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Motivations for seeking a hastened death (data from Washington State)

Illness-related experiences

Inability to engage in enjoyable activities (89%)
Feeling weak, tired, uncomfortable (69%)
Loss of function (66%)
Pain or unacceptable side effects of pain medications (40%)

Threats to sense of self

Loss of autonomy (97%)
Loss of dignity (75%)
Loss of sense of self (63%)
Desire for control (60%)
Long-standing beliefs in favor of hastened death (14%)

Fears about the future

Fears about future quality of life and dying (60%)
Negative past experience with dying friends or family members (49%)
Fear of being a burden on others (9%)

Adapted from Quill, Timothy E., M.D., and Margaret P. Battin, Ph.D., eds.. Physician-Assisted Dying: The Case for Palliative Care and Patient Choice. pp. 94, Table 6.1. © 2004 The Johns Hopkins University Press. Reprinted with permission of Johns Hopkins University Press.
Additional data from:

Loggers ET, Starks H, Shannon-Dudley M, et al. Implementing a death with Dignity Program at a comprehensive cancer center. N Engl J Med 2013; 368:1417.

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