Skip to main content

Abstract

As we observed in other chapters, at the heart of the debate on assisted suicide and assisted dying is suicide. How should we look upon suicide in relation to question of whether to accept assisted suicide as medical treatment?

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Notes

  1. Cited in C. S. Evans ‘Faith as the Telos of Morality: A Reading of Fear and Trembling’, Kierkegaard on Faith and the Self: Collected Essays (Waco: Baylor University Press, 2006), pp. 209–223

    Google Scholar 

  2. Reverend Kevin D. O’Rourke, ‘The Catholic Tradition on Forgoing Life Support’, The National Catholic Bioethics Quarterly, vol. 5, no. 3 (Autumn 2005), pp. 537–553

    Article  PubMed  Google Scholar 

  3. Antoon A. Leenaars, ‘Edwin S. Shneidman on Suicide’, Suicidology Online, vol. 1 (2010), pp. 5–18

    Google Scholar 

  4. Kevin D. O’Rourke, ‘The Catholic Tradition on Forgoing Life Support’, in M. T Lysaght and J. J. Kotva Jr. (eds), On Moral Medicine, Theological Perspectives in Medical Ethics, Third Edition (Grand Rapids: Wm B. Eerdmans Publishing Co., 2012), p. 1118.

    Google Scholar 

  5. Cited in Manuel G. Velasquez, ‘Defining Suicide’, Issues in Law and Medicine, vol. 3 (1987–88), pp. 37–52

    CAS  PubMed  Google Scholar 

  6. Cited in Robert F. Martin, ‘Suicide and Self-sacrifice’, in Margaret Pabst Battin and David J. Mayo (eds), Suicide: The Philosophical Issues (New York: St. Martin’s Press, 1980), pp. 48–68

    Google Scholar 

  7. There are those who disagree with this precept, especially those who feel it is possible for an animal to commit suicide. See, for instance, Halmuth H. Schaefer, ‘Can a Mouse Commit Suicide?’, in Edwin S. Sheidman (ed.), Essays in Self-Destruction (New York: Science House, Inc., 1967).

    Google Scholar 

  8. Duncan Wilson and Edward Ramsden, ‘The Nature of Suicide: Science and the Self-Destructive Animal’, Endeavour, vol. 34, no. 1 (March 2010), pp. 21–24.

    Article  PubMed  Google Scholar 

  9. Cited in Margaret Pabst Battin, Suicide: The Ethical Issues (Englewood Cliffs: Prentice Hall, 1995), 21.

    Google Scholar 

  10. Kant cited in Martin,’ suicide and Self-sacrifice’, p. 49. Michael J. Seidler, ‘Kant and the Stoics on Suicide’, journal of the History of Ideas, vol. 44, no. 3 (July-September 1983), pp. 429–453

    Article  CAS  PubMed  Google Scholar 

  11. Allen W. Wood, Kantian Ethics (New York: Cambridge University Press, 2008), p. 172.

    Google Scholar 

  12. Recent research questions whether this particular double-effect, of morphine killing the patient as well as the pain, really does take place. See Mary Warnock and Elisabeth Macdonald, Easeful Death: Is there a Case for Assisted Dying? (Oxford: Oxford University Press, 2008), p. 111.

    Google Scholar 

  13. Peter Y. Windt, ‘The Concept of Suicide’, in Battin and Mayo (eds), Suicide, pp. 39–47. Thomas Szasz, Fatal Freedom: The Ethics and Politics of Suicide (Syracuse: Syracuse University Press, 2002), p. 64.

    Google Scholar 

  14. Iain Brassington, ‘Killing People: What Kant Could Have Said about Suicide and Euthanasia but Did Not’, journal of Medical Ethics, vol. 32, no. 10 (2006) pp. 571–574.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. See, for instance, John P. Safranek, ‘Autonomy and Assisted Suicide: The Execution of Freedom’, Hastings Center Report, vol. 28, no. 4 (1998), pp. 32–36

