Grouped gay and bisexual men into three categories to determine their levels of death fear and threat, and these factors' relation to religiosity. Uninfected men who worked with AIDS patients exhibited the lowest fear of a premature death. Religion served as a moderately effective coping strategy for premature death. (RJM)

Whether or not suicide may be considered a rational choice for clients with terminal illness is controversial. Rational suicide and the literature and statistics pertaining to suicide and terminal illness are reviewed. Implications of accepting rational suicide as a treatment option, including moral and ethical issues, are addressed. (Author/EMK)

This program guide on the right to die provides policy issue information where ethical concerns have a prominent place. Three positions about the right to die are presented: (1) mercy killing and assisted suicide should be legally permitted in certain cases; (2) legal status should be given to living wills and other advance directives that would…

Examined medical school education on relating to terminally ill patients based on data from national surveys conducted in 1975, 1985, and 1995. The number of schools offering occasional lectures or short courses on death and dying increased from 80% in 1975 to 82% in 1985 to 90% in 1995. (MDM)

Examined circumstances in the last 3 days of life for a sample of 1,227 elderly decedents. Interviews were with a surviving next-of-kin or a nonrelative about three months after the event of death. Around 34% of the decedents knew that death was impending, while about 40% had difficulty recognizing family members. (RJM)

The rational suicide paradigm is contrasted with the traditional view of the mental health professions. Historical background on suicide in western civilization is supplied and the concept of rationality elucidated. Parallels between the questions of refusing life-prolonging therapy and rational suicide are discussed, as are reasons for suicide.…

The relationship between medical illness and suicide seems to be multi-faceted. While medical illness is not the sole determinant of suicide, certain illnesses, such as HIV/AIDS and brain cancers, do appear to elevate the risk of suicide. Possible effective prevention efforts include education of primary care providers, and improved medication…

The belief that dying and grieving are natural processes is widely held in modern bereavement care. Examines four assumption often made in this connection: (1) most primitive cultures deal with death in an accepting way; (2) this way is different than our own; (3) it is a good and noble way; and (4) traditional societies see death as natural. (JBJ)

Discusses progeria (or Hutchinson-Gilford syndrome), a rare childhood disorder that invariably results in death during adolescence. Describes the major medical aspects of progeria, and discusses the psychosocial implications of the disorder with particular emphasis on grief-triggered reactions. Presents an overview of psychosocial intervention…

Presents findings from a mail survey of 414 persons regarding organ transplantation and donation policy issues. Gauged three measures of support for organ donation: donor card commitment, required request of next-of-kin support, and weak presumed consent support. High levels of support exist for organ donor cards and the next-of-kin law. Little…

Examines feasibility of palliative approach for all patients, showing reasonable people may refuse even the most exemplary care for themselves or an incompetent relative. Medical realities and alleviation of pointless suffering necessitate that policymakers consider other options, including "active" euthanasia, consistent with patient…

Participant-observation research was conducted in the home care components of a free-standing inpatient facility associated with several hospice organizations over three years. The data are reported using negotiated order theory as a framework for understanding the hospice movement and its attempts to change the experience of dying. (JPS)

Presents evidence for heightened need among dying to explore religious-spiritual issues and explains how counselors might best approach this need. Approach explicated centers on nonjudgmental openness toward all of client's religious-spiritual explorations. Presents psychosocial tools than can be used to assess, examine, and amplify client's…

Identifies several distinctive characteristics of bereavement in relation to human immunodeficiency virus/Acquired Immune Deficiency Syndrome (HIV/AIDS). Discusses multiple loss syndrome, truant grief, and chronic bereavement that are often experienced by persons living with AIDS and professionals working in HIV/AIDS field. Discusses need for new…

The Working Group on the Pre-Clinical Years of the 1997 National Consensus Conference on Medical Education for Care Near the End of Life identifies promising settings and suggests how they might be used for maximum benefit in end-of-life education. Basic-care competencies are in five domains: psychological/social/cultural/spiritual issues;…