![]() Currently, we do not have the validation of these instruments to measure DHD in Mexican population ( Bellido-Pérez, Monforte-Royo, Tomás-Sábado, Porta-Sales, & Balaguer, 2017). These instruments quantify the presence of DHD which enables comparisons between populations. There are different psychometric instruments designed to evaluate and diagnose DHD ( Chochinov, Wilson, Enns, Mowchun, Lander et al., 1995 Kelly, Burnett, Pelusi, Badger, Varghese et al., 2003 Rosenfeld, Breitbart, Galietta, Kaim, Funesti-Esch et al., 2000) in vulnerable populations. The DHD must be set apart from the acceptance of imminent death or the desire to die naturally in the near future ( Balaguer, Monforte-Royo, Porta-Sales, Alonso-Babarro, Altisent et al., 2016 Wilson, Dalgleish, Chochinov, Chary, Gagnon et al., 2016). ![]() It is a response to factors such as uncontrolled physical symptoms, psychological distress, social or existential suffering, and/or the presence of psychiatric disorders. It has been described as a consequence of the suffering generated by life-threatening diseases and for which patients find no other solution than to accelerate their own death. The DHD in terminal patients is a subject that has a growing interest in medical literature due to its importance on policies and decisions at the end of life ( Chao, Boivin, Marcoux, Garnon, Mays et al., 2016). These type of ideas are synthesized within the term “desire to hasten death” (DHD) ( Breitbart, Rosenfeld, Pessin, Kaim, Funesti-Esch et al., 2000). This population often has multiple forms of suffering and is prone to express ideas of death and suicide ( Ballard, Pao, Henderson, Lee et al., 2008 Zhong, Li, Lv, Tian, Liu, et al., 2017), requesting euthanasia or assisted suicide. Patients with advanced cancer can experience physical, psychological, social, and spiritual distress as a consequence of their illness and treatments ( Allende-Pérez & Verástegui-Avilés, 2013) that affect their overall quality of life ( Polanski, Jankowska-Polanska, Rosinczuk, Chabowski, & Szymanska-Chabowska, 2016). This not only reduces chances of cure, but also increases treatment costs and generates a great need for palliative care to relieve pain and suffering, thus improving the quality of life of patients who face life-threatening illnesses ( Strasser-Weippl, Chavarri-Guerra, Villarreal-Garza, Bychkovsky, et al., 2015). ![]() ![]() Cancer is a leading cause of mortality worldwide and represents a growing threat in Latin American countries, where most cancer cases are diagnosed in advanced stages.
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