TABLE 1. Prevalence of psychiatric disorders of a selection of patients who died through physician assisted death in the Netherlands between 2015-2017 DSM-IV categories and classifications n %* Mood disorders 22 61 Depression 16 47 Bipolar disorder (I and II) 2 6 Dysthymia 2 6 Symptoms of depression 2 6 Anxiety disorders 8 24 Generalized anxiety disorders 0 0 Panic disorder 3 9 Social fobia 1 3 Symptoms of anxiety or panic 5 15 Post-traumatic stress disorder 8 24 Obsessive compulsive disorder 4 12 Psychotic disorders 6 18 Schizophrenia 1 3 Schizoaffective disorder 2 6 Psychosis NOS 1 3 Symptoms of psychosis 2 6 Somatoform disorders 5 15 Pain disorder 1 3 Hypochondria 1 3 Somatoform disorder NOS 3 9 Autism Spectrum Disorder 0 0 Substance use disorders 2 6 Alcohol dependence 1 3 Alcohol- and drug dependence 2 6 Eating disorders 7 21 Anorexia Nervosa 6 18 Eating disorder NOS 1 3 Personality disorders 18 53 Borderline personality disorder 1 3 Schizoid personality disorder 1 3 Personality disorder NOS 13 39 Personality problems 3 6 * Because several disorders or complaints were described in most patients, the combined percentages are higher than 100%. Role of the physician In 31 cases (89%), at least one independent psychiatrist was consulted for a second opinion, and in all cases an independent SCEN-doctor was involved. In 4 cases, there were disagreements between the involved physicians about the prospect of improvement (Case-numbers: 2016-11, 2016-78, 2017-8, 2017-9). In all cases, the consulted physicians agreed that the patient was competent to choose for PAD. In 4 cases (11%), no independent psychiatrist was involved. As a result, the RTE judged one euthanasia procedure in 2017 as not meeting due diligence requirements (Case EUTHANASIA OF DUTCH PATIENTS WITH PSYCHIATRIC DISORDERS BETWEEN 2015 AND 2017 | 43 3
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