Gerson SM, et al. - Researchers conducted semistructured in-depth qualitative interviews with 21 home hospice professionals (seven nurses, seven social workers, four physicians, and three chaplains) in order to investigate their experiences of patients who die by suicide or intentionally hasten death with or without legal assistance in an area where there is legalized medical aid in dying (MAID). The interviews led to the identification of three primary themes: 1) dealing with and distinguishing between hastened death and suicide, 2) MAID access and affordability, and 3) how patients have hastened their own deaths. The data suggest that due to ineligibility, no knowledge, or lack of access to legalized MAID, some patients receiving hospice services die by suicide. Patients' deaths are not consistently identified as suicide by hospice professionals when they are self-inflicted and sometimes these deaths are viewed as justified by them. In view of these findings, they suggest palliative care professionals undergo open communication and increased education and training concerning legal options, issues of suicide, and suicide assessment.