Analysis of Euthanasia Legitimacy Based on the Right to Self-Determination from the Perspective of Legal Experts and Comparative Legalization
Abstract
This article aims to analyze the concept of individual self-determination as a basis for legitimizing euthanasia, examine how the right to life is interpreted within the framework of self-determination by legal scholars, and review legal practices in several countries that ground the legality of euthanasia in respect for personal autonomy. Using a normative juridical research method that focuses on the study of literature, legal norms, principles, and theoretical frameworks, this research demonstrates that the right to life, as formulated in human rights instruments, should not be understood as an obligation to preserve biological life under all circumstances, particularly in situations of severe and incurable medical suffering. Instead, respect for human dignity, personal autonomy, and individual will forms a crucial foundation for assessing the legitimacy of euthanasia. Legal scholars argue that a competent individual’s conscious decision to end life through a regulated medical procedure may be considered a legitimate expression of the right to self-determination. Comparative analysis of legal practices in Canada, the Netherlands, and other jurisdictions shows that the legalization of euthanasia is generally based on recognizing individual freedom to determine one’s own end-of-life choices with dignity. Therefore, this study concludes that, in certain contexts, euthanasia does not violate the right to life but rather affirms the individual’s right to shape both life and death in a manner consistent with human dignity.
References
Akhigbe, E. A. (2018). An analysis of the concept of euthanasia in relation to right to life in Nigeria. SSRN. http://dx.doi.org/10.2139/ssrn.3527310
Anastasia, C., Widyani, I. D. A., & Pandiangan, L. E. A. M. (2024). Pertanggungjawaban pidana terhadap dokter yang melakukan euthanasia pasif berdasarkan hukum pidana di Indonesia. Jurnal Kolaboratif Sains, 7(3), 1178. https://doi.org/10.56338/jks.v2i1.659
BBC News. (2016, June 19). Parlemen Kanada sahkan undang-undang eutanasia. BBC.com. Retrieved from: https://www.bbc.com/indonesia/dunia/2016/06/160618_dunia_kanada_eutanasia
Braun, K. (2024). Looking back to look forward: The history of VAD laws in Australia and future law reform in the Australian territories. Medical Law Review, 32(1), 44. https://doi.org/10.1093/medlaw/fwad030
Buijsen, M. (2022). Euthanasia in the Netherlands: History, developments and challenges. Revista Derecho y Religión, 17, 78. https://pure.eur.nl/en/publications/euthanasia-in-the-netherlands-history-developments-and-challenges
Connecticut Developmental Services. (2025). Connecticut self-determination initiative. CT.gov. Retrieved from: https://portal.ct.gov/dds/searchable-archive/selfadvocacyselfdetermination/self-determination-fact-sheets/self-determination-principles?language=en_US
Deak, C., & Saroglou, V. (2017). Terminating a child’s life? Religious, moral, cognitive, and emotional factors underlying non-acceptance of child euthanasia. Psychologica Belgica, 57(1), 59. https://doi.org/10.5334/pb.341
Dubey, M., Rathi, A., & Singh, H. (2024). Euthanasia and The Countries Which Positively Regulated Active Euthanasia. Journal of Law and Sustainable Development, 12(10), 3. https://doi.org/10.55908/sdgs.v12i10.4047
Fadhila, K. W., Noerdajasakti, S., Kurniaty, R. (2024). Analysis of the urgency of euthanasia regulation in Indonesia. International Journal of Humanities Education and Social Sciences, 4(3) 1772. http://dx.doi.org/10.55227/ijhess.v4i3.1425
Guerrero Quiñones, J. L. (2021). Euthanasia and the duty to die: A moral advocacy of the responsibility to end life at the right time (Tesis master, 5). Oxford Brookes University. https://radar.brookes.ac.uk/radar/file/5e4fbcab-0279-4d13-804a-e19d551ff6ef/1/Guerrero2021Euthanasia.pdf
H Takala T, Häyry M, Bennett R, Holm S. (2025 Values of Life: 40 years of The Value of Life. Cambridge Quarterly of Healthcare Ethics:34(2), 140-142. https://doi.org/10.1017/s0963180124000550
Harlen, S. A. (2022). Pemenuhan hak santri atas kasus pelanggaran hak asasi manusia oleh oknum pondok pesantren. Jurnal HAM, 13(2), 202. https://doi.org/10.30641/HAM.2022.13.199-214
Jones, D. A. (2021). Defining the terms of the debate: Euthanasia and euphemism. The Anscombe Bioethics Centre, 3. Retrieved from: https://bioethics.org.uk/media/t0yhyej4/defining-the-terms-of-the-debate-euthanasia-and-euphemism-prof-david-albert-jones.pdf
Konder, R. M., & Christie, T. (2019). Medical assistance in dying (MAiD) in Canada: A critical analysis of the exclusion of vulnerable populations. Healthcare Policy, 15(2), 28. https://doi.org/10.12927/hcpol.2019.26073
Lee, M. A. (2023). Ethical issue of physician-assisted suicide and euthanasia. Journal of Hospice & Palliative Care, 26(2), 95-96. https://doi.org/10.14475/jhpc.2023.26.2.95
Marzuki, P. M. (2011). Penelitian hukum (hlm. 93). Kencana Prenada Media Group.
