Suicide is a complex act whose meanings, while sometimes tragic, vary widely. This chapter surveys the ethical landscape surrounding algorithmic methods of suicide prevention especially as it pertains to social media activity and to the moderation of online suicide communities. We begin with a typology of suicide, distinguishing between varied goals in which suicide may factor as a means. Suicides should be understood as an act with varied eliciting desires, meanings, consequences, and ethics. Further,while many (...) suicides may be grounded on irrational desire, we argue that a desire to suicide may nonetheless be rational in some cases. We then offer a survey of the attempts by social media corporations to create suicide prediction algorithms and launch interventions aimed at preventing suicide as well as an overview of the current ethical debate. We argue that the values embedded within algorithmic suicide prevention nudges are “thick” in a substantive sense and deserving of scrutiny. Given that debates about the rationality, meaning, and permissibility of suicide are common and subject to intracultural and cross-cultural differences, we maintain that the task of suicide prediction is ill-suited to algorithmic approaches. Despite an algorithm’s ability to quantify a complex phenomenon like suicide risk and its appearance of objectivity, any suicide prediction algorithm is thoroughly subjective and involves moral judgments all the way down. Any such algorithm would necessarily impose a normative stance on suicide onto its user base that is subject to reasonable intra and cross-cultural disagreement. (shrink)

Patients with serious illnesses or injuries may decide to quit their medical treatment if they think paying the fees will put their families into destitution. Without treatment, it is likely that fatal outcomes will soon follow. We call this phenomenon “near-suicide”. This study attempted to explore this phenomenon by examining how the seriousness of the patient’s illness or injury and the subjective evaluation of the patient’s and family’s financial situation after paying treatment fees affect the final decision on the (...) treatment process. Bayesian Mindsponge Framework (BMF) analytics were employed to analyze a dataset of 1042 Vietnamese patients. We found that the more serious the illnesses or injuries of patients were, the more likely they were to choose to quit treatment if they perceived that paying the treatment fees heavily affected their families’ financial status. Particularly, only one in four patients with the most serious health issues who thought that continuing the treatment would push themselves and their families into destitution would decide to continue the treatment. Considering the information-filtering mechanism using subjective cost–benefit judgments, these patients likely chose the financial well-being and future of their family members over their individual suffering and inevitable death. Our study also demonstrates that mindsponge-based reasoning and BMF analytics can be effective in designing and processing health data for studying extreme psychosocial phenomena. Moreover, we suggest that policymakers implement and adjust their policies (e.g., health insurance) following scientific evidence to mitigate patients’ likelihood of making “near-suicide” decisions and improve social equality in the healthcare system. (shrink)

While suicide is typically associated with personal despair, people do sometimes kill themselves in the hope or expectation that their death will advance a political cause by way of its impact on the conscience of others, or in extreme cases simply as an expression of protest against a status quo felt to be unjust. Paradigm cases of such protest suicide may be public acts of self-immolation. This chapter distinguishes between instrumental and expressive protest suicide, examines the possible (...) motivations behind them, their possible moral justification, and their potential contribution to the meaning of the suicide’s life. It argues that when the value of the aim pursued by way of instrumental suicide is proportionate, killing oneself promotes it sufficiently, and other morally acceptable options are exhausted, instrumental protest suicide can be morally permissible and consistent with human dignity. It can even be an admirable act of self-sacrifice, provided that the agent’s motivations are suitable. Some of the standard moral objections to suicide don’t apply to such cases. But protest suicide remains morally risky, because one might be mistaken about the worth of one’s cause or the availability of alternatives, and because even these extreme acts typically have limited effect. (shrink)

The standard of care in the United States favors stabilizing any adult who arrives in an emergency department after a failed suicide attempt, even if he appears decisionally capacitated and refuses life-sustaining treatment. I challenge this ubiquitous practice. Emergency clinicians generally have a moral obligation to err on the side of stabilizing even suicide attempters who refuse such interventions. This obligation reflects the fact that it is typically infeasible to determine these patients’ level of decisional capacitation—among other relevant (...) information—in this unique setting. Nevertheless, I argue, stabilizing suicide attempters over their objection sometimes violates a basic yet insufficiently appreciated right of theirs—the right against bodily invasion. In such cases, it is at least prima facie wrong to stabilize a patient who wants to die even if they lack a contrary advance directive or medical order and suffer from no terminal physical illness. (shrink)

This chapter explores some of the major developments in the philosophical understanding of suicide in 19th Century Western thought. Two developments in particular are considered. The first is a widespread shift towards thinking about suicide in medical terms rather than moral terms. Deploying methods initiated by a number of French and German thinkers in the preceding century who worked at the then emerging interface between the social and biological sciences, a number of 19th century thinkers ejected what they (...) took to be old metaphysical superstitions about ‘good’ and ‘evil’, and replaced them with (allegedly) hard-nosed scientific diagnoses of ‘health’ and ‘sickness’. Dismissing traditional moral arguments against the permissibility of suicide, the phenomenon came to be viewed as a symptom of decline or degeneration. How variations of this view, in biological and social contexts, reorientated practical responses to suicide in terms of treatment rather than moral condemnation is explored. The second 19th century development in philosophical thought with respect to suicide the chapter considers concerns its place in one of the most significant controversies in Germany from 1860 to the turn of the century: the Pessimismusstreit or ‘pessimism dispute’. While philosophical pessimism might be thought to vindicate or even entail suicide, many of the most prominent pessimists—including Arthur Schopenhauer and Eduard von Hartmann—denied that this was the case, and perhaps surprisingly took suicide to involve a special kind of moral and/or epistemic failing. The chapter aims to elucidate the different arguments which pessimists appealed to in order to ground this position. (shrink)

Given this bitter reality, the “near-suicide” term is coined to describe the phenomenon in which poor patients with serious illnesses or injuries choose to end their treatment, which is highly likely to result in mortality, to avoid making their families destitute.

