The Relationship Between Poor Quality of Life and Desire to Hasten Death: A Multiple Mediation Model Examining the Contributions of Depression, Demoralization,

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The Relationship Between Poor Quality of Life and Desire to Hasten Death: A Multiple Mediation Model Examining the Contributions of Depression, Demoralization, Loss of Control, and Low Self-worth  Sophie Robinson, BPsych (Hons), David W. Kissane, MD, MPM, FRANZCP, FAChPM, Joanne Brooker, BSc (Hons), GradDipComp, GradDipPsych, PhD, Courtney Hempton, BBSc (Hons), MBioethics, Susan Burney, BA, GradDipCounsPsych, MHlthSc, FAPS, PhD  Journal of Pain and Symptom Management  Volume 53, Issue 2, Pages 243-249 (February 2017) DOI: 10.1016/j.jpainsymman.2016.08.013 Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 1 Multiple mediation model of the relationship between quality of life and desire to hasten death mediated through depressive symptoms, meaning and purpose, perceived control, and self-worth. “*,” <0.05; values in subscript: “a” and “b” = indirect; “c” = total indirect; and “c′” = direct. Journal of Pain and Symptom Management 2017 53, 243-249DOI: (10.1016/j.jpainsymman.2016.08.013) Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions