
Two patients are identified only by their first names, but the third, Alyssa Bogetz, co-wrote the paper, which was published after her death, because she felt so strongly about her right to take aid-in-dying medication, Gaudiani said.

She is licensed in 32 states and has a robust telehealth practice. The patients were not living in Colorado when they died, but lived in states where medical assistance in dying is legal, Gaudiani said in an interview. Gaudiani details three devastating cases of anorexia - patients who were exhausted by years of treatment, who no longer had the will to get better and who had chosen instead to enter palliative care and die. It is widely believed to have the second-highest mortality rate of all mental illnesses, behind only substance use disorders. She writes that, although anorexia doesn’t have delineated levels of severity like cancer, which has stages of progression and a terminal phase, it can be brutally lethal. In the paper, published in February in the Journal of Eating Disorders, Gaudiani advocates for allowing patients who are dying from anorexia to end their lives on their own terms. Another 36-year-old woman died of severe malnutrition on the same day she planned to take aid-in-dying medication prescribed by Gaudiani. One 36-year-old woman died after ingesting the lethal doses prescribed by another doctor, with Gaudiani serving as consulting physician. Jennifer Gaudiani, an internal medicine doctor who specializes in eating disorders, published a paper in which she describes the deaths of three patients with anorexia nervosa. A Denver eating disorder doctor who has helped patients with anorexia nervosa obtain aid-in-dying medication is jolting the psychiatric community and sparking an emotional, national debate about the ethics of prescribing lethal drugs for people with mental illnesses.ĭr.
