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Monday, Feb 24, 2025

Concerns Over Assisted Dying Legislation's Impact on Suicide Prevention in England and Wales

Concerns Over Assisted Dying Legislation's Impact on Suicide Prevention in England and Wales

Government adviser raises issues regarding potential implications for suicide prevention efforts amidst proposed assisted dying bill.
Prof. Louis Appleby, the chair of the government’s national suicide prevention strategy advisory group, has expressed significant concerns regarding the implications of legalising assisted dying in England and Wales on suicide prevention efforts.

In his remarks, he indicated that such legislation could fundamentally alter society's approach to suicide prevention by suggesting that taking one’s own life may be permissible under certain circumstances.

Appleby articulated his stance in a recent interview, stating that the current consensus within society prioritizes the prevention of all suicides.

He noted, "The suicide prevention consensus is a remarkable thing.

As a society, we are signed up to the idea that we should do all we can to help people get through [suicidal thoughts]."

The adviser highlighted fears that legalising assisted dying could undermine this long-standing agreement, prompting a shift towards a mindset that may regard certain suicides as acceptable or justifiable.

He stated, "If we decide as a society that people who want to take their own lives should be helped through that crisis, conceding that ground is a huge step."

Appleby, who refrained from outright opposition to the concept of assisted dying, has suggested that if such legislation were to be enacted, it would be prudent to incorporate a cooling-off period for individuals who request assisted death, similar to protections in other jurisdictions.

He expressed concern that allowing assisted deaths could lead to validating suicides, particularly among vulnerable individuals experiencing significant suffering.

Regarding the proposed private members’ bill, sponsored by Labour MP Kim Leadbeater, Appleby pointed out that it seeks to limit assisted dying to terminally ill patients who have a prognosis of six months or less to live.

This bill is currently under scrutiny in Parliament, where MPs are considering amendments and further modifications.

Appleby shared insights from his research on the emotional journey of terminally ill patients considering assisted death.

He remarked that people often experience initial despair following a terminal diagnosis, but with support, they can gradually reach a more stable emotional state.

He emphasized the importance of addressing remediable factors, such as isolation and depression, suggesting that effective treatment could help individuals navigate their feelings of despair without resorting to assisted dying.

As Parliament prepares for further discussions on potential amendments to the bill, proposals have emerged to replace the current requirement for each case to be scrutinized by a high court judge with a review process involving a panel of experts.

This change has stirred debate among MPs, with some viewing it as a potential dilution of safeguards designed to protect vulnerable individuals.

Proponents of the amendment argue that a panel composed of a senior legal figure, a psychiatrist, and a social worker would provide more informed oversight of complex cases involving issues of domestic violence and mental capacity.
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