These patients gain autonomy to do this, their cognitive function must therefore function correctly. Patients suffering from complete paralysis or on life support also seek it because for them it is difficult to manage physical symptoms such as shortness of breath, incontinence, difficulty swallowing, nausea and vomiting or psychological factors like depression, a feeling of loss of control and dignity and a general aversion to being a burden or dependency on family members, while others argue that suicidal ideation or lack of palliative care decent conditions may be a reason to request assisted suicide. (Annadurai, Danasekaran, & Mani, 2014). The biggest disadvantage of physician-assisted suicide is that it goes against the Hippocratic Oath that physicians. A patient with a terminal illness asks his doctor about interventions to end his life. One thing that must be determined by the doctor and staff caring for the patient is the mental health of the patient. Is the patient alert, oriented, how does his thinking process take place, can he understand the result of his actions? What happens if the patient has suicidal thoughts, is schizophrenic, takes drugs or suffers from depression due to a terminal illness or lack of family support and simply wants to end their life because of his depression, his addiction and not because of the disease process. It's just something a doctor needs to evaluate before even considering life-ending interventions. Another factor to consider is the patient's family. How do they treat the patient, do they push the patient towards assisted suicide because they are exhausted due to providing constant care or some motive for the family, for example financial benefit or repossession of property of the patient? Additionally, what if the patient feels pressured by family members and society to accept PAS even though they do not want to die. Another factor is the age of the patient requesting PAS. In today's world, not only do older people suffer from debilitating illnesses, but also children suffer from illness that leaves them paralyzed or leaves them in lifelong dependence. In most countries, including the United States, the legal age to request assisted suicide is eighteen, while patients as young as twelve can request it in the Netherlands. As is known, not all medical procedures pose a problem, which poses another problem: what will happen if the assisted suicide does not go as planned and adds more pain or discomfort to the patient (Emanuel, Onwuteaka-Philipsen, Urwin and Cohen,