    Article  CAS  PubMed  Google Scholar 

  16. Kumar Amarasekara and Mirko Bagaric, Euthanasia, Morality and the Law (New York: Peter Lang, 2002)

    Google Scholar 

  17. Bonnie Steinbock, ‘The Case for Physician Assisted Suicide: Not (Yet) Proven’, journal of Medical Ethics, vol. 31 (2005), pp. 235–241.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Iain Brassington, ‘Five Words for Assisted Dying’, Law and Philosophy, vol. 27, no. 5 (2008), pp. 415–444

    Article  Google Scholar 

  19. Sheila McLean, Assisted Dying: Reflections on the Need for Law Reform (London: Rout ledge, 2007).

    Google Scholar 

  20. See Chapter 1. Not one report on the reasons why death is sought in these areas has pain as an important motivation. The key reasons listed in the 2010 Oregon Death with Dignity Act report are loss of autonomy (93.8 per cent), decreasing ability to participate in activities that made life enjoyable (93.8 per cent), and loss of dignity (78.5 per cent). All feature loss, which is similar to the motivations of non-assisted suicides. See Warren Breed, ‘Suicide and Loss in Social Interaction’, in Sheidman (ed.), Essays in Self-Destruction, pp. 188–202; David Lester, Making Sense of Suicide: An Indepth Look at Why People Kill Themselves (New York: Charles Press, 1997)

    Google Scholar 

  21. Roy F. Baumeister,’ suicide as Escape from Self, Psychological Review, vol. 97, no. 1 (January 1990), pp. 90–113.

    Article  CAS  PubMed  Google Scholar 

  22. On 26 March 1997, Marshall Applewhite and 39 other members of the Heaven’s Gate cult, of which Applewhite was leader, took their own lives. The group timed their suicides according to the comet Hale-Bopp’s appearance as they claimed that a spaceship was tailing the comet; see also Charles Wahl, ‘Suicide as a Magical Act’, in Edwin S. Sheidman and Norman Farberow (eds), Clues to Suicide (New York: McGraw Hill, 1957), pp. 23–33

    Google Scholar 

  23. M. D. Faber, ‘Shakespeare’s Suicides’ in Edwin S. Sheidman (ed.), Essays in Self-destruction (New York: Science House, Inc., 1967), pp. 30–58.

    Google Scholar 

  24. Thomas Szasz, Fatal Freedom: The Ethics and Politics of Suicide (Syracuse: Syracuse University Press, 1999).

    Google Scholar 

  25. Battin, Suicide: The Ethical Issues, p. 21. See also Robert L. Barry, Breaking the Thread of Life, On Rational Suicide (New York: Transaction Publishers, 1996), p. 3.

    Google Scholar 

  26. See p. 38fn. James Rachels, ‘Active and Passive Euthanasia’, The New England Journal of Medicine, vol. 292 (1975), pp. 78–80.

    Article  CAS  PubMed  Google Scholar 

  27. Ronald Dworkin, Life’s Dominion, An Argument about Abortion and Euthanasia (London: Harper Collins, 1995, ©1993), p. 248.

    Google Scholar 

  28. As H. Rommilly Fedden said, ‘[t]his most individualistic of all actions disturbs society profoundly. Seeing a man who appears not to care for the things which it prizes, society is compelled to question all it has thought desirable. The things which make its own life worth living, the suicide boldly jettisons. Society is troubled, and its natural and nervous reaction is to condemn the suicide’; cited in Glanville Williams, The Sanctity of Life and the Criminal Law (London: Faber and Faber, 1958), p. 240.

    Google Scholar 

  29. Cited in Georgia Noon, ‘On Suicide,’ journal of the History of Ideas, vol. 39, no. 3 (July-September, 1978), pp. 371–386

    Article  CAS  PubMed  Google Scholar 

  30. For discussions of rational suicide, see James L. Werth, Contemporary Perspectives on Rational Suicide (London: Brunner/Mazel, 1999)

    Google Scholar 

  31. George P. Smith, ‘All’s Well that Ends Well: Toward a Policy of Assisted Rational Suicide or Merely Enlightened Self-determination?’, UC Davis Law Review, vol. 22, no. 2 (1989), pp. 275–419

    Google Scholar 

  32. For a useful analysis of the distinction made by Dworkin, John Harris and others between the two concepts, see Theo A. Boer, ‘Recuning Themes in the Debate about Euthanasia and Assisted Suicide’, Journal of Religious Ethics, vol. 35, no. 3 (September 2007), pp. 529–555.

