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There are a number of evidence-based clinical interventions that have been developed to enhance and promote purpose in life, such as acceptance and commitment therapy (Hayes I et al i ., [6]), logotherapy (Marshall and Marshall, [10]), and dignity therapy (Chochinov I et al i ., [1]). The study by Fischer and colleagues (Fischer I et al i ., [4]) shed light on potential targets that may contribute to enhancing purpose in life, which is a core aspect of eudaimonic well-being in veterans. Resilience in Veterans Study" by Fischer et al Mental well-being is a foundation for general health and better quality of life (Thieme I et al i ., [19]). [Extracted from the article]

Prevalence rates of death by euthanasia (EUT) and physician-assisted suicide (PAS) have increased among older adults, and public debates on these practices are still taking place. In this context, it seemed important to conduct a systematic review of the predictors (demographic, physical health, psychological, social, quality of life, religious, or existential) associated with attitudes toward, wishes and requests for, as well as death by EUT/PAS among individuals aged 60 years and over. The search for quantitative studies in PsycINFO and MEDLINE databases was conducted three times from February 2016 until April 2018. Articles of probable relevance (n = 327) were assessed for eligibility. Studies that only presented descriptive data (n = 306) were excluded. This review identified 21 studies with predictive analyses, but in only 4 did older adults face actual end-of-life decisions. Most studies (17) investigated attitudes toward EUT/PAS (9 through hypothetical scenarios). Younger age, lower religiosity, higher education, and higher socio-economic status were the most consistent predictors of endorsement of EUT/PAS. Findings were heterogeneous with regard to physical health, psychological, and social factors. Findings were difficult to compare across studies because of the variety of sample characteristics and outcomes measures. Future studies should adopt common and explicit definitions of EUT/PAS, as well as research designs (e.g. mixed longitudinal) that allow for better consideration of personal, social, and cultural factors, and their interplay, on EUT/PAS decisions. [ABSTRACT FROM AUTHOR]