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When is a person dead? The Canadian public's understanding of death and death determination: a nationwide survey.


ABSTRACT:

Purpose

We aimed to describe the Canadian public's understanding and perception of how death is determined in Canada, their level of interest in learning about death and death determination, and their preferred strategies for informing the public.

Methods

We conducted a nationwide cross-sectional survey of a representative sample of the Canadian public. The survey presented two scenarios of a man who met current criteria for neurologic death determination (scenario 1) and a man who met current criteria for circulatory death determination (scenario 2). Survey questions evaluated understanding of how death is determined, acceptance of death determination by neurologic and circulatory criteria, and interest and preferred strategies in learning more about the topic.

Results

Among 2,000 respondents (50.8% women; n = 1,015), nearly 67.2% believed that the man in scenario 1 was dead (n = 1,344) and 81.2% (n = 1,623) believed that the man in scenario 2 was dead. Respondents who believed that the man was not dead or were unsure endorsed several factors that may increase their agreement with the determination of death, including requiring more information about how death was determined, seeing the results of brain imaging/tests, and a third doctor's opinion. Predictors of disbelief that the man in scenario 1 is dead were younger age, being uncomfortable with the topic of death, and subscribing to a religion. Predictors of disbelief that the man in scenario 2 is dead were younger age, residing in Quebec (compared with Ontario), having a high school education, and subscribing to a religion. Most respondents (63.3%) indicated interest in learning more about death and death determination. Most respondents preferred to receive information about death and death determination from their health care professional (50.9%) and written information provided by their health care professional (42.7%).

Conclusion

Among the Canadian public, the understanding of neurologic and circulatory death determination is variable. More uncertainty exists with death determination by neurologic criteria than with circulatory criteria. Nevertheless, there is a high level of general interest in learning more about how death is determined in Canada. These findings provide important opportunities for further public engagement.

SUBMITTER: Sarti AJ 

PROVIDER: S-EPMC10202975 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature

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When is a person dead? The Canadian public's understanding of death and death determination: a nationwide survey.

Sarti Aimee J AJ   Honarmand Kimia K   Sutherland Stephanie S   Hornby Laura L   Wilson Lindsay C LC   Priestap Fran F   Carignan Robert R   Joanne Brennan B   Brewster Heather H   Elliott-Pohl Kennedy K   Weiss Matthew M   Shemie Sam D SD  

Canadian journal of anaesthesia = Journal canadien d'anesthesie 20230401 4


<h4>Purpose</h4>We aimed to describe the Canadian public's understanding and perception of how death is determined in Canada, their level of interest in learning about death and death determination, and their preferred strategies for informing the public.<h4>Methods</h4>We conducted a nationwide cross-sectional survey of a representative sample of the Canadian public. The survey presented two scenarios of a man who met current criteria for neurologic death determination (scenario 1) and a man wh  ...[more]

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