suicide prevention

The other day, in response to the British Medical Association requiring doctors to participate in VSED (voluntary stop eating and drinking) suicides, I wrote that “suicide nihilism is exerting an ever-increasing gravitational force.” With this post, I double down on that depressing conclusion.

Hospice was designed to care for people who are diagnosed with terminal illnesses until their natural deaths. But a study just published in the Journal of Pain and Symptom Management — the publication of the American Academy of Hospice and Palliative Medicine — argues that people intending to commit suicide via VSED should qualify for hospice care even if they are not otherwise dying!

What? Why? Because someone dying within six months qualifies for hospice. VSED takes less than that amount of time to die. Hence, such suicidal people should be admitted to hospice. The mind just boggles.

The subtitle of the revised and updated version of my book criticizing utilitarian bioethics, Culture of Death, is, “The Age of ‘Do Harm’ Medicine.” Helping patients kill themselves by self-starvation and dehydration — known in euthanasia parlance as VSED (for voluntary stopping eating and drinking) — certainly fits that designation.

Two major medical associations now have endorsed doctors assisting in such suicides by palliating the painful symptoms to help patients go all the way to death. The first was the American Academy of Hospice and Palliative Medicine (AAHPM) in 2023. This is especially notable because the organization shamefully went “neutral” on the legalization of assisted suicide, despite that action being the antithesis of the hospice philosophy enunciated by the great medical humanitarian Dame Cecily Saunders. The AAHPM’s journal also published a piece recently endorsing intentionally undernourishing dementia patients under certain conditions (MCF, or “minimal comfort feeding”) — VSED in slow motion, if you will.

Now, another “do harm” shoe has dropped. The British Medical Association has issued an ethical guidance that requires practitioners to participate in VSED when asked to do so by a patient. While the AAHPM guidance assumes that the act will only be done by terminally ill or seriously ill or disabled patients, the BMA guidance notably acknowledges that even those not in ill health can kill themselves in this slow manner — and that doctors must further the suicide palliatively. From the guidance (my emphasis):

The Washington Post has a heartwarming story about a Nashville cop who dissuaded a suicidal man from jumping off a bridge:

“It was emotional. This was an individual who had reached a level of frustration where he was having the worst day of his life,” Hotz said. “I just wanted to be able to develop trust with him and help him realize that tomorrow is another day and it will get better.”

“It was a combination of life circumstances that happened that brought him to a level of ultimate frustration and desperation,” Hotz said.

Even as they talked, Hotz said he remained afraid of what might happen next.…

“He was standing on the bridge and did lean over several times,” he said.

Gallup just issued its annual poll on “moral acceptability.” I was struck by the dramatically different results in the two questions about suicide.

The first question asked about “doctor assisted suicide.” Close to a majority, 49 percent, of respondents answered that committing suicide with a doctor’s help is morally acceptable, while 45 percent responded that it is not.

The other question asked simply about the moral acceptability of “suicide.” Strikingly, only 21 percent said that it is morally acceptable to take one’s own life, while a whopping 70 percent said it is not. Indeed, suicide was one of the lowest “morally acceptable” behaviors in the entire poll. Only cloning humans, polygamy, and extramarital affairs had a lower moral acceptability rating.

That’s quite a paradox. So, what’s going on? Why the wide disparity in answering two questions that are about the same issue?

Why do you oppose euthanasia, Wesley? If people want to die, we should help them die. No. And here’s an individual example explaining just one reason why. A deeply depressed woman was about to be lethally injected in the Netherlands — but changed her mind just in the nick of time. From the New York Post story: Romy, 22, who suffered from clinical depression, eating disorders, and anorexia due to childhood abuse, made the heartbreaking decision to end her life in accordance with legislation in the Netherlands, which allows for euthanasia under certain circumstances. She decided not to go ahead with it at the very last moment. After turning 18, Romy campaigned for four years for her right to die via voluntary assisted dying Read More ›