The acceptability of decision to withdraw life-sustaining treatment based on the living will and substituted judgements involving decision - The tendency of judiciary decisions and guidelines in Japan

Etsuko Kamishiraki, Shoichi Maeda, Noriaki Ikeda

Research output: Contribution to journalArticle

Abstract

Recently in Japan, the topic of withdrawing life support is becoming increasingly urgent. The issue of living wills and surrogate decision makers in this process has received little attention. The purpose of this study is to examine recent judiciary decisions in Japan (criminal judgements) and recent guidelines regarding the decision to withdraw life-sustaining treatment based on the living will or surrogate decisions by the patient's family members. We found that most court rulings and all guidelines support withdrawal of life support based on patient wishes stated in a living will. On the other hand, only one judiciary decision supports the use of surrogate wishes in the decision to withdraw support, and the issue of surrogates was not clearly addressed in recent guidelines.

Original languageEnglish
Pages (from-to)S396-S398
JournalLegal Medicine
Volume11
Issue numberSUPPL. 1
DOIs
Publication statusPublished - 2009 Apr

Keywords

  • Guideline
  • Judiciary decision
  • Living will
  • Substituted judgement
  • Surrogate wish
  • Withdrawing life support

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Issues, ethics and legal aspects

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