Abstract
Assisted suicide is a crucial bioethical and legal challenge that pits personal autonomy against the limits of state intervention at the end of life. This study examines how laws and bioethics regulate this practice in different jurisdictions, seeking to balance patient autonomy with the protection of life. To analyze the legal, constitutional, and bioethical criteria applicable to the regulation of assisted suicide in comparative law, identifying similarities, differences, and control mechanisms implemented in various countries. Using a qualitative and hermeneutic approach, laws, case law, and international doctrine were examined. The results show that countries regulating this practice apply strict safeguards, eligibility filters, and institutional oversight to ensure legal certainty. Ecuador needs a legal framework that guarantees patients' rights in extreme situations and provides legal protection for healthcare professionals.
References
Barsness, J. G., Regnier, C. R., Hook, C. C., Mueller, P. S., Schumacher, M. A., & Geske, J. R. (2020). US medical and surgical society position statements on physician-assisted suicide and euthanasia: A review. BMC Medical Ethics, 21. https://doi.org/10.1186/s12910-020-00556-5
Blacio-Aguirre, G. (2024). Análisis jurídico-doctrinal de la eutanasia y el suicidio asistido en el Ecuador. Revista Universidad y Sociedad, 16(1), 180–189.
Canada. Parliament. (2016). Bill C-14: An Act to amend the Criminal Code and to make related amendments to other Acts (medical assistance in dying). https://www.parl.ca
Canada. Parliament. (2021). Bill C-7: An Act to amend the Criminal Code (medical assistance in dying). https://www.parl.ca
Constitución de la República del Ecuador. (2008). Asamblea Nacional Constituyente. Registro Oficial No. 449.
Corcoran, E., Bird, M., Batchelor, R., Ahmed, N., Nowland, R., & Pitman, A. (2024). The association between social connectedness and euthanasia and assisted suicide and related constructs: A systematic review. BMC Public Health, 24. https://doi.org/10.1186/s12889-024-18528-4
Corte Constitucional de Colombia. (2021, 22 de julio). Sentencia C-233/21 (M.P. Diana Constanza Fajardo Rivera). Relatoría de la Corte Constitucional. https://n9.cl/0d01p
Corte Constitucional de Colombia. (2021, 22 de julio). Sentencia C-233/21. (Diana Constanza Fajardo Rivera, M.P.).
Corte Constitucional de Colombia. (2024). Sentencia No. 67-23-IN/24. (2024).
Downar, J., Close, E., Young, J. E., & White, B. P. (2024). Assisted dying: Balancing safety with access. BMJ, 387. https://doi.org/10.1136/bmj.q2382
Downie, J., & Chandler, J. A. (2018). Interpreting Canada’s medical assistance in dying legislation. Institute for Research on Public Policy. https://doi.org/10.26070/efpr-9034
Agencia Estatal Boletín Oficial del Estado. (2021). Ley Orgánica 3/2021, de 24 de marzo, de regulación de la eutanasia. Boletín Oficial del Estado, (72),
Ministerio de Salud y Protección Social. (2021). Resolución 971 de 2021.
Quah, E. L. Y., Chua, K. Z. Y., Lua, J. K., Wan, D. W. J., Chong, C. S., Lim, Y. X., & Krishna, L. K. R. (2023). A systematic review of stakeholder perspectives of dignity and assisted dying. Journal of Pain and Symptom Management, 65(2), 123–136. https://doi.org/10.1016/j.jpainsymman.2022.10.017
Ramos-Pozón, S., Terribas-Sala, N., Falcó-Pegueroles, A., & Román-Maestre, B. (2023). Persons with mental disorders and assisted dying practices in Spain: An overview. International Journal of Law and Psychiatry, 87. https://doi.org/10.1016/j.ijlp.2023.101871
Riley, J., Droney, J., Robinson, J., & Broadhurst, H. (2020). Assisted dying: Law, medical practice and bioethics in international perspective. International Journal of Law and Psychiatry, 72. https://doi.org/10.1016/j.ijlp.2020.101618
Rodríguez-Prat, A., Monforte-Royo, C., Porta-Sales, J., Escribano, X., & Balaguer, A. (2016). Patient perspectives of dignity, autonomy and control at the end of life: Systematic review and meta-ethnography. PLOS ONE, 11(3). https://doi.org/10.1371/journal.pone.0151435
Tomás y Garrido, G. M. (2021). Bioética (en obras colectivas sobre bioética y final de la vida). Universidad Católica San Antonio de Murcia (UCAM).
Vázquez-Muñoz, R. A. (2023). El suicidio asistido y la eutanasia en el derecho comparado: un análisis desde la bioética y el constitucionalismo. Boletín Mexicano de Derecho Comparado, 56(167), 1–35.
Wiebe, E., Green, S., & Wiebe, K. (2021). Medical assistance in dying (MAiD) in Canada: Practical aspects for healthcare teams. Annals of Palliative Medicine, 10(3), 3586–3593. https://doi.org/10.21037/apm-19-631

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