The caution of diagnosing someone with Suicide Behavior Disorder derives from the fact that in some scenarios, suicide can still be deemed a “rational” choice and expression of free will rather than a disease. For example, euthanasia, suicide attacks, people with mental illness but being able to take into account the weight of the illness, etc. There exists a blurry line between the considerations of suicide as a choice or an illness. Perhaps, whether it is an (...) illness or a choice is largely dependent on the context and targeted subject. It is not hard to see whether (or when) this very delimitation works is very much cultural by its nature. (shrink)

Suicidal ideation mechanism is the psychological process of how thoughts of killing oneself emerge and persist in the mind. From the Mindsponge-based suicidal ideation mechanism perspective, there are two conditions for suicidal ideation to happen: (1) the existence of accessible suicide-related information in the environment, and (2) the subjective perception that suicide being a beneficial option. Psychosocial factors (e.g. social connectedness or burdensomeness) can affect these two conditions and, in turn, influence the probability of suicidal ideation.

Diabetes mellitus is a major global health concern, which has worse mental health outcomes such as suicide, however, suicide is one of the top public health priorities worldwide. The World Health Organization's objectives for suicide prevention emphasize the identification of high-risk groups especially people with comorbidity. This study aims to determine the prevalence of suicidal ideation and its associated factors among diabetic patients and correlate it with socio-demographic, lifestyle, and clinical characteristics. A cross-sectional study including diabetic Libyan (...) patients attending diabetes outpatient clinic health centers in Tripoli, Libya from January to August 2024, using a questionnaire consisting of two parts. Part I contains data about the socio-demographic, lifestyle, and medical data and Part II uses a single item of the 9-item version of the Patient Health Questionnaire-9. Data was analyzed by Chi-square test, and logistic regression was used to identify factors. Odds ratio with 95% CI was used and variables with a p<0.05 in multivariable logistic regression were significant. A total of 395 participants was responding using systematic sampling, 62.8% of them where female, mean age of the patient was 52.98±9.30 years, 85.8% were non-smokers, mean duration of diabetic illness was 10.96±8.02, 59.0% insulin-dependent, 77.7% often committed to their drug, 61.8% had diabetes complication. The highest complication was in the eye 33.9%, 48.9% had comorbidity, 90.4% had no diet commitment, 21.8% had regular physical activity and 63.3% had difficulty to dealing ordinary life, and 26.8% of the patients had reported suicidal ideation. Female was 1.83 times (AOR=1.832 CI95%:1.26, 2.982) more likely to have suicidal ideation than males. The risk of suicidal ideation in age >50 years was 1.04 times that age ≤50 years (AOR=1.042 CI95%: 0.640, 1.698). The diabetic patients who used insulin therapy, the odds of risk higher than participants who used oral antidiabetic was 1.34 times (AOR=1.345 CI95%: 0.849, 2.131). The odds of having suicidal ideation among participants with poor glycemic control was 3.60 times higher when compared with good control diabetes participants (AOR=3.614 CI95%: 1.924, 6.783). The prevalence of suicidal ideation was 26.8% in type II diabetic patients attending Primary Healthcare Centers. There was a significant association between suicidal ideation and female gender, age, and poor glycemic control. (shrink)

Kant has famously argued that human beings or persons, in virtue of their capacity for rational and autonomous choice and agency, possess dignity, which is an intrinsic, final, unconditional, inviolable, incomparable and irreplaceable value. This value, wherever found, commands respect and imposes rather strict moral constraints on our deliberations, intentions and actions. This paper deals with the question of whether, as some Kantians have recently argued, certain types of (physician-assisted) suicide and active euthanasia, most notably the intentional destruction of (...) the life of a terminally-ill, but rational and autonomous patient in order to prevent certain serious harms, such as enduring or recurring pain or the loss of the meaning in life, from befalling him really are inconsistent with respect for the patient’s human dignity. I focus on two independent, though interrelated explications of the rather vague initial idea that the patient (as well as the doctor), in intending and bringing about his death, treats his person or rational nature merely as a means and so denigrates his dignity: (i) that in doing what he is doing, he does not act for the sake of his person, but for the sake of something else; (ii) that, by trading his person for pain relief, he engages himself in an irrational and hence immoral exchange. After critically discussing some suggestions about how to understand this charge, I eventually find Kantian objections to suicide and (active) euthanasia, based on the idea of human dignity, less than compelling. For all the paper proves, suicide and (active) euthanasia may still be morally impermissible, but then this must be so for some other reason than the one given above. (shrink)

