Grant: Doctoral: Vanier Canada Graduate Scholarships

Supervisor: Daniel Vigo Institution: University of British Columbia Medical Assistance in Dying (MAiD) has become increasingly prevalent in Canada, but little is known about how mental health influences someone's decision to seek MAiD. This is particularly important as Canada considers expanding MAiD access in 2027 to people whose only medical condition is a mental disorder. This research aims to understand this complex issue by developing a first of its kind Mental Health Vulnerability Index (MHVI). The MHVI will combine individual factors like age, gender, and medical history with neighborhood-level factors like income, access to healthcare, and environmental conditions to allow measurement of mental health vulnerability between patients and across geographic areas. Using data on all patients who received MAiD in British Columbia between 2019-2023, we will calculate MHVI scores and compare them across different groups based on their mental health and neurocognitive diagnoses. This will allow us to see if people with certain conditions or living in certain areas are more likely to seek MAiD. By better understanding the relationship between mental health vulnerability and MAiD, this project will provide critical evidence to inform ongoing debates and policy decisions around MAiD access and mental healthcare. The goal is to ensure that these policies are based on solid evidence and that they prioritize the needs and rights of all Canadians, especially those who may be most vulnerable due to mental health issues or social inequities. Ultimately, this research is about promoting a compassionate, ethical, and evidence-based approach to some of the most complex and sensitive issues facing our society. By shining a light on the intersection of mental health, social determinants of health, and end-of-life choices, this project will contribute to a future where everyone in Canada can access the care and support they need to live - and die - with dignity and respect.