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seasonal effects suicidal person youth mental health crisis youth suicide history list of suicides a m n z lgbtq suicides suicide in antiquity list of suicides in the 21st century in warfare banzai charge kamikaze suicide mission related phenomena anguish alcoholism anhedonia animal loss anxiety disorder asperger syndrome autism conditions comorbid to autism biology of depression epigenetics of depression causes of mental disorders chronic condition chronic pain coping coping planning depression mood diseases of despair diseases of poverty echo chamber existential crisis financial crisis grief suicide bereavement ideation interpersonal relationships locations major depressive disorder mental disorder mental health first aid neurodevelopmental disorder non suicidal self injury perfectionism personal finance post traumatic stress disorder ptsd poverty psychological first aid psychological stress psychological trauma schizophrenia self harm self hatred substance abuse suffering suicidal ambivalence suicide and the internet suicide and trauma suicide awareness suicide in colleges in the united states suicide in music subcultures suicide note suicide survivor suicide terminology suicide tourism suicidology warning signs of suicide by country rate by country afghanistan australia bangladesh cameroon canada china france greenland india iran ireland japan lesotho lithuania nepal pakistan romania russia saudi arabia singapore south africa south korea spain sri lanka sweden switzerland ukraine united kingdom united states organizations compassion choices death with dignity national center dignitas exit international final exit network hemlock society v t e part of a series on homicide murder note varies by jurisdiction assassination attempted murder child murder consensual homicide contract killing crime of passion depraved heart murder felony murder rule foeticide honor killing human cannibalism child cannibalism human sacrifice child sacrifice internet homicide in custody lonely hearts killer lust murder lynching mass murder mass shooting mass stabbing misdemeanor murder murder for body parts murder suicide poisoning proxy murder pseudocommando serial killer angel of mercy spree killer thrill killing torture murder vehicle ramming attack wrongful execution judicial murder manslaughter in english law in us law in australian law voluntary manslaughter negligent homicide reckless homicide vehicular homicide non criminal homicide note varies by jurisdiction war assisted suicide capital punishment euthanasia foeticide justifiable homicide family familicide spousal murder mariticide uxoricide prolicide filicide infanticide neonaticide siblicide fratricide sororicide parricide matricide patricide senicide other crucifixion decapitation deicide democide friendly fire gendercide androcide femicide transfemicide genocide omnicide regicide stoning suspicious death tyrannicide war crime v t e assisted suicide is the process by which a person with the assistance of a medical professional takes actions to end their life 1 2 3 4 this practice is strictly regulated by the laws and rules of the state or country that a person lives in the physician s assistance is usually limited to writing a prescription for a lethal dose of drugs this practice falls under the concept of the medical right to die i e the right of a person to choose when and how they will die either through medical aid in dying or refusing life saving medical treatment while assisted suicide is not legal in all countries it is legal under certain circumstances in some countries including australia austria belgium canada germany jersey luxembourg the netherlands portugal law not yet in force awaiting regulation note 1 spain switzerland and parts of the united states the constitutional courts of colombia estonia and italy have legalized assisted suicide but their legislatures have not yet legislated or regulated the practice terminology edit depending on the territory and the legislation this practice is referred to using a variety of terminologies in some specific legal frameworks these terms refer exclusively to assisted suicide although the same terms are used in other jurisdictions to refer to other related practices such as voluntary euthanasia these include medical aid in dying maid medical assistance in dying maid physician assisted death pad physician assisted suicide pas assisted dying ad assisted suicide as however all of these terminologies in their legal framework refer to the same medical practice in which a physician indirectly assists another person to end their own life it involves a physician knowingly and intentionally providing a person with the knowledge or means or both required to end one s life including counseling about lethal doses of drugs prescribing such lethal doses or supplying the drugs this is a regulated practice in which the patient must meet strict criteria in order to receive medical assistance in