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Record W4321369145 · doi:10.1136/spcare-2023-scpsc.11

S3-2 Missing goldilocks and killing kant: the price of canada’s headlong assisted death expansion

2023· article· en· W4321369145 on OpenAlexaffvenueabout
K. Sonu Gaind

Bibliographic record

VenueSymposium · 2023
Typearticle
Languageen
FieldMedicine
TopicPalliative Care and End-of-Life Issues
Canadian institutionsUniversity of Toronto
Fundersnot available
KeywordsContext (archaeology)LegislationMental illnessAssisted suicidePsychiatryMedicineLawPolitical scienceMental healthHistory

Abstract

fetched live from OpenAlex

<h3></h3> At the conclusion of this session, participants will be able to: (i) Be aware of the scope of physician assisted death (PAD) frameworks, ranging from PAD for terminal illness to PAD outside near end-of-life conditions (ii) Appreciate challenges assessing irremediability, intolerable suffering, capacity and decision making when considering potential requests for assisted dying in the context of mental illnesses (iii) Understand proposed safeguards, and their limitations (iv) Appreciate the tension between ‘overinclusion’ and ‘underinclusion’ in the context of potential assisted dying requests Physician Assisted Death (PAD) has been legalized or decriminalized in well over a dozen jurisdictions around the world, and assisted dying policies continue to evolve rapidly. Many jurisdictions are exploring whether to introduce assisted dying laws, or expand existing laws. There is wide variation in how policies address potential applications for assisted dying for mental illness. PAD for sole criterion mental illness is available in the Netherlands, Belgium, Luxembourg and Switzerland, and recent Canadian legislation will permit psychiatric euthanasia by 2023. This session will explore medicolegal, scientific, ethical and public policy issues related to PAD, focusing on the particular challenges posed with mental illnesses in the context of PAD, including challenges determining irremediability and the overlap between suicidality and psychiatric PAD. Dr. K. Sonu Gaind, a University of Toronto professor and psychiatrist, a past president of the Canadian Psychiatric Association and panelist from the Council of Canadian Academies Expert Panel reviewing psychiatric euthanasia, will review the Canadian experience with PAD, including recent policy developments expanding PAD to non-dying disabled. Issues that have driven Canada’s PAD expansion will be discussed. This session will also explore differences between groups who seek PAD for different reasons, and discuss potential impacts of expanding PAD laws on marginalized populations suffering from life distress.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Bench or experimental · Consensus signal: Bench or experimental
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.207
Threshold uncertainty score0.964

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.079
GPT teacher head0.353
Teacher spread0.274 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designBench or experimental
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2023
Admission routes3
Has abstractyes

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