Suicidal cyanide ingestion as detailed in Final Exit
S J Cina1, D S Raso, S E Conradi
1Department of Pathology and Laboratory Medicine, Medical University of South Carolina, Charleston.
Journal of Forensic Sciences
|November 1, 1994
Summary
This case report details a suicide using methods from "Final Exit," highlighting the risks of "do-it-yourself suicide manuals." It underscores the potential for abuse among vulnerable individuals, including those with mental illness.
Area of Science:
- Forensic Pathology
- Medical Toxicology
- Public Health
Background:
- The book 'Final Exit' provides instructions for active euthanasia and suicide.
- Concerns exist regarding the potential misuse of such 'do-it-yourself suicide manuals.'
- These manuals may exacerbate suicidal ideation in vulnerable populations.
Observation:
- A case study involving a physically healthy 30-year-old man who died by cyanide ingestion.
- The decedent's diary contained a suicide recipe directly copied from 'Final Exit.'
- Evidence suggested an underlying psychiatric disorder, with minimal physical disease found postmortem.
Findings:
- This case illustrates the potential for abuse of suicide guides like 'Final Exit.'
- It is the first documented instance of suicide using this specific literary genre.
- The method described in the book was successfully employed by the decedent.
Implications:
- Forensic pathologists and medical investigators should be aware of the methods detailed in 'Final Exit.'
- The accessibility of such literature poses a public health risk.
- Further research into the impact and regulation of suicide-related literature is warranted.