At the end of 2015, the German parliament passed a new law, entitled "Business-like Suicide Assistance", that effectively ended a rather liberal legal take on assisted suicide in Germany. §217 of the German Criminal Code was based on a proposal drafted by members of the parliament Michael Brand, Kerstin Griese, et all., The drafters’ goal was to prohibit Right-to-Die organisations such as Sterbehilfe Deutschland e.V. as well as repeatedly acting individuals from assisting people in ending their lives. The (...) goal of this article is to outline the new law in broad brushstrokes and raise some concerns. (shrink)

The rapid advancements in AI technology have raised critical questions about its impact on end-of-life care. While much of the debate focuses on AI’s potential to predict the preferences of incapacitated patients, little attention has been given to its direct application in delivering lethal drugs at a patient’s request. This contribution explores this underexamined issue, arguing that AI is a game-changer in assisted dying. The paper is structured in three parts. The first explains how AI can be effectively applied to (...) the assisted dying process. The second establishes terminological clarity, contending that the direct use of AI should not be classified as either assisted dying or euthanasia, but rather as a distinct category: AI-Assisted Suicide (AIAS). To support this claim, I examine the moral and legal responsibility associated with AI in such procedures. The third part evaluates AIAS through the lens of the key arguments regarding the moral superiority of assisted suicide over euthanasia and vice versa, concluding that AIAS appears preferable from both perspectives. Ultimately, I argue that AIAS should not merely be seen as an extension of existing assisted dying methods but, wherever feasible, as a replacement, since it effectively addresses several ongoing ethical and practical concerns in the end-of-life debate. This conclusion is particularly relevant to legislative frameworks and policymaking in end-of-life care. (shrink)

In this paper, I problematize the suicides out of despair (hereafter sod) as statements of unfreedom. The paper is divided into six sections. The first section introduces the problem and situates it within the existing scholarship. The second section puts forward the first of the two arguments the paper engages: suicide as unfreedom. In this section, the situational and essent’ial ontology of suicide is briefly discussed. Then I proceed to classify two major forms of unfreedoms emergent from the (...) historical ontology of human social life: slavery and bare life. The third section of the paper problematizes unfreedom as freedom corrupted both from the perspectives of Heideggerian essent’ial ontology and Badiouian situational ontology through set theoretical models of freedom/unfreedom. Subsequently, three sets of unfreedom- heteronomy, atomy and bare life and one set of freedom vis-à-vis autonomy is logically derived and discussed. Freedom is presented as a directive idea helpful in doing away with unfreedoms. Then the second of the two problems – unfreedom as suicidal- is briefly discussed. The concluding section draws that despite the emergent historical reality having framed human social life as unfree, we could still be hopeful in recovering freedom as the essent’ial ontology of the human species and the evental(événementiel) potential of the situational ontology of life is not fundamentally unfree. (shrink)

Peña-Guzmán (2017) argues that empirical evidence and evolutionary theory compel us to treat the phenomenon of suicide as continuous in the animal kingdom. He defends a “continuist” account in which suicide is a multiply-realizable phenomenon characterized by self-injurious and self-annihilative behaviors. This view is problematic for several reasons. First, it appears to mischaracterize the Darwinian view that mind is continuous in nature. Second, by focusing only on surface-level features of behavior, it groups causally and etiologically disparate phenomena under (...) a single conceptual umbrella, thereby reducing the account’s explanatory power. Third, it obscures existing analyses of suicide in biomedical ethics and animal welfare literatures. A more promising naturalistic approach might seek a theoretical understanding of the social/ecological circumstances that drive humans and perhaps other animals to self-destruction. (shrink)

The objective of the research is to carry out a review of the literature about suicide risk factors in young university students. The methodology used is quantitative descriptive with a bibliometric approach, under the PRISMA method. The search was carried out in three databases: Clarivate Web of Science, MDPI and Taylor and Francis that had the variables of suicide risk factors. Inclusion criteria were used such as: study variables, years 2019 to 2022, published in Spanish and English,scientific reports (...) research results, research with clinical and non-clinical population. After the application of the Boolean operators, the total sample is (n=10360) and after screening with the PRISMA method (n=45). Results: The United States, followed by China and Bangladesh, are the countries that produce the most on the subject. The most frequent risk factors are: depression, anxiety, stress, academic commitments, lack of opportunities, low income and race. The students with the highest suicide rates are in the health area such as medicine and nursing, in addition, there is more suicide intent in women than in men. (shrink)

Since humankind’s earliest philosophical inquiries, society has been plagued by the taboos associated with suicide. It has been rebuked without respite, both on moral and religious grounds. This paper comes to the defense of suicide by combating the opprobrious arguments that have been raised against it. It begins by exploring what exactly constitutes ‘suicide’, then follows a historical account of the ethics surrounding it from antiquity to modern times. Specific focus is given to Kant’s deontological secularization of (...) the previously, strictly theological, natural law argument. It claims that Kant is in large part to blame for the stigma around suicide, and by proxy mental health in general in the twenty-first century. Finally, this paper will address said stigma vis-à-vis psychoanalytic ethics and offer a complete restructuring of the concept of suicide in an attempt to change how the western world perceives it. (shrink)