    Article  Google Scholar 

  33. The policeman’s dilemma has been used by many on both sides of the assisted-suicide debate. A lony driver is trapped in the cab of his burning vehicle after an accident. The police, fire-fighters and ambulance service are at the scene, but it is clear he will bum to death before he can be freed. He is in agony. He begs a policeman (who happens to be armed) to shoot him rather than let him burn. For a discussion of its importance, see, for instance, John Harris, ‘Consent and End of Life Decisions’, Journal of Medical Ethics, vol. 29 (2003), pp. 10–15.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Quang Due asked to burn himself as ‘a donation to the struggle’; cited in Michael Biggs, ‘Dying Without Killing: Self Immolations, 1963–2002’, in Diego Gambetta (ed.), Making Sense of Suicide Missions (Oxford: Oxford University Press, 2006), p. 179.

    Google Scholar 

  35. For an enlightening discussion of the treatment of suicide by early Christian theologians, see Darrel W. Amundsen, ‘Suicide and Early Christian Values’, in Baruch A. Brody (ed.), Suicide and Euthanasia: Historical and Contemporary Themes (Dordecht: Kluwer, 2010, ©1989), pp. 77–154.

    Google Scholar 

  36. As Hannah Arendt observes, ‘men never have been and never will be able to undo or even to control reliably any of the processes they start through action’; Arendt, The Human Condition, pp. 232–223. Eric A. Plaut and Kevin Anderson, tr., Marx on Suicide (Chicago: Northwestern University Press, 1999).

    Google Scholar 

  37. David P. Phillips, ‘The Influence of Suggestion on Suicide: Substantive and Theoretical Implications of the Werther Effect’, American Sociological Review, vol. 39, no. 3 (June 1974), pp. 340–354.

    Article  Google Scholar 

  38. See A. G. Lee, ‘Ovid’s “Lucretia”’, Greece & Rome, vol. 22, no. 66 (October 1953), pp. 107–118.

    Article  Google Scholar 

  39. Arendt The Human Condition. Preceding Arendt, Paul Mich spoke of vitality in similar terms, though he included what Arendt categorized as works (the produce of homo faber) within it: ‘Vitality is the power of creating beyond oneself without losing oneself. The more power of creating beyond itself a being has the more vitality it has. The world of technical creations is the most conspicuous expression of man’s vitality and its infinite superiority over animal vitality. Only man has complete vitality because he alone has complete intentionality’; Paul Mich, The Courage to Be (London: Yale University Press, 1952), p. 81.

    Google Scholar 

  40. Arendt, The Human Condition, p. 234. Adam Smith refened to the ability of human beings to breach the existing social and moral barriers: ‘Men have voluntarily thrown away life to acquire after death a renown which they could no longer enjoy. Their imagination, in the meantime, anticipated that fame which was in future times to be bestowed upon them. Those applauses which they were never to hear rung in their ears, the thoughts of that admiration whose effects they were never to feel played about their hearts, banished from their breasts the strongest of all natural fears, and transported them to perform actions which seem almost beyond the reach of human nature’; Adam Smith, ‘The Theory of Moral Sentiments’, cited in Bruce Mazlish, ‘History and Morality,’ The journal of Philosophy, vol. 55, no. 6 (13 March 1958), pp. 230–240

    Article  Google Scholar 

  41. Peter J. Steinberger, ‘Hannah Arendt on Judgment’, American Journal of Political Science, vol. 34, no. 3 (August 1990), pp. 803–821

    Article  Google Scholar 

  42. Hannah Arendt, Responsibility and judgment, ed. Jerome Kohn (New York: Schocken Books, 2003), p. 46.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Copyright information

© 2013 Kevin Yuill

About this chapter

Cite this chapter

Yuill, K. (2013). Considering Suicide. In: Assisted Suicide: The Liberal, Humanist Case Against Legalization. Palgrave Macmillan, London. https://doi.org/10.1057/9781137286307_5

Download citation

Publish with us

Policies and ethics