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Suicidal behaviour is pathological: implications for psychiatric euthanasia

delete2024-09-09
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PRE
AI
D
Dominic Sisti *
J
J. John Mann
M
María A. Oquendo
DOI:10.1136/jme-2023-109522delete
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Abstract

Abstract

En 中文
Some have challenged the validity of labelling suicidal thoughts and behaviours (STB) as pathological. In this paper, we argue that STB is indeed pathological, thereby, situating suicide prevention within the realm of medicine, complicating calls for the legalisation of medical assistance in dying for individuals whose sole condition is psychiatric (psychiatric medical assistance in dying (MAID)). Evidence shows STB predicts the risk of suicide; moreover, several mental illnesses are associated with STB, and 70%-90% of suicide deaths are linked to psychiatric illness. Treating psychiatric illnesses can prevent suicide. We contend that this clinical evidence not only warrants the classification of STB as pathological but also necessitates its treatment and prevention. This perspective poses a challenge to legislation that would legalise psychiatric MAID.
Keywords:
Psychiatry
Euthanasia
Suicide
Ethics- Medical
Philosophy- Medical

Journal

Journal of Medical Ethics cover
Journal of Medical Ethics
IF:
3.4
Papers:
7.0K
Citations:
6.4K

Organization

C
Columbia University
Scholars:
7.1W
Papers: 6.4W
Citations: 263
U
university of pennsylvania
Scholars:
9.2W
Papers: 7.8W
Citations: 153