dying 5 6 7 related terms edit assisted suicide should not be confused with the practice of euthanasia which occurs when somebody directly takes actions to end the life of another either a person or animal it can occur with or without consent and can be classified as voluntary the person consents non voluntary the person is unable to provide consent or involuntary the person does not give consent assisted suicide on the other hand includes only the indirect involvement of a medical professional as the dying individual is responsible for completing the action that ends their own life 8 concerns about use of the term assisted suicide edit some advocates for assisted dying strongly oppose the terms assisted suicide and suicide and prefer terms such as medical aid in dying or assisted dying the motivation for this is to distance the debate from suicides commonly performed by those not terminally ill as they believe that the use of suicide is not an accurate representation of the medical practice 9 10 11 12 in 2022 the world federation of right to die societies adopted the term assisted dying as the preferred terminology 13 restrictions and criteria edit to qualify for medical aid in dying individuals must typically meet strict criteria which may include they have a terminal i e likely to die in 6 months or a year or incurable illness or disability they are of sound mind they voluntarily and repeatedly express their wish to die they take the specified lethal dose by their own hand laws vary in scope from place to place in the united states medical aid in dying is limited to those who have a prognosis of less than six months to live additionally it is required in the united states that a physician offer alternative methods to limit a patient s suffering or discomfort such as hospice or palliative care before allowing them to agree to medical aid in dying 14 in canada and most european countries where the practice is permitted eligibility also includes unbearable suffering i e the person does not need to be terminally ill 15 switzerland has some of the least restrictive criteria for medical aid in dying in order to qualify a medical diagnosis is not required any person of sound mind can seek assistance to commit suicide the federal supreme court affirmed in 2023 that in case of mental illness several intensive discussions with the individual questioning the patient s relatives and obtaining a medical second opinion is sufficient for a doctor to prescribe a lethal drug to a mentally ill person an opinion written by a psychiatric specialist is not necessary 16 the swiss association dignitas requires that the person have a disease which will lead to death terminal illness and or an unendurable incapacitating disability and or unbearable and uncontrollable pain be of sound judgement be able to commit the last stage to swallow administer the gastric tube or open the valve of the intravenous access tube by themselves 17 18 methods edit ingestion method edit in the majority of cases medical aid in dying is performed through the ingestion of pills that are swallowed either whole or in powdered form with the patient becoming unconscious after approximately 20 30 minutes and then dying within about 1 2 hours 19 20 on average the median time to death is approximately 45 minutes 21 intravenous method edit in some places such as canada the medications may be taken by intravenous infusion with dying normally occurring within a few minutes 22 inhalation method edit ingestion of nitrogenous gas has been used in a few cases in switzerland 23 medications commonly used edit secobarbital previously was one of the most commonly prescribed drugs for physician assisted suicide in the united states 24 as of 2025 the medication is now rarely used some common medications include propofol 25 midazolam 25 diazepam 21 digoxin 21 rocuronium 25 or various barbiturates particularly secobarbital brand name seconal 26 27 and pentobarbital 28 29 medications are typically given in combinations 21 such as ddmaph diazepam digoxin morphine sulfate amitriptyline and phenobarbital ddhaph diazepam digoxin hydromorphone amitriptyline and phenobarbital ddma diazepam digoxin morphine sulfate and amitriptyline ddmp diazepam digoxin morphine sulfate and propranolol other medications and medication combinations have been considered and typically vary by state or country 30 31 in canada a sequence of midazolam propofol and rocuronium is commonly used 32 in oregon usa almost all medical aid in dying ingestions were of combination medications in 2025 75 of ingestions used the drug combination ddmaph diazepam digoxin morphine sulfate amitriptyline phenobarbital 21 13 of ingestions were ddhaph replacing the morphine sulfate with hydromorphone and 12 of ingestions were of ddma diazepam digoxin morphine sulfate and amitriptyline 33 other us states also use similar drug combinations to facilitate medical aid in dying 34 in the netherlands very high dose barbiturates have been recommended