In the Phaedo the character Socrates argues that suicide is morally wrong. This is in fact one of only two places in the entire Platonic corpus where suicide is discussed. It is a brief passage, and a notoriously perplexing one. In this article, I distinguish between two arguments that Socrates gives in support of his claim. I argue that one of them is not to be taken literally, while the other represents the deeper reason for the prohibition of (...) suicide. I further relate the question of suicide to the overarching concerns of the Phaedo as a whole: the nature of our incarnate “imprisonment”, the nature and purpose of philosophy, the philosophical “purification” of the soul, the human pursuit of knowledge, and the nature of the divine. (shrink)

Reports of the intent to kill oneself are not always met with the credibility they deserve, with potentially fatal results. We recognise this as testimonial injustice, whereby a person’s testimony is not taken seriously due to a pervasive identity prejudice attached to the speaker (Fricker 2007). To meet the government’s ‘zero suicide ambition’ for mental health patients, we need to adopt epistemically just methods of evaluating suicide claims.

In this article, I argue that depression and suicide are natural kinds insofar as they are classes of abnormal behavior underwritten by sets of stable biological mechanisms. In particular, depression and suicide are neurobiological kinds characterized by disturbances in serotonin functioning that affect various brain areas (i.e., the amygdala, anterior cingulate, prefrontal cortex, and hippocampus). The significance of this argument is that the natural (biological) basis of depression and suicide allows for reliable projectable inferences (i.e., predictions) to (...) be made about individual members of a kind. In the context of assisted suicide, inferences about the decision-making capacity of depressed individuals seeking physician-assisted suicide are of special interest. I examine evidence that depression can hamper the decision-making capacity of individuals seeking assisted suicide and discuss some implications. (shrink)

Defends Kantian paternalism: Interference with an individual’s liberty for her own sake is justified absent her actual consent only to the extent that such interference stands a reasonable chance of preventing her from exercising her liberty irrationally in light of the rationally chosen ends that constitute her conception of the good. More specifically, interference with an individual’s liberty is permissible only if, by interfering, we stand a reasonable chance of preventing that agent from performing actions she chose due to distorted (...) reasoning and which would result in that agent’s rationally chosen ends not being as fully realized as they would have been had she so acted. -/- Applied to suicide intervention Kantian paternalism implies that such intervention is justified to the extent that it prevents a person from ending her life when, due to distorted reasoning, she engages in suicidal behavior that is at odds with her rationally chosen ends. (shrink)

Suicide is a major public health issue in many industrialized countries. It is one of the top ten causes of death and older age is a significant risk factor for suicide. For example, in Japan older adults (age ≥ 65) shared about 18.5% of total population but account for 24% of all suicide, in Taiwan, older adults representing 12.4% of the total population and account for 28.9% of suicide death. Dementia is a broad term for a (...) progressive deterioration in memory ability and dementia patients ran higher risk for suicide. (shrink)

Addressing the question in the form of Kant’s maxim, this paper moves on to a more controversial topic in biomedical ethics, physician-assisted suicide. However, my conclusion is tentative, and what is worse, negative: I partially approve suicide. It does not imply a moral hazard. The situation is opposite: in the present times, terminal patients seriously wish it. I, as an author, put an emphasis on this very respect. Now suicide is, for certain circles, nothing but justice. The (...) arguments of thinkers who approve suicide are also cited from this angle. (shrink)

A wide body of psychological research corroborates the claim that whether one’s life is (or will be) meaningful appears relevant to whether it is rational to continue living. This article advances conceptions of life’s meaningfulness and of suicidal choice with an eye to ascertaining how the former might provide justificatory reasons relevant to the latter. Drawing upon the recent theory of meaningfulness defended by Cheshire Calhoun, the decision to engage in suicide can be understood as a choice related to (...) life’s meaningfulness insofar as an individual can see no point in investing her agency in her anticipated future. These meaning-based reasons relevant to suicidal choice either cannot be reduced to the reasons of well-being that philosophers have typically used to analyse suicide decisions or at least forms a distinct class of reasons within those that contribute to well-being. (shrink)

Throughout history, suicide has evoked a remarkably broad range of reactions—from perplexity and condemnation, to glorification and empathy. Many have tried to understand this phenomenon through the lens of psychology, psychiatry, sociology, and anthropology, but much still seems to be amiss. A key factor in our current unprecedented mental health crisis is the undiagnosed impact of modernism and post-modernism; in other words, how has the loss of the sacred contributed to the present-day alienation from ourselves, each other, and the (...) earth? It is only through a fully integrated “science of the soul”—informed by metaphysics and the spiritual wisdom traditions of humanity—that we can, not only better understand suicide, but be properly equipped to avert tragic outcomes. (shrink)

This paper explores the concept of utilitarianism in relation to suicide, drawing insights from Freudian psychoanalytic theory and Durkheimian sociology, while presenting a Christian ethical response. Freud’s theory of the death drive (Thanatos) and Durkheim’s classifications of suicide suggest that individuals may seek relief or perceived pleasure in ending their lives, which could align with a utilitarian calculus of maximising pleasure and minimising pain. However, this paper argues that such a perspective fails to account for the broader pain (...) caused to family, friends, and society, thus presenting a moral dilemma within the utilitarian framework. Christian ethics, rooted in the sanctity of human life, categorically rejects suicide as a violation of divine law and the inherent dignity of human existence. The paper employs a qualitative methodology, utilising a critical analysis of existing literature on Freud and Durkheim’s theories of suicide, alongside theological texts on Christian moral theology. Through this interdisciplinary approach, the work contrasts the utilitarian implications of suicide with the Christian ethical stance, ultimately concluding that Christian ethics offers a more holistic response, emphasising the moral obligation to preserve life. (shrink)

