Suicidal behaviour is pathological: implications for psychiatric euthanasia.

Autor:	Sisti D; Department of Medical Ethics & Health Policy, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA sistid@upenn.edu., Mann JJ; Department of Psychiatry, Columbia University, New York, New York, USA.; New York State Psychiatric Institute, New York, New York, USA., Oquendo MA; Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Jazyk:	angličtina
Zdroj:	Journal of medical ethics [J Med Ethics] 2024 Sep 09. Date of Electronic Publication: 2024 Sep 09.
DOI:	10.1136/jme-2023-109522
Abstrakt:	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. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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