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Canada and assisted suicide for mental illness?

  • 02-01-2023 8:50pm
    #1
    Registered Users, Registered Users 2 Posts: 119 ✭✭


    Canada legalized MAID in 2016. Over the last six years, they've expanded the criteria to include non-terminal people with physical illnesses and next March, those whose sole illness is mental will be eligible.


    I know Belgium and Netherlands allow it as well.



«13

Comments

  • Registered Users, Registered Users 2 Posts: 7,763 ✭✭✭StupidLikeAFox


    Thanks for letting us know 👍



  • Moderators, Category Moderators, Science, Health & Environment Moderators, Social & Fun Moderators, Society & Culture Moderators Posts: 41,481 CMod ✭✭✭✭ancapailldorcha


    Is there a point you want to make?

    The foreigner residing among you must be treated as your native-born. Love them as yourself, for you were foreigners in Egypt. I am the LORD your God.

    Leviticus 19:34



  • Registered Users, Registered Users 2 Posts: 14,309 ✭✭✭✭wotzgoingon


    Right thanks for the heads up. I'm off to Canada in the morning to kill myself. I'll see you on the other side.



  • Registered Users, Registered Users 2 Posts: 25,234 ✭✭✭✭Larbre34


    Hardly a Current Affair.

    Have you got a point? Do you need a sponsor or something?



  • Registered Users, Registered Users 2 Posts: 1,722 ✭✭✭Jack Daw


    It's wrong , mental illness is something that is curable and I do not believe assisted suicide is appropriate for mental illness.



    #


    The 2 stories above prove that assisted suicide as an option in some countries has gone too far.It clearly should be available however the circumstances where it is allowed need to be very strict and I don't believe mental illness should be one of them.I always believed the reason assisted suicide existed is that it only to be used where people would be too weak to be able to commit suicide themselves and need someone else to do it for them to put them out of their misery because they were incapable of doing it themselves.


    I suspect due to the way the opening post in this topic is though that the mods will now close the thread.



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  • Moderators, Recreation & Hobbies Moderators Posts: 12,232 Mod ✭✭✭✭igCorcaigh


    I'd agree with most of what you expressed. I don't see mental illness as a candidate for dignified dying. I'm in favour of this action though, as an act of compassion for those who face terminal illness with physical pain.

    I don't think this debate has been fully expressed in the Irish public realm.



  • Registered Users, Registered Users 2 Posts: 16,781 ✭✭✭✭osarusan


    As of two weeks ago, the Canadian govt was looking to delay this.



    Starting March 2023, Canada is expected to become one of the few countries in the world to allow physician-assisted death for chronic mental disorders. But on Thursday, the justice minister, David Lametti, said the government would seek to delay the expansion of medical assistance in dying (Maid), following criticism from psychiatrists and physicians across the country. “We are listening to what we are hearing and being responsive, to make sure we move forward in a prudent way. We know we need to get this right in order to protect those who are vulnerable and also to support an individual’s autonomy and freedom of choice,” Lametti said.



  • Registered Users, Registered Users 2 Posts: 14,309 ✭✭✭✭wotzgoingon


    I don't see a problem with assisted suicide for mental illness. A lot of suicides in the world are people who have mental illnesses so a safe way to do it if you were going to anyway seems like a good option.



  • Moderators, Recreation & Hobbies Moderators Posts: 12,232 Mod ✭✭✭✭igCorcaigh


    There is a difference though. There is always (well, usually) a way back from mental illness, though often difficult.

    But not for terminal physical conditions, where the person is under such care that prevents them from escaping their pain.



  • Registered Users, Registered Users 2 Posts: 1,722 ✭✭✭Jack Daw


    There is almost always a way back from Mental illness, there isn't a way back from terminal cancer, motor neuron disease etc

    People who have mental illness are not rational in their thoughts and therefore allowing them to option of assisted suicide is dangerous for them and makes it too easy for them.At least people with non mental illness are more rational in their thoughts and therefore deciding to opt for assisted suicide can be a sensible decision, this is not the case with mental illness.



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  • Registered Users, Registered Users 2 Posts: 14,156 ✭✭✭✭Deja Boo


    I couldn't read past your first sentence. Spoken like someone who has never had to endure PTSD, or (like me) can't fully understand nor comprehend the depth of suffering from severe mental illness. "Curable" is questionable, at best.