Every year, approximately 800,000 people lose their lives to suicide, underscoring the urgent need to identify individuals at risk. With the widespread use of social media, many individuals openly share their thoughts, including expressions of suicidal ideation, providing an opportunity for timely intervention. This study introduces an advanced system for detecting suicidal content on social media platforms using a combination of Natural Language Processing (NLP), Deep Learning, and Machine Learning techniques. The system leverages keyword-based detection, sentiment analysis, and contextual (...) NLP methods to identify posts indicative of suicidal ideation. A hybrid approach is adopted, integrating Logistic regression,Random Forest, Support Vector Machine, Naive Bayes and Artificial Neural Networks (ANNs) to enhance text classification performance and improve detection accuracy. The model is trained on a carefully curated dataset of labeled posts and evaluated using metrics such as precision, recall, and F1-score, demonstrating significant improvements in the accurate detection of concerning content. This automated system is designed for deployment by social media platforms to flag potentially harmful posts, allowing mental health professionals to review and provide timely support. By enhancing early identification and intervention efforts, this system offers a valuable tool for reducing suicide risks and potentially saving lives. In cases where suicidal content is identified, the system prompts the user with a supportive questionnaire, text box, or chatbot interface to offer immediate assistance or guidance. This project contributes to mental health awareness by providing an automated, accurate, and accessible tool for early detection of suicidal ideation, facilitating timely intervention and support. (shrink)

ABSTRACT Schopenhauer's argument against suicide has served as a punching bag for many modern-day commentators. Dale Jacquette, Sandra Shapshay, and David Hamlyn all argue that the premises of this argument or its conclusion are inconsistent with Schopenhauer's wider metaphysical and ethical project. This paper defends Schopenhauer from these charges. Along the way, it examines the relations between suicide, death by voluntary starvation, negation of the will, compassion, and Schopenhauer's critiques of cynicism and stoicism. The paper concludes that there (...) may be gaps in Schopenhauer's system, but not where the aforementioned commentators tried to locate them. (shrink)

Euthanasia and assisted suicide have proved to be very contentious topics in medical ethics. Some ethicists are particularly concerned that allowing physicians to carry out these procedures will undermine their professional obligations and threaten the very goals of medicine. However, I maintain that the fundamental goals of medicine not only do not preclude the practice of euthanasia and assisted suicide by physicians, but can in fact be seen to support these practices in some instances. I look at two (...) influential views of the goals of medicine, one based on the broad guiding principles of autonomy, beneficence and nonmaleficence, and the other focusing on several more concrete aims, concluding that both approaches can be seen to support euthanasia and assisted suicide. I then turn to the popular concern that allowing physicians to carry out euthanasia and assisted suicide will lead to widespread abuse. I argue that the possibility for abuse can be minimised if we make the patient's autonomous consent an essential requirement of the practice. (shrink)

The psycho-religious mechanism of suicide is an information processing mechanism of how the mind perceives the idea of self-killing, with a focus on the factor of trust as well as mortality-related information from religious sources. It can be considered an expansion of the new Mindsponge-based suicidal ideation mechanism.

What I call medically enabled suicides have four distinctive features: 1. They are instigated by actions of a suicidal individual, actions she intends to result in a physiological condition that, absent lifesaving medical interventions, would be otherwise fatal to that individual. 2. These suicides are ‘completed’ due to medical personnel acting in accordance with recognized legal or ethical protocols requiring the withholding or withdrawal of care from patients (e.g., following an approved advance directive). 3. The suicidal individual acts purposefully to (...) ensure that medical personnel will act on these protocols. 4. These suicides do not involve medical personnel providing aid in dying in the standard sense, either through (a) active voluntary euthanasia, or (b) assistance by means of prescriptions, etc. -/- Regardless of how common medically enabled suicides are, they raise compelling questions at the interface of medicine and individual choice. After first clarifying the concept of medically enabled suicide and exploring some of the reasons why it might be attractive to suicidal individuals, I then investigate two apparent dilemmas that medically enabled suicides raise for medical care providers. The first alleges that medical care providers may not contribute to harming their patients, and so they may not contribute to their patients’ suicides. The second alleges that if care providers, as a matter of personal conscience, believe that suicide is wrong, then they may not be compelled to contribute to their patient’s acting wrongly by assenting to the wishes of a patient pursuing medically enabled suicide. Both dilemmas arise from the fact that while medical personnel are bound by widely accepted precepts of medical ethics to honor the competent wishes of their patients, medically enabled suicides entangle them in their patients’ suicidal plans in ways that result in their contributing to those suicides. I conclude that neither dilemma should be resolved in the direction of medical personnel having the right to refrain from involvement in medically enabled suicides. Thus, while we may find medically enabled suicide distasteful or exploitative, a strong case cannot be made that medical personnel refusing to involve themselves in such suicides is ethically permissible. (shrink)

Stressing that the pronoun "I" picks out one and only one person in the world (i.e., me), I argue against Hunt (and other like-minded Rand commentators) that the supposed "hard case" of destructive people who do not care for their own lives poses no special difficulty for rational egoism. I conclude that the proper response to a terse objection like "What about suicide bombers?" is the equally terse assertion "But I don't want to get blown up.".

