Not Dead Yet: New Rule Prohibits Discrimination in Suicide Prevention Services

By Diane Coleman (pictured here).

May 3, 2024

Last November, Not Dead Yet (NDY) filed a Public Comment on HHS/OCR Proposed Section 504 Healthcare Regulations. This week, the Department of Health and Human Services announced the finalization of the new regulation prohibiting disability discrimination in healthcare under Section 504 of the Rehabilitation Act.

While the primary focus of our public comment was the denial of life-sustaining healthcare treatment based on negative disability biases, we mentioned the issue of equality in suicide prevention as well, for example, here:

As HHS has indicated in its discussion of the proposed rule, biases about the impact disabilities have on “quality of life” are endemic among medical professionals. One manifestation of these discriminatory attitudes is the failure to treat suicidal depression in people with disabilities, including older individuals, although other people with suicide ideation are routinely offered suicide prevention services.

How to Help Those Considering Suicide

By Anna Kucirkova 

We are facing a suicide epidemic in the United States, and throughout the world.

Suicide rates are up by 30 percent across the nation since 1999, according to a recent report by federal health officials. That increase comes even as the CDC notes that only about half the people who died by suicide had a known mental health condition, which has long been considered the ‘cause’ of suicide.

These facts are critical for all of us to understand, as they point to the silent and misunderstood nature of suicide, which often falls under the unfortunate umbrella term ‘mental illness.’ 

Montana Resolution Addresses "Mistaken Assumption That Suicide Is a Rational Response to Disability"

Representative Brad Tschida

Representative Brad Tschida has introduced Joint House Resolution No. 14 to include people with chronic health conditions in Montana's Strategic Suicide Prevention Plan for 2017.  A key paragraph notes: 

Until recently, the Montana Strategic Suicide Prevention Plan was considering assisted suicide of the terminally ill as a separate issue from suicide prevention. The active disability community in Montana, however, has been vocal on the need for suicide prevention services for individuals with disabilities. . . . . Individuals with disabilities have a right to responsive suicide prevention services. 

There is a specific recommendation to "address . . . the mistaken assumption that suicide is a rational response to disability."

People With Disabilities Are a High Risk Group for Suicide; Legal Assisted Suicide Discussed as a Contributing Factor.

By Margaret Dore

Thank you Stephen Mendelsohn, of Second Thoughts Connecticut, for providing this important

Stephen Mendelsohn

news.

The State of Connecticut Suicide Prevention Plan for 2020 includes people with disabilities and chronic health conditions as a high-risk group (similar to military veterans or the LGBT community) and discusses assisted suicide as a possible contributing factor to the problem. The Plan states:

Until recently, the [Connecticut Suicide Advisory Board] CTSAB was considering assisted suicide of the terminally ill as a separate issue from suicide prevention. The active disability community in Connecticut, however, has been vocal on the need for suicide prevention services for people with disabilities. 

The Plan goes on:

There may be unintended consequences of assisted suicide legislation on people with disabilities. Peace (2012) writes that "Many assume that disability is a fate worse than death. So we admire people with a disability who want to die, and we shake our collective heads in confusion when they want to live.” People with disabilities have a right to responsive suicide prevention services. The CTSAB intends to continue to explore the needs of the disability community for such services. (Emphasis added).

Plan, p. 44.

The Plan concludes with "Targeted Recommendations,"which push back against the idea of rational suicide for people with disabilities:

• Do not "assume" suicide is a "rational" response to disability.

• Treat mental health conditions as aggressively as with a person without disability. (Emphasis added)

Id.

"Please don't commit suicide. Someone wants to help you."

From True Dignity Vermont:

Sad News: Brittany Maynard Died on November 1 by Assisted Suicide

http://www.truedignityvt.org/sad-news-brittany-maynard-died-november-1-assisted-suicide/

So Ms. Maynard was trapped after all.  Two days ago she said she still enjoyed life and this didn't feel like the right time, and now a twenty-nine year old is dead by her own hand.  She died on the very day she had said was too soon, November 1.  What a waste of days that could have been spent with her family and helping others, perhaps by using her beauty in an ad to raise funds for better care of the dying or for a cure for glioblastoma.  We are so sad for Maynard and her family, but most of all for those thousands of people, disabled, depressed, elderly, wrongly diagnosed, who will  die prematurely or against their full free will if, instead of unleashing a wave of revulsion, her suicide unleashes a wave of new laws making assisted suicide legal.  

Right now, tonight and in the coming days and months, we hope that anyone who has been led by the media's disregard of the most basic suicide prevention tenets of the World Health organization (http://www.who.int/mental_health/prevention/suicide/resource_media.pdf ) to think that suicide is romantic or the only solution to his or her problems will ask for help by calling his or her state's suicide hotline.   For a list of these, go to http://www.suicide.org/suicide-hotlines.html.  

Please don't commit suicide.  Someone wants to help you.

The Leblanc Case: A Recipe for Elder Abuse and a Threat to the Individual

By Margaret Dore

January 26, 2012

"Those who believe that legal assisted
suicide/euthanasia will assure their

autonomy and choice are naive."

William Reichel, MD

Montreal Gazette,

May 30, 2010[1]

A.  Introduction

Leblanc vs. Attorney General of Canada brings a constitutional challenge to Canada's law prohibiting aiding or abetting a suicide.  Leblance also seeks to legalize assisted suicide and euthanasia as a medical treatment.  In 2010, a bill in the Canadian Parliament seeking a similar result was overwhelmingly defeated. 

Legalization of assisted suicide and/or euthanasia under Leblanc will create new paths of elder abuse.  This is contrary to Canadian public policy.  Legalization will also empower the health care system to the detriment of individual patients.