaceted nature of these desires, influenced by psychological, social, and cultural factors.

Background

The increasing relevance of death wishes in ageing populations presents significant ethical and clinical challenges. Understanding these wishes is crucial for healthcare providers as they navigate the complexities of end-of-life care and decision-making.

Data Highlights

No numerical or trial data provided in the article.

Key Findings

  • Death wishes in older adults can arise from psychological, relational, and societal processes.
  • Many older individuals express death wishes without meeting criteria for psychiatric disorders.
  • Factors such as loneliness, perceived burdensomeness, and social disconnection are significant contributors.
  • Legal frameworks surrounding medical assistance in dying (MAiD) influence the interpretation of death wishes.
  • A multidimensional approach is necessary to address the complexities of death wishes in clinical practice.

Clinical Implications

Healthcare providers should recognize the deeply personal nature of these experiences to inform care strategies.

Conclusion

This review discusses the complexities of death wishes as human expressions shaped by various factors.

Related Resources & Content

  1. Author(s)/Org, Source, Year -- Title
  2. The ASCO Post, 2012 -- Getting the Right End-of-life Care: Coming to Terms with the Realities of Advanced Disease and Mortality
  3. Intensive Care Medicine, 2007 -- Discussion on “Perspectives of Healthcare Professionals, Patients, and Families in Europe on End-of-Life Choices: Insights from the ETHICATT Research”
  4. Revised European Association for Palliative Care (EAPC) recommended framework on palliative sedation: An international Delphi study - PMC
  5. Journal of Neuro-Oncology — Neurosurgical Palliative Care Strategies for Elderly Patients with Glioblastoma
  6. Revised European Association for Palliative Care (EAPC) recommended framework on palliative sedation: An international Delphi study - PMC
  7. Palliative Care for Patients With Cancer: ASCO Guideline Update | Journal of Clinical Oncology
  8. The Pharmacology of Aid in Dying: From Database Analyses to Evidence-Based Best Practices

Original Source(s)

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