The AISDL Team is delighted to celebrate the event of our study, titled “Near-Suicide Phenomenon: An Investigation into the Psychology of Patients with Serious Illnesses Withdrawing from Treatment,” surpassing the 100,000-view landmark at 22:20 Hanoi time, April 7, 2023. This unthinkable event occurred only 24 days after publication.

The AISDL Team is happy to inform the research community that the “near-suicide phenomenon” (NS) paper passed the milestone of 400 thousand reads on July 28, 2023. The day was one and a half months after the study reached the 300-thousand-read milestone on June 15, 2023. The previous dates are April 7 (100K) and May 1 (200K).

Kant’s argument against suicide is widely dismissed by scholars and often avoided by teachers because it is deemed inconsistent with Kant’s moral philosophy. This paper attempts to show a way to make sense of Kant’s injunction against suicide that is consistent with his moral system. One of the strategies adopted in order to accomplish my goal is a de-secularization of Kant’s ethics. I argue that all actions of self-killing are morally impermissible because they are inconsistent with God’s established (...) nature and order. It is argued that the existence of God as the locus of moral value and duty in Kant’s moral system, and not belief in God, can explain the consistency of Kant’s injunction against suicide. A synergistic view is offered, which rests on three arguments: First, suicide goes against God’s authority. Second, suicide is inconsistent with our self-perpetuating nature. Third, suicide goes against the rational will. (shrink)

Schopenhauer repeatedly claims that suicide is both foolish and futile. But while many commentators have expressed sympathy for his charge of foolishness, most regard his charge of futility as indefensible even within his own system. In this paper, I offer a defense of Schopenhauer’s futility charge, based on metaphysical and psychological considerations. On the metaphysical front, Schopenhauer’s view implies that psychological connections extend beyond death. Drawing on Parfit’s discussion of personal identity, I argue that those connections have personal significance, (...) such that suicide does not allow one, as Hamlet hopes, simply “not to be.” On the psychological front, I argue that a distinction between agents’ intentions and underlying desires makes room for Schopenhauer to claim that paradigmatic suicidal agents ultimately desire the opposite of what suicide accomplishes. I conclude by showing how the resulting account of futility can buttress the charge of foolishness as well. My interpretation still leaves Schopenhauer vulnerable to certain objections, but shows that his account is significantly more defensible than previous commentators have realized. (shrink)

This paper offers a philosophical analysis of the connection between mental disorder and suicide risk. In contemporary psychiatry, it is commonly suggested that this connection is a causal connection that has been established through empirical discovery. Herein, I examine the extent to which this claim can be sustained. I argue that the connection between mental disorder and increased suicide risk is not wholly causal but is partly conceptual. This in part relates to the way suicidality is built into (...) the definitions of some psychiatric diagnoses. It also relates to the broader normative assumption that suicidal behavior is by definition mentally disordered behavior. The above has significant epistemological implications, which I explore. I propose that the claim that suicide is connected with mental disorder cannot be justified solely by appealing to empirical evidence but also warrants a justification on conceptual and normative grounds. (shrink)

Advocates of physician-assisted suicide (PAS) often argue that, although the provision of PAS is morally permissible for persons with terminal, somatic illnesses, it is impermissible for patients suffering from psychiatric conditions. This claim is justified on the basis that psychiatric illnesses have certain morally relevant characteristics and/or implications that distinguish them from their somatic counterparts. In this paper, I address three arguments of this sort. First, that psychiatric conditions compromise a person’s decision-making capacity. Second, that we cannot have sufficient (...) certainty that a person’s psychiatric condition is untreatable. Third, that the institutionalisation of PAS for mental illnesses presents morally unacceptable risks. I argue that, if we accept that PAS is permissible for patients with somatic conditions, then none of these three arguments are strong enough to demonstrate that the exclusion of psychiatric patients from access to PAS is justifiable. (shrink)

Commentary on the European Court of Human Rights judgment in Haas v Switzerland.

The article aims to discuss the suicide conceptions in the following works: Karl Marx’s Peuchet: vom Selbstmord (with “co-author” Jacques Peuchet), Émile Durkheim’s Le suicide and Sigmund Freud’s Trauer und melancolie. We can say that throughout the history of philosophy the theme was worked in two ways: as a moral and as an existential question. Discussions about suicide intensified between the late eighteenth and early nineteenth century. While many studies have focused on the moral consequences of suicidal (...) act, other researchers questioned about the nature of the forces that cross the individual to the point of self-extermination. In their conceptions, Marx, Durkheim and Freud avoided determinism and refused to associate suicide to the sin notion advocated by the Christian moral philosophy. However, this article supports the thesis that these three authors continued operating in the “morality axis” and presented suicide as a moral problem: it is precisely the moral that allows a theoretical enunciation about suicide and what sets them apart is, much more, a differentiated position in relation to moral than a radical innovation of the approach. (shrink)