Math, S. B., & Chaturvedi, S. K. (2019). Euthanasia: Right to life vs right to die. Indian Journal of Medical Research, 136(6), 899. https://pmc.ncbi.nlm.nih.gov/articles/PMC3612319/
Mohita, & Chhibbe, A. (2022). Euthanasia and human rights – Euthanasia illegal in India. Legal Service India. Retrieved from: https://www.legalserviceindia.com/article/l118-Eutanasia-and-Human-Rights.html
Mroz, S., Dierickx, S., Deliens, L., Cohen, J., & Chambaer, K. (2021). Assisted dying around the world: A status quaestionis. Annals of Palliative Medicine, 10(3), 3542. https://doi.org/10.21037/apm-20-637
Overbeek, A., van de Wetering, V. E., van Delden, J. J. M., et al. (2021). A classification of end-of-life decisions by Dutch physicians: Findings from a cross-sectional survey. Annals of Palliative Medicine, 10(3), 3555. https://doi.org/10.21037/apm-20-453
Parliament of Australia. (2022). Euthanasia: The Australian law in an international context. Aph.gov.au. Retrieved from: https://www.aph.gov.au/about_parliament/parliamentary_departments/parliamentary_library/pubs/rp/rp9697/97rp4
Rifai, T. P. (2018). Eutanasia pasif pada hukum Indonesia dan hak asasi manusia. Jurnal Hukum Muhammadiyah Wahyu, 1(2), 1-8. https://ojs.ummetro.ac.id/index.php/law/article/view/681/pdf
Sándor, J. (2024). A Lawyer’s Legacy: The Significance of the Dániel Karsai v. Hungary Case. Pravni Zapisi, 15(2), 312. Available at: https://www.pravnizapisi.rs/wp-content/uploads/2024/12/Pravni-zapisi-2024_02-01-Sandor.pdf
Soewondo, S. S., Parawansa, S. S. R., & Amri, U. (2023). Konsep euthanasia di berbagai negara dan pembaruannya di Indonesia. Media Iuris, 6(2) 1. https://e-journal.unair.ac.id/MI/article/download/43841/25112/221113
Soken-Hubert, E. (2025). What is human dignity? Common definitions. HumanRightsCareers.com. Retrieved from: https://www.humanrightscareers.com/issues/definitions-what-is-human-dignity/
Supreme Court of Canada. (2015). Carter v. Canada (Attorney General), 2015 SCC 5. Retrieved from: https://decisions.scc-csc.ca/scc-csc/scc-csc/en/item/14637/index.do
Takala, T., Häyry, M., Bennett, R., & Holm, S. (2025). Values of life: 40 years of The value of life. Cambridge Quarterly of Healthcare Ethics, 34(2), 140–142. https://doi.org/10.1017/S0963180124000550
United Nations. (2006). General Comment No. 12: Article 1 (Right to self-determination). International Human Rights Instruments. Retrieved from: https://www.refworld.org/legal/general/hrc/1984/en/11735
United Nations. (1966). International Covenant on Civil and Political Rights. Ohcr.org. Retrieved from: https://www.ohchr.org/en/instruments-mechanisms/instruments/international-covenant-civil-and-political-rights
United Nations. (1948). Universal Declaration of Human Rights. Un.org. Retrieved from: https://www.un.org/en/about-us/universal-declaration-of-human-rights
United Nations High Commissioner for Human Rights. (2006). The core international human rights treaties. United Nations. Retrieved from: https://www.ohchr.org/sites/default/files/documents/publications/coretreatiesen.pdf
Verhofstadt, M., Van Assche, K., Pardon, K., Gleydura, M., Titeca, K., & Chambaere, K. (2024). Perspectives on the eligibility criteria for euthanasia for mental suffering caused by psychiatric disorder under the Belgian Euthanasia Law: A qualitative interview study among mental healthcare workers. International Journal of Law and Psychiatry, 93(101961), 11. https://doi.org/10.1016/j.ijlp.2024.101961
Wijaya, I. G. A. P., & Parwata, I. G. N. (2021). Hukuman mati dan eutanasia dalam perspektif hak asasi manusia dan peraturan perundang-undangan. Jurnal Kertha Negara, 9(2), 94. https://jurnal.harianregional.com/kerthanegara/id-69803
Copyright (c) 2026 Endang Prihatin

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright for this article is retained by the author(s), with first publication rights granted to the journal. This is an open-access article distributed under the terms and conditions of the Creative Commons Attribution license (https://creativecommons.org/licenses/by-nc-nd/4.0/).