  • Registered Users, Registered Users 2 Posts: 13,503 ✭✭✭✭Mad_maxx


    I’m not sentimental about death and see euthanasia as an act of mercy, I intend to vote for it should a referendum be held here but I think extending its eligibility to those who are depressed is beyond a slippery slope


    should strictly be reserved for people with terminal illness who are in pain IMO



  • Registered Users, Registered Users 2 Posts: 1,722 ✭✭✭Jack Daw



    As I said there is always some hope with mental illness there isn't with terminal illness.It's not that controversial a view because it is 100% true.I don't think we should be allowing other people to kill someone if they have severe mental health issues .

    If people really want to die they will almost always find away to do it themselves. I have always believed the whole intention of legalizing euthanasia was to provide an option for people who are not capable of committing suicide themselves due to physical difficulties caused by their condition.I think legalizing the ability to kill physically healthy people is a dangerous path to go down.



  • Registered Users, Registered Users 2 Posts: 1,788 ✭✭✭nothing


    Physical pain is not the only kind of pain. No one should be denied a safe medical procedure because the general public cannot fathom the complexities of a mental illness. Not every mental illness equates to an unsound mind. Not every mental illness is "curable". I don't believe anyone should be denied support if life is unbearable for them. I also don't believe that they will just take in a distressed patient and immediately offer them a drug cocktail, no doubt there are procedures put in place, plenty of legal and medical advice and information.



  • Registered Users, Registered Users 2 Posts: 1,614 ✭✭✭WrenBoy


    Was looking for more info on this and came across the disabled veteran who was in contact with veteran affairs to get a stair lift installed and was sent information on availing of assisted suicide instead, in other words if you're that stuck for help why not just off yourself, mental stuff.

    As far as it being offered to people suffering with mental health, I couldn't think of a worse idea. When treating people in the depths of depression for example suicidal ideation is exactly what health professionals are trying to keep the patient from. Sounds more like a society just giving up on its vulnerable and seeing a way to save money and resources. Pretty sick stuff.

    The argument for those with terminal illness is quite different and I would welcome a debate on it, but at the minute I wouldn't be in favour of it.



  • Registered Users, Registered Users 2 Posts: 23,246 ✭✭✭✭Dyr


    I'm a big proponent of assisted suicide for people who support and enable assisted suicide

    It's interesting that we have people in this world who would fiercly oppose capital punishment for the worse sort of bastards but will happily off someone suffering from depression.



  • Registered Users, Registered Users 2 Posts: 26,440 ✭✭✭✭Mrs OBumble



    Not every mental illness equates to an unsound mind.

    Eh?

    It's pretty much the definition of a mental illness that the person is of unsound mind.



  • Registered Users, Registered Users 2 Posts: 1,788 ✭✭✭nothing


    A mental illness is a diagnosis of some symptoms that cause apparent dysfunction of a person in our current society. It does not necessarily follow that the person is not ever capable of having clarity of thought, rational or logical decisions for their lives.

    Or do you think that everyone with any kind of mental illness is incapable of making important decisions for their lives?



  • Registered Users, Registered Users 2 Posts: 1,311 ✭✭✭lmao10


    A good move. The audacity of people who want to keep people who wish to die alive is pretty appalling. Usually related to belief in some religious BS. If someone wants to go, then the option should be there imo.



  • Registered Users, Registered Users 2 Posts: 1,003 ✭✭✭DarkJager21


    And this is the slippery slope that needs to be avoided - we already have men claiming to be women. By your line of thinking, maybe we should also allow someone to diagnose as schizophrenic and they can legally be whatever personality or character they want to be that day? No meds, no treatment unless requested. Everything will be grand.



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  • Registered Users, Registered Users 2 Posts: 1,788 ✭✭✭nothing


    Um what? I never said anything about self diagnosis or removing medical professionals from the equation.



  • Registered Users, Registered Users 2 Posts: 527 ✭✭✭dickdasr1234


    "As I said there is always some hope with mental illness"

    Tell that to the long-term psychotics who live a life of sheer terror suppressed by medication so that we can bear to be around them.

    Psychiatry is the greatest codology - they have no idea how to cure any mental illness and freely use drugs like a wet blanket on a flame. Ffs, they still advocate electric shock treatment when all else fails!



  • Registered Users, Registered Users 2 Posts: 7,976 ✭✭✭growleaves


    Electroconvulsive therapy/ ECT/ electroshock has been shown to be effective in some patients with Parkinson's disease in numerous trials.