America and the world are in the process of collapse from excessive population growth, most of it for the last century, and now all of it, due to 3rd world people. Consumption of resources and the addition of 4 billion more ca. 2100 will collapse industrial civilization and bring about starvation, disease, violence and war on a staggering scale. The earth loses about 2% of its topsoil every year, so as it nears 2100, most of its food growing capacity will (...) be gone. Billions will die and nuclear war is all but certain. In America, this is being hugely accelerated by massive immigration and immigrant reproduction, combined with abuses made possible by democracy. Depraved human nature inexorably turns the dream of democracy and diversity into a nightmare of crime and poverty. China will continue to overwhelm America and the world, as long as it maintains the dictatorship which limits selfishness. The root cause of collapse is the inability of our innate psychology to adapt to the modern world, which leads people to treat unrelated persons as though they had common interests. The idea of human rights is an evil fantasy promoted by leftists to draw attention away from the merciless destruction of the earth by unrestrained 3rd world motherhood. This, plus ignorance of basic biology and psychology, leads to the social engineering delusions of the partially educated who control democratic societies. Few understand that if you help one person you harm someone else—there is no free lunch and every single item anyone consumes destroys the earth beyond repair. Consequently, social policies everywhere are unsustainable and one by one all societies without stringent controls on selfishness will collapse into anarchy or dictatorship. The most basic facts, almost never mentioned, are that there are not enough resources in America or the world to lift a significant percentage of the poor out of poverty and keep them there. The attempt to do this is bankrupting America and destroying the world. The earth’s capacity to produce food decreases daily, as does our genetic quality. And now, as always, by far the greatest enemy of the poor is other poor and not the rich. Without dramatic and immediate changes, there is no hope for preventing the collapse of America, or any country that follows a democratic system. -/- My writings are available as paperbacks and Kindles on Amazon. -/- Talking Monkeys: Philosophy, Psychology, Science, Religion and Politics on a Doomed Planet - Articles and Reviews 2006-2017 (2017) ASIN B071HVC7YP. -/- The Logical Structure of Philosophy, Psychology, Mind and Language in Ludwig Wittgenstein and John Searle--Articles and Reviews 2006-2016 (2017) ASIN B071P1RP1B. -/- Suicidal Utopian Delusions in the 21st century: Philosophy, Human Nature and the Collapse of Civilization - Articles and Reviews 2006-2017 (2017) 2nd printing with corrections (Feb 2018) ASIN B0711R5LGX -/- Suicide by Democracy: an Obituary for America and the World (2018) ASIN B07CQVWV9C -/- . (shrink)

Recently, psychologists have developed indirect measurement procedures to predict suicidal behavior. A prominent example is the Death/Suicide Implicit Association Test (DS-IAT). In this paper, I argue that there is something special about the DS-IAT which distinguishes it from different IAT measures. I argue that the DS-IAT does not measure weak or strong associations between the implicit self-concept and the abstract concept of death. In contrast, assuming a goal-system approach, I suggest that sorting death-related to self-related words takes effort because (...) death-related words trigger avoidance-impulses, which suicide ideation weakens. The DS-IAT taps into weakened automatic responses from the self-preservation system. Additionally, the suggested cognitive structure, illuminated with the selfish-goal theory, explains predictable suicidal behavior. (shrink)

This paper elaborates some of the conceptual implications of Derrida’s call for “another thinking of life” in Voyous: Deux essais sur la raison. The paper first argues that Derrida’s deconstruction of the opposition between metaphorical and literal uses of the discourse of life in La vie la mort is radicalized in Voyous when he argues that democracy’s “autoimmunitary suicide” should be the point of departure for rethinking life in general. To understand further these autoimmune-suicidal tendencies, the paper turns to (...) Derrida’s engagement with Aristotle’s conceptual figure of the prime mover in Voyous. The paper argues that Derrida turns to Aristotle because the prime mover illustrates the ways in which the concept of life remains historically and structurally informed by the philosophical value of ipseitocratic sovereignty, which is allergic to the disseminatory, proliferating, and improper qualities that the philosophical tradition has always ascribed to democracy. Autoimmunity thus provides a way for thinking of a democratic life that is not entirely determined by the teleological power of any divinely good life. (shrink)

The article examines from an historical perspective some of the key ideas used in contemporary bioethics debates both for and against the practices of assisted suicide and euthanasia. Key thinkers examined--spanning the Ancient, Medieval and Modern periods--include Plato, Aristotle, Augustine, Aquinas, Hume, Kant, and Mill. The article concludes with a synthesizing summary of key ideas that oppose or defend assisted suicide and euthanasia.

