(Reuters) — The number of foreigners traveling to Switzerland to commit assisted suicide doubled over a four-year period, a study published in the Journal of Medical Ethics said on Thursday.

In 2012, 172 foreigners took their lives in Switzerland, which has liberal euthanasia rules, up from 86 in 2009, with citizens from Germany and Britain making up almost two-thirds of the total, the study found.

Assisted suicide has been legal in Switzerland since the 1940s, if performed by someone with no direct interest in the death.

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