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4655896/

    There's some evidence its useful in treating psychoticism afaik.

    Its negative depiction in pop culture like One Flew Over the Cuckoo's Nest and Zen and the Art of Motorcycle Maintenance is probably the main reason its held in such low regard.



  • Registered Users, Registered Users 2 Posts: 8,563 ✭✭✭ceadaoin.


    Even more worrying is that they are looking to expand this to allow "mature minors" to end their lives. Offering it as an option to someone complaining about the government not adequately providing assistance to disabled just makes it seem like a cost cutting measure to the government. Encourage disabled people to end their lives and you don't need to spend money on them anymore. Pretty disgusting attitude, that's bordering on eugenics.



  • Registered Users, Registered Users 2 Posts: 7,976 ✭✭✭growleaves


    If there's a genetic component to mental illness, then this policy could be inadvertently eugenic if its a cause of sub-fertility among the mentally ill.

    If we get to the point where anyone can end their life with without any stigma then that will place the whole population under selection pressure for traits such as mental resilience and religiousness.



  • Registered Users, Registered Users 2 Posts: 24,524 ✭✭✭✭One eyed Jack



    It’s not a question of audacity, it’s a matter of ethics in law. When it comes to assisted suicide, it’s a question of whether or not it is ethical to permit anyone to take another person’s life. It’s not just about the option being there for anyone who wants to take their own life.



    Unfortunately it’s not just bordering on eugenics, it IS eugenics, because it requires a determination that the person is unfit to live in society, that they are beyond help, with the idea that in a compassionate society, human suffering can be alleviated by ending their lives.

    If a society promotes the idea that human suffering is a burden on society, that makes it less painful for people to accept that they are a burden on society and they should want to take their own life. It enables people to conclude that taking their own life is the only rational conclusion to ending both their suffering, and the suffering of others -

    A recent systematic review of the literature concluded that 19-65% of terminally ill patients felt that they were a burden to others. The 2016 Report relating to the Oregon Death with Dignity Act says that 48.9% of patients whose lives were ended under the Act cited ‘being a burden’ as one of their concerns.

    http://blog.practicalethics.ox.ac.uk/2017/09/being-a-burden-a-illegitimate-ground-for-assisted-dying/



  • Registered Users, Registered Users 2 Posts: 527 ✭✭✭dickdasr1234


    Really? Some evidence 'afaik'. Who in their right mind would take ECT for Parkinson's?

    I have seen people after ECT and you wouldn't risk it on your dog!

    Unlike 90% of the half-wits on Boards, my sources are not 'pop-culture' or social media: I have had the misfortune to regularly encounter psychiatrists throughout my counselling career and the honest ones are few and far between.



  • Registered Users, Registered Users 2 Posts: 31,159 ✭✭✭✭AndrewJRenko




  • Registered Users, Registered Users 2 Posts: 26,440 ✭✭✭✭Mrs OBumble


    You treat it. Similar to treating diabetes or asthma.



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  • Registered Users, Registered Users 2 Posts: 8,789 ✭✭✭Oscar_Madison
    #MEGA MAKE EUROPE GREAT AGAIN


    I read an article recently on Canadas MAID system - where it’s getting criticism is how often assisted suicide is being offered by medical practioners as a viable alternative to whatever challenges the patient is facing- in the article I read it was poor( as in not wealthy) disabled people who were struggling to make ends meet with no viable prospects of a better life.

    I do like the idea of assisted suicide but Canadas version seems to be one of the most liberal and least restrictive- it’s certainly a debate worth having here in Ireland



  • Registered Users, Registered Users 2 Posts: 28,982 ✭✭✭✭breezy1985


    Dementia is a mental illness there is no coming back from and for some requires full time medical treatment in a dementia ward.

    There are also people who will spend the rest of their lives in a mental home from something as simple as hitting their head and there is no coming back for them either.

    Schizophrenia can lead to the same lifelong treatment in a mental home.

    I would love to sign a piece of paper that would terminate my life rather than living through any of the above.



  • Registered Users, Registered Users 2 Posts: 13,503 ✭✭✭✭Mad_maxx


    I would never judge or take a harsh view of someone who died by their own hand but allowing the state to be involved in the suicide business is extremely dangerous to that extent, wishing that much power on the state is chilling



  • Registered Users, Registered Users 2 Posts: 31,159 ✭✭✭✭AndrewJRenko


    He didn’t say it was treatable. He said it was curable.

