Assisted Suicide in Switzerland: The Impact of Shifting Public Attitudes on Families and Professionals

Context: Following the enactment of laws permitting assisted suicide (AS) in Switzerland in 1942, there has been a gradual shift in societal perceptions of this practice from opposition to acceptance. This transformation involves the changing dynamics between palliative care and assisted dying. Objective: The main research question seeks to address how these changes affect families and professionals involved in the process of assisted suicide in Switzerland. This analysis examines demographic shifts, including age and religiosity, as well as the experiences of families and professionals involved in the process, which shape perspectives on AS. Method: Primary data were collected and analyzed along with secondary data. Primary data included 3 formal interviews and 2 informal interviews. Secondary data included a critical analysis of systematic reviews and original journal articles. Results: Palliative care and assisted suicide have reached a stage of mutual respect marked by collaborative efforts across professional fields and growing social acceptance. Demographic, experience-related, and religious ideological factors may continue to shape individual perspectives on AS, but religiosity is no longer as powerful as it was in the past. Palliative care physicians have adopted a more neutral stance toward AS, in contrast to past opposition. Family members are increasingly willing to discuss their experiences with AS and convey appreciation for organizations that facilitate AS. Conclusion: The change in public attitude and perception regarding assisted suicide has contributed to more positive experiences among both families and professionals engaged in AS practices. Recognition and advocacy from families and healthcare professionals have also progressively influenced public opinion, fostering a more accepting perspective toward AS in Switzerland.