These patients are accessing their autonomy to do so their cognitive function must function properly. Patients suffering from complete paralysis or undergoing life support measures also seek it because it is difficult for them to deal with physical symptoms such as shortness of breath, incontinence, difficulty swallowing, nausea and vomiting or psychological factors such as depression, feeling of loss of control and dignity and a general aversion to the idea of ​​being a burden or dependency on family members, while others argue that suicidal ideation or lack of decent palliative care may be a reason for seeking assisted suicide. (Annadurai, Danasekaran and Mani, 2014). The biggest disadvantage of physician-assisted suicide is going against the Hippocratic Oath that doctors. A patient with a terminal illness asks his doctor to provide interventions to end his life. One thing that must be determined by the doctor and the staff caring for the patient is the patient's mental health. Is the patient alert, oriented, how is the thought process, can he understand the result of his actions? What if the patient has suicidal ideation, is schizophrenic, takes medications or suffers from depression due to a terminal illness or lack of family support and simply wants to end his life because of his depression, addiction and not to cause of the pathological process. This is just one thing a doctor needs to evaluate before even considering end-of-life interventions. Another factor to consider is the patient's family. How are they treating the patient, are they pushing them towards assisted suicide because they are exhausted from providing constant care or for any reason for the family, such as financial gain or acquisition of the patient's assets? Furthermore, what if the patient feels pressured by family members and society to accept PAS even if he does not want to die? Another factor is the age of the patient requesting PAS. In today's world, not only do the elderly suffer from debilitating diseases, but children also suffer from an illness that leaves them paralyzed or forced to face lifelong addiction. In most countries, including the United States, the legal age to request assisted suicide is eighteen, while in the Netherlands patients as young as twelve can request it. As is known, not all medical procedures bring any problems, so this brings another problem: what if assisted suicide does not go according to plan and adds more pain or discomfort to the patient (Emanuel, Onwuteaka-Philipsen, Urwin and Cohen,