{
    "abstract": "This position paper explores the complex issue of Physician-Assisted Suicide (PAS) in the context of Neurology. It discusses the legal, ethical, and clinical challenges surrounding PAS, including the role of neurologists in assessing eligibility based on prognosis, decision-making capacity, and functional status. The paper outlines Italy's legal framework regarding PAS, following a landmark 2019 Constitutional Court ruling, which permits PAS under strict conditions for patients suffering from incurable illnesses. It also compares PAS regulations in other European and non-European countries. The Italian Society of Neurology (SIN) emphasizes the importance of respecting patient autonomy while advocating for comprehensive palliative care (PC). The SIN's position is that PAS should be legalized under specific circumstances but insists on ensuring equitable access to PC services before considering PAS. Additionally, the SIN supports the training of neurologists in palliative and end-of-life care, underlining the need for careful monitoring and regulation of PAS practices to prevent potential ethical and legal abuses.",
    "authors": [
        {
            "affiliation": "Azienda Sanitaria Territoriale Fermo, UOC Neurologia, Fermo, Italy. eugenio.pucci@sanita.marche.it.",
            "firstname": "Eugenio",
            "initials": "E",
            "lastname": "Pucci"
        },
        {
            "affiliation": "Department of Neuroscience, IRCCS Istituto Auxologico Italiano, Milan, 20149, Italy.\nDepartment of Pathophysiology and Transplantation, Universit\u00e0 degli Studi di Milano, Milan, 20122, Italy.",
            "firstname": "Nicola",
            "initials": "N",
            "lastname": "Ticozzi"
        },
        {
            "affiliation": "Dipartimento di Scienze Neuroriabilitative, Casa di Cura Igea, Milan, Italy.",
            "firstname": "Giancarlo",
            "initials": "G",
            "lastname": "Comi"
        },
        {
            "affiliation": "Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Genoa, Italy.",
            "firstname": "Gianluigi",
            "initials": "G",
            "lastname": "Mancardi"
        },
        {
            "affiliation": "Professore Emerito di Neurologia, Universit\u00e0 Politecnica delle Marche, Ancona, Italy.",
            "firstname": "Leandro",
            "initials": "L",
            "lastname": "Provinciali"
        },
        {
            "affiliation": "Neurology Unit, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.\nDepartment of Continuity of Care and Frailty, Neurology Unit, ASST Spedali Civili Hospital, Brescia, Italy.\nNeurobiorepository and Laboratory of Advanced Biological Markers, University of Brescia and ASST Spedali Civili Hospital, Brescia, Italy.\nBrain Health Center, University of Brescia, Brescia, Italy.",
            "firstname": "Alessandro",
            "initials": "A",
            "lastname": "Padovani"
        },
        {
            "affiliation": "Neuroepidemiology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.",
            "firstname": "Alessandra",
            "initials": "A",
            "lastname": "Solari"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 2025. The Author(s).",
    "doi": "10.1007/s10072-025-08038-5",
    "journal": "Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology",
    "keywords": [
        "Chronic neurological illness",
        "Euthanasia",
        "Neurology/Ethics",
        "Neuropalliative care",
        "Physician-assisted suicide",
        "Quality of life"
    ],
    "methods": null,
    "publication_date": "2025-02-27",
    "pubmed_id": "40014225\n26586603\n26423203\n32469447\n38470068\n29483313\n35256519\n35972304\n27299428\n38826082",
    "results": null,
    "title": "Neurology and physician-assisted suicide: position of the Italian society of neurology.",
    "xml": "<Element 'PubmedArticle' at 0x788503915cb0>"
}