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Medical Assistance in Dying for Patients with Borderline Personality Disorder: Considerations and Concerns

There is an ongoing debate in Canadian medical, legal, and ethical circles regarding the provision of medical assistance in dying (MAiD) for patients with mental illness. We will establish as background that if MAiD became available for psychiatric disorders, patients with borderline personality disorder (BPD) will be among those requesting the service. Therefore, we evaluate relevant concerns regarding MAiD provision to this patient population. This article’s purpose is 2-fold: first, to highlight considerations within the debate of whether MAiD can be appropriate for mental illness such as BPD. Second, to guide the assessment of patients with BPD for eligibility should MAiD for mental illness become available in Canada.