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5, SD = 5.8) with = -3.220, = 0.001 and Cohen's = 0.42. This was due to medium-severely depressed patients At t1, their depressiveness scores decreased significantly (med = 9, M = 9.8; SD = 5.1) compared to t0 (med = 14, M = 15.2; SD = 3.9) with = -3.730, ⩽ 0.000 and Cohen's = 1.2, but others' did not. All other outcomes showed positive descriptive trends. Desire to die-conversations through trained health professionals do not harm palliative patients. Results cautiously suggest temporary improvement. Desire to die-conversations t