America and the world are in the process of collapse from excessive population growth, most of it for the last century, and now all of it, due to 3rd world people. Consumption of resources and the addition of 4 billion more ca. 2100 will collapse industrial civilization and bring about starvation, disease, violence and war on a staggering scale. The earth loses about 2% of its topsoil every year, so as it nears 2100, most of its food growing capacity will (...) be gone. Billions will die and nuclear war is all but certain. In America, this is being hugely accelerated by massive immigration and immigrant reproduction, combined with abuses made possible by democracy. Depraved human nature inexorably turns the dream of democracy and diversity into a nightmare of crime and poverty. China will continue to overwhelm America and the world, as long as it maintains the dictatorship which limits selfishness. The root cause of collapse is the inability of our innate psychology to adapt to the modern world, which leads people to treat unrelated persons as though they had common interests. The idea of human rights is an evil fantasy promoted by leftists to draw attention away from the merciless destruction of the earth by unrestrained 3rd world motherhood. This, plus ignorance of basic biology and psychology, leads to the social engineering delusions of the partially educated who control democratic societies. Few understand that if you help one person you harm someone else—there is no free lunch and every single item anyone consumes destroys the earth beyond repair. Consequently, social policies everywhere are unsustainable and one by one all societies without stringent controls on selfishness will collapse into anarchy or dictatorship. The most basic facts, almost never mentioned, are that there are not enough resources in America or the world to lift a significant percentage of the poor out of poverty and keep them there. The attempt to do this is bankrupting America and destroying the world. The earth’s capacity to produce food decreases daily, as does our genetic quality. And now, as always, by far the greatest enemy of the poor is other poor and not the rich. Without dramatic and immediate changes, there is no hope for preventing the collapse of America, or any country that follows a democratic system. -/- Those interested in all my writings in their most recent versions may download from this site my e-book ‘Philosophy, Human Nature and the Collapse of Civilization Michael Starks (2016)- Articles and Reviews 2006-2016’ by Michael Starks First Ed. 662p (2016). -/- All of my papers and books have now been published in revised versions both in ebooks and in printed books. -/- Talking Monkeys: Philosophy, Psychology, Science, Religion and Politics on a Doomed Planet - Articles and Reviews 2006-2017 (2017) https://www.amazon.com/dp/B071HVC7YP. -/- The Logical Structure of Philosophy, Psychology, Mind and Language in Ludwig Wittgenstein and John Searle--Articles and Reviews 2006-2016 (2017) https://www.amazon.com/dp/B071P1RP1B. -/- Suicidal Utopian Delusions in the 21st century: Philosophy, Human Nature and the Collapse of Civilization - Articles and Reviews 2006-2017 (2017) https://www.amazon.com/dp/B0711R5LGX . (shrink)

The aim of this study is to elucidate Burton’s conception of suicide. To understand it, it is first necessary to find out how Burton understood its main cause, melancholy. The first part of the study is therefore dedicated to an analysis of the concept of melancholy elaborated in his Anatomy of Melancholy. Conclusions drawn from this analysis are then used in the second part of this work to explain Burton’s notion of suicide and the treatment or prevention he (...) suggests. In both parts, the main focus is on the Anatomy of Melancholy, which is used to explain both Burton’s position and intentions which motivated the writing of this treatise and his lifelong interest in the subject. The study is thus a contribution to research which views Burton’s thoughts and work within a historical, cultural, and conceptual context of Early Modern world but also to investigations of the impact of the work and Burton’s strategy regarding the effect the work should have on readers. Conclusions of this study point out the complexity and sophistication of Burton’s concept of suicide and show that it significantly diverges from the view commonly taken by contemporary judges, coroners, clergy, and physicians who also sometimes dealt with this issue. (shrink)

In his book The Austrian Mind (1972) W. M. Johnston observes that between 1861 and 1938 a striking number of Austrian intellectuals committed uicide. He also remarks that prior to 1920 suicide was relatively rare among Hungarian intellectuals, and as a possible explanation he refers to their more intensive political activity. The present paper investigates relations between a society's intellectual life and its general suicidal tendencies. In so doing it takes up a central theme of T. G. Masaryk's (...) class='Hi'>Suicide as a Social Mass Phenomenon of Modern Civilization, published in Vienna in 1881. (shrink)

This paper takes into account the loops within the anti-suicide arguments - we can clearly understand that their theories were emerging either from their personal beliefs or irrelevant inferences. As discussed later, they overlooked the fact that human beings have ultimate freedom over their death and that is one thing that serves their ego. We see a mere categorical problem on behalf of Camus and his Sisyphus; that how he failed to realise the difference of circumstance and choices. How (...) Kant’s Categorical Imperative is like Plato’s Ideal World that can never exist and how Rousseau failed to recognise individuals as humans. The paper also examine the pro-suicide arguments of Arthur Schopenhauer, Phillip Mainlander, Max Stirner and David Hume. The paper concludes that although suicide is logical, however, there is a need to further categorise the types of suicides in order to create a better compass on this topic of self annihilation. (shrink)

The Mindsponge Theory can provide a novel approach to examining the suicidal ideation and behavior from the information-processing perspective.

Kant’s most canonical argument against suicide, the universal law argument, is widely dismissed. This paper attempts to save it, showing that a suicide maxim, universalized, undermines all bases for practical law, resisting both the non-negotiable value of free rational willing and the ordinary array of sensuous commitments that inform prudential incentives. Suicide therefore undermines moral law governed community as a whole, threatening ‘savage disorder’. In pursuing this argument, I propose a non-teleological and non-theoretical nature – a ‘practical (...) nature’ or moral law governed whole – the realization of which morality demands. (shrink)