Assisted dying plans in Scotland could include people with mental illness, MSPs warned

Plans to legalise assisted dying in Scotland are under scrutiny as concerns are raised about the potential inclusion of people with mental illness. The Scottish Parliament’s health committee is currently examining the proposed legislation put forward by Lib Dem MSP Liam McArthur. The bill, if passed, would grant individuals aged 16 and above with a terminal illness the right to request assistance to end their life.

During a recent session, experts warned MSPs about the broad wording in the bill, which defines terminal illness as any condition from which a person cannot recover. Dr. Mary Neal from Strathclyde University highlighted the possibility that individuals with mental health issues that may impact their life expectancy could seek assisted dying under the current definitions.

Dr. Stephen Potts, a consultant in liaison psychiatry at NHS Lothian, highlighted the prevalence of mental illness in those with terminal conditions and raised concerns about the clarity of eligibility for individuals with conditions like dementia. The potential for legal challenges expanding access to assisted dying, even to individuals with non-terminal conditions, was also discussed.

The health committee also addressed worries about discrimination against individuals with disabilities under the proposed legislation. The requirements for residency in Scotland, registration with a Scottish GP, and mental competency were outlined, with the stipulation that individuals must self-administer the end-of-life medication.

However, concerns were raised that some individuals, while able to consent to the treatment, may face barriers in physically carrying it out. The need for two independent doctor assessments and a written declaration from the individual was also highlighted in the bill.

Despite two previous unsuccessful attempts to pass similar legislation, the debate continues as the potential implications of legalising assisted dying in Scotland are carefully examined. The complex ethical, legal, and practical considerations surrounding this sensitive issue are at the forefront of discussions among lawmakers and healthcare professionals.

In conclusion, the ongoing discussions around assisted dying legislation in Scotland reflect the complexities and challenges of balancing individual autonomy with the need to safeguard vulnerable populations. As lawmakers navigate these deliberations, it is crucial to ensure that any decision taken is guided by compassion, respect for human dignity, and a commitment to upholding the highest standards of ethical and legal integrity.