    But if you want to talk about treatment, let’s talk about the availability and cost of CBT .



  • Registered Users, Registered Users 2 Posts: 24,524 ✭✭✭✭One eyed Jack



    it’s certainly a debate worth having here in Ireland


    It’s a debate that’s long been had in Ireland ever since suicide was decriminalised in 1993 and the prohibition of assisted suicide was codified in Irish law at the same time -

    2.—(1) Suicide shall cease to be a crime.

    (2) A person who aids, abets, counsels or procures the suicide of another, or an attempt by another to commit suicide, shall be guilty of an offence and shall be liable on conviction on indictment to imprisonment for a term not exceeding fourteen years.

    https://www.irishstatutebook.ie/eli/1993/act/11/section/2/enacted/en/html#sec2


    Significant public debate was had around the issue during the time Marie Fleming was alive and campaigning for the right to die to be recognised in Irish law which would have permitted assisted suicide -

    https://m.independent.ie/irish-news/news/garda-probe-launched-into-death-of-right-to-die-campaigner-marie-fleming-35160299.html


    The first person who was actually charged with an offence was Gail O’ Rorke in 2015 after it was alleged she had assisted someone to die by suicide -

    https://www.thejournal.ie/gail-orourke-3222621-Feb2017/


    There’s always going to be significant debate about the issue because of the idea of who should be granted the authority to end another person’s life, and the circumstances under which they may be permitted to do so. There’s no significant demand for it in Ireland, and politicians understandably don’t want to touch the issue with a 20 foot barge pole!



  • Registered Users, Registered Users 2 Posts: 31,159 ✭✭✭✭AndrewJRenko


    Or maybe we could ensure that living in a mental home isn’t a fate worse than death?



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  • Registered Users, Registered Users 2 Posts: 13,503 ✭✭✭✭Mad_maxx


    I probably would too but that’s different than depression



  • Registered Users, Registered Users 2 Posts: 28,982 ✭✭✭✭breezy1985


    It's not the condition of the home that I have the problem with whatsoever. Quality of care in state institutes is fantastic.

    I don't want my family spending their days visiting a man child who doesn't even know who they are.

    I never said depression. The term thrown around is mental illness which these are and are not curable like is being claimed mental illness is.



  • Registered Users, Registered Users 2 Posts: 2,036 ✭✭✭crusd


    ECT is the equivalent of repairing a pothole with plastic explosive in the hope that the bits fall back into place by themselves.



  • Registered Users, Registered Users 2 Posts: 8,789 ✭✭✭Oscar_Madison
    #MEGA MAKE EUROPE GREAT AGAIN


    I’ve heard it reported in 2022 that it’s a topic that might be handed to the citizens assembled for discussion- but whist some politicians will steer clear, such as those reliant on elderly Catholic voters in Kerry for example, it’s not the taboo topic it once was- personally if got a disease such as motor neuron or locked in body syndrome, I’d absolutely want to choose when I depart this planet and not be reliant on a crumbling health service



  • Registered Users, Registered Users 2 Posts: 24,524 ✭✭✭✭One eyed Jack



    I think posters (because I don’t want to single you out) who hopped on the word “curable” are being unnecessarily picky. It was clear from the context in which it was written, what the poster meant, given the rest of the post.

    Therapies like CBT and EMDR are widely available and cheap as chips, and CBT in particular is widely regarded as being an effective treatment for mild cases of the conditions it is provided as a treatment for. Its effectiveness is in its use as an intervention therapy as part of the treatment of those conditions in order that the patient recovers from ill mental health. The jury is still out on it’s efficacy as part of a broader regimen in treating other conditions -

    In sum, our review of meta-analytic studies examining the efficacy of CBT demonstrated that this treatment has been used for a wide range of psychological problems. In general, the evidence-base of CBT is very strong, and especially for treating anxiety disorders. However, despite the enormous literature base, there is still a clear need for high-quality studies examining the efficacy of CBT. Furthermore, the efficacy of CBT is questionable for some problems, which suggests that further improvements in CBT strategies are still needed. In addition, many of the meta-analytic studies included studies with small sample sizes or inadequate control groups. Moreover, except for children and elderly populations, no meta-analytic studies of CBT have been reported on particular subgroups, such as ethnic minorities and low income samples.

