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EUTHANASIA

Swedish doc accuses police of misconduct

Police officers who investigated a doctor accused of the manslaughter of a baby at a Stockholm hospital last year are now themselves facing a misconduct probe over the way they handled the doctor after she was arrested.

Published: 5 January 2012 17:31 CET

Swedish doc accuses police of misconduct

The officers allegedly failed to tell the paediatrician of the nature of the accusations against her and acted in a threatening manner at the time of her arrest.

“One of them snapped at me saying that I should not act as though I didn’t know what it was about, after having done what I did,” she told the the Läkartidningen medical journal .

The three-month-old baby was born prematurely, unconscious and with serious brain damage, and died in September of 2008 shortly after her birth.

The paediatrician was then charged with manslaughter, suspected of deliberately having administered a high dose of the anaesthetic Pentothal in combination with morphine, in order to speed up the baby’s death.

A lengthy and complicated investigation started, and on October 21st 2011 the doctor was unanimously acquitted by the Solna District Court.

The doctor’s complaints have now been taken up by prosecutors.

Chief Prosecutor Håkan Roswall at the National Prosecution Authority (Åklagarmyndigheten) said to the journal that they are currently investigating the police on six specific points.

In addition to failing to inform her of the accusations and acting in a threatening matter, the doctor complained that police confiscated some of her belongings but never gave her an official list of the things they had appropriated.

She is also very critical of the way police and pathologists in the case have speculated publicly about medical treatments, how medical journals are kept and how specific drugs are administered, outside of their fields of expertise, which became evident from a tape which was released some time into the investigation, according to the journal.

If the police officers are found to be guilty of misconduct, they could face hefty fines or up to two years in prison.

Prosecutors say the volume of evidence – the case file runs to over a thousand pages – means it may take months to establish what charges, if any, can be made against the officers.

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A person in a medical coat holds hands with another

Euthanasia and assisted suicide might be spoken of in the same breath, but they are quite different. Here's what you need to know. Photo by Matheus Ferrero on Unsplash

The terms assisted suicide, assisted dying and euthanasia are often used interchangeably – even by media and politicians covering the matter.

There are however some key differences, both in terms of the legal situation and the practice itself.

Assisted suicide is where a medical professional, usually a doctor but sometimes a pharmacist or other specialist, provides some form of medication to assist a patient as they commit suicide.

EXPLAINED: How foreigners can access assisted suicide in Switzerland

Crucially, it is the patient who takes the final step, i.e. by taking a medication or by pressing a switch through which the medication is administered.

Euthanasia on the other hand is where the medication which ends someone’s life is administered by a doctor or medical professional.

Euthanasia is sometimes known as voluntary euthanasia, which references the fact that the patient volunteers for the process by providing consent.

Other forms of medical intervention which lead to death – for instance turning off life support for someone who has been in a long-term coma – do not fit within the definition of voluntary euthanasia.

The term ‘assisted dying’ is used as a grouping term to refer to both assisted suicide and euthanasia, although media sources – particularly in the United Kingdom – often use assisted dying when referring primarily to assisted suicide.

What are the rules for assisted suicide and euthanasia in Switzerland?

The law in Switzerland recognises the distinction between assisted suicide and euthanasia.

Euthanasia is not permitted under law in Switzerland, while assisted suicide is allowed for both locals and foreigners.

While article 115 of the Swiss penal code prohibits assisted suicide for “self-serving reasons” and article 114 prohibits “causing the death” of a person for “commendable motives, and in particular out of compassion for the victim”, assisted suicide for non-selfish reasons is not specifically prohibited as long as certain conditions are met.

The Swiss supreme court has ruled the following: people must commit suicide by their own hand, for example, by taking medication themselves. A doctor cannot administer a lethal injection without being liable for criminal prosecution.

People must also be aware of actions they are undertaking and have given due consideration to their situation. In addition, they be consistently sure they wish to die, and, of course, not be under the influence of another person, or group of persons.

READ MORE: What you need to know about assisted suicide in Switzerland

Several other jurisdictions across Europe and the globe also make a legal distinction between the two, although euthanasia is legal in some countries including the Netherlands, Belgium, Luxembourg and Columbia.

What is the medical procedure involved?

Most Swiss associations request that patients drink sodium pentobarbital, a sedative that in strong enough doses causes the heart muscle to stop beating.

Since the substance is alkaline, it burns a bit when swallowed.

A professional prepares the needle, but it is up to the patient to open the valve that allows the short-acting barbiturate to mix with a saline solution and begin flowing into their vein.

A video is shot of the patient stating their name, date of birth and that they understand what they are about to do. The camera keeps rolling as they open the valve and the footage is used as evidence that they willingly took their own life.

It usually takes about 20 to 30 seconds for the patient to fall asleep.

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