by the netherlands guidelines for the practice of euthanasia 34 35 in switzerland in the dignitas program after taking an anti emetic the person ingests sodium pentobarbital nap a k a nembutal usually 15 grams this is normally swallowed with water but may be ingested by gastric tube or intravenously 17 in the swiss pegasos program sodium pentobarbital is taken intravenously 36 effectiveness edit the methods that are now widely used have very high success rates but not 100 37 in oregon usa between the years 2001 2025 only 9 out of 3 621 cases 0 2 were ineffective recipient regained consciousness after ingesting the medication 38 witnessing the act edit medical staff edit in most countries medical staff such as doctors or nurses are permitted to accompany the patient and serve as a witness so long as the patient is the only person who handles and ingests the medication on their own 39 other witnesses edit other witnesses are also typically allowed such as friends family or community volunteers in oregon in 2025 it was found that a medical staff or volunteer were present in 79 of cases when medications were ingested and in 56 of cases at time of death 33 duo euthanasia edit some countries such as the netherlands allow duo euthanasia in which partners die together in 2023 66 people 33 couples chose to die by duo euthanasia 40 former dutch prime minister dries van agt and his wife died this way 41 42 legality by country and region edit status of assisted suicide around the world physician assisted suicide is legal note 1 legalized by court ruling but not legislated or regulated physician assisted suicide is illegal rates of euthanasia and assisted suicide eas have increased substantially in developed countries with wide variance in the rates of increase 46 australia edit main article euthanasia and assisted suicide in australia laws regarding assisted suicide in australia are a matter for state and territory governments physician assisted suicide is currently legal in all australian states and territories new south wales 47 victoria 48 south australia western australia 49 tasmania 50 queensland 51 australian capital territory 52 and the northern territory 53 under victorian law patients can ask medical practitioners about assisted suicide and doctors including conscientious objectors should refer to appropriately trained colleagues who do not conscientiously object 54 health practitioners are restricted from initiating conversation or suggesting vad to a patient unprompted physician assisted suicide was legal in the northern territory for a short time under the rights of the terminally ill act 1995 until this law was overturned by the federal parliament which also removed the ability for territories to pass legislation relating to assisted dying however this prohibition was repealed in december 2022 with the passing of restoring territory rights act 2022 the highly controversial euthanasia machine the first invented voluntary assisted dying machine of its kind created by philip nitschke utilised during this period is presently held at london s science museum 55 austria edit current status of assisted suicide in europe assisted suicide is legal note 1 legalized by court ruling but not legislated or regulated assisted suicide is not legal in december 2020 the austrian constitutional court ruled that the prohibition of assisted suicide was unconstitutional 56 in december 2021 the austrian parliament legalized assisted suicide for those who are terminally ill or have a permanent debilitating condition 57 58 belgium edit the euthanasia act legalized voluntary euthanasia in belgium in 2002 59 60 but it did not cover physician assisted suicide 61 the federal evaluation and control commission dutch federale evaluatie en controle commissie the institution that is responsible for checking whether the law has been followed in practice concluded that physician assisted suicide is allowed under the same conditions as in the case of euthanasia the physician needs to be present and is responsible the professional group representing the doctors shares this stance 62 63 64 canada edit main article euthanasia in canada in canada physician assisted suicide was first legalized in the province of quebec on 5 june 2014 65 it was declared nationally legal by the supreme court of canada on 6 february 2015 in carter v canada attorney general 66 federal legislation formalizing physician assisted suicide passed in mid june 2016 for patients facing an estimated death within six months 67 as of march 2021 individuals no longer need to be terminally ill in order to qualify for euthanasia 68 legislation allowing for assisted suicide for mental illness was expected to come into force on 17 march 2023 but was permanently scrapped by the carney ministry in october 2026 69 70 china edit in china assisted suicide is illegal under articles 232 and 233 of the criminal law of the people s republic of china 71 in china suicide or neglect is considered homicide and ca...