    Despite these weaknesses in some areas, it is clear that the evidence-base of CBT is enormous. Given the high cost-effectiveness of the intervention, it is surprising that many countries, including many developed nations, have not yet adopted CBT as the first-line intervention for mental disorders. A notable exception is the Improving Access to Psychological Therapies initiative by the National Health Commissioning in the United Kingdom (Rachman & Wilson, 2008). We believe that it is time that others follow suit.

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3584580/



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  • Registered Users, Registered Users 2 Posts: 13,503 ✭✭✭✭Mad_maxx


    many people living on the streets today would have lived in psychiatric institutions back in the day, apparently the streets is progress ?



  • Registered Users, Registered Users 2 Posts: 31,159 ✭✭✭✭AndrewJRenko


    Where can I get “cheap as chips” CBT in Ireland please? Do your chips cost about €75-€100 a week?



  • Registered Users, Registered Users 2 Posts: 24,524 ✭✭✭✭One eyed Jack



    You can practice it in the comfort of your own home if you like completely free. I don’t own the concept either, it’s available to anyone, easily accessible. Like I said, one of its advantages is its cost-effectiveness in the treatment of mild cases of certain conditions. It’s not a suitable treatment for everyone, but there are alternative treatments which an individual may find more helpful in alleviating their discomfort.



  • Registered Users, Registered Users 2 Posts: 24,524 ✭✭✭✭One eyed Jack



    Given what we now know of the kind of behaviour patients In institutions were subjected to, living on the streets is a far less daunting prospect! At least on the streets they’re less likely to suffer physical, sexual, emotional, verbal and mental abuse perpetrated by people who purported to be caring for them.



  • Registered Users, Registered Users 2 Posts: 24,524 ✭✭✭✭One eyed Jack



    I’d absolutely want to choose when I depart this planet and not be reliant on a crumbling health service


    The issue there isn’t your when you choose to depart, it’s that if assisted suicide were legislated for, you would be reliant on the same crumbling health service to assist in your departure.

    Bit… awkward 😬



  • Registered Users, Registered Users 2 Posts: 31,159 ✭✭✭✭AndrewJRenko


    Therapy involves a therapist. "Go read a book" or "go watch this YouTube channel" isn't therapy.



  • Registered Users, Registered Users 2 Posts: 8,789 ✭✭✭Oscar_Madison
    #MEGA MAKE EUROPE GREAT AGAIN


    Joking aside, in Canada the MAID system is actually seen as a money saver for the health service - so your post is not entirely without merit- the Canadian health service actually have a very good assisted dying programme in place and why wouldn’t they, if they can save millions of dollars every year as a result.

    Apparently last year, something like 10.000 people chose MAID in Canada- on a per capita basis the equivalent in Ireland would be about 1600 people- not a huge amount when you consider the amount of people in Ireland at end of life, many with incurable diseases and great illness - in my view it’s just another way of dignified dying- it’s no different to pumping morphine into someone for a few days as I’ve witnessed all too often- let them go, they deserve it (assuming that they signed up for it)



  • Registered Users, Registered Users 2 Posts: 13,503 ✭✭✭✭Mad_maxx


    Those were a tiny minority of fringe cases , the reality is closing down the institutions was a disaster as the families of those unfortunate people were unfit to look after them and the result was a huge increase in homelessness and prison numbers



  • Registered Users, Registered Users 2 Posts: 24,524 ✭✭✭✭One eyed Jack



    CBT, as the acronym suggests, IS therapy. There is no requirement whatsoever that its practice requires a therapist. That’s your own criteria, which would explain why you think it should cost anyone between €70 - €100 to avail of, and why you think its availability is limited. Certainly if you wish to avail of a therapist’s services it’s going to cost, though whether it comes out of your pocket personally is dependent upon your individual circumstances, which I’m not privy to and I have no desire to be made aware of.



  • Registered Users, Registered Users 2 Posts: 24,524 ✭✭✭✭One eyed Jack



    That tiny minority of fringe cases was enough to demonstrate a much broader issue with institutionalised care, which is why it wasn’t a disaster at all for either people who were deemed unfit to look after themselves, or their families who were deemed unfit to look after them.

    There hasn’t been any significant increase in homelessness or prison numbers as a consequence of shutting down institutionalised care in Ireland. The services provided in community care settings have improved, but as dealing with the pandemic showed, they’re still a long ways off ideal, and certainly there are still many people who are homeless and suffering ill mental health who consider living on the streets a far less daunting prospect than living in institutionalised care. From their perspective, you’d want to be mad to think homeless shelters are safer than living on the streets.



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