Assisted death and martyrdom.

Against the backdrop of ancient, mediaeval and modern Catholic teaching prohibiting killing (the rule against killing), the question of assisted suicide and euthanasia is examined. In the past the Church has modified its initial repugnance for killing by developing specific guidelines for permitting killing under strict conditions. This took place with respect to capital punishment and a just war, for example. One wonders why in the least objectionable instance, when a person is already dying, suffering, and repeatedly requesting assistance in dying