People's wish for autonomy and freedom of decision in their dying process has been gaining momentum lately. For more and more people active intervention to allow "quick" death seems to be a possible solution. Assisted suicide, which is already an option in some European countries, is being discussed, legislation demanded. With assisted suicide a third person, usually a doctor, provides the patient, who wishes to exercise his/her autonomy in the dying process, with a deadly substance or a prescription.Judiciary on that matter is extremely varied in the different European countries, there is no consistent regulation. Some states allow assisted suicide under certain circumstances, others don't. What are the reasons for the development of the wish to exercise that way of dying? Is it just not to live or not to suffer any longer? What fears do befall seriously ill patients? What impact do psychic illnesses, depression, social and economic pressure have on the actual wish to die? Is an extremely ill person still capable of making such a serious decision? What is legally possible, or, otherwise, ethically justifiable? Is the commitment to provide intensive medical care an improvement to life, or does it just mean prolonging the process of dying? Can or will legislation of assisted suicide lead to an expanded access to the process? Finally, the question arises whether killing a person at their own request is compatible with medical ethics.In the end the following question is to be answered: are the existing facilities in Austria, which among others provide palliative medicine, palliative care, and hospice movement, together with structural measurements like hospice leave for family members or a last will of the patient, helpful in reducing the number of assistant suicides?