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Suicidal behaviour is pathological: implications for psychiatric euthanasia.

Dominic Sisti1, J John Mann2,3, Maria A Oquendo4

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Summary

Suicidal thoughts and behaviors (STB) are pathological, necessitating medical treatment for suicide prevention. This classification challenges the legalization of medical assistance in dying for psychiatric conditions.

Keywords:
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Area of Science:

  • Psychiatry
  • Medical Ethics
  • Public Health

Background:

  • Debate exists on classifying suicidal thoughts and behaviors (STB) as pathological.
  • Suicidal thoughts and behaviors are linked to mental illness and suicide risk.
  • Medical assistance in dying (MAID) for psychiatric conditions is a contentious issue.

Purpose of the Study:

  • To argue that suicidal thoughts and behaviors (STB) are pathological.
  • To situate suicide prevention within medical practice.
  • To examine the implications for medical assistance in dying (MAID) legislation.

Main Methods:

  • Review of clinical evidence linking STB to suicide risk and psychiatric illness.
  • Analysis of the pathological nature of STB.
  • Ethical and legal considerations of psychiatric MAID.

Main Results:

  • Evidence supports STB as a predictor of suicide risk.
  • A high percentage of suicide deaths are associated with psychiatric illness.
  • Treatment of psychiatric illness can be a suicide prevention strategy.

Conclusions:

  • Suicidal thoughts and behaviors (STB) warrant classification as pathological.
  • STB necessitates medical treatment and prevention strategies.
  • The pathological nature of STB challenges the legalization of psychiatric medical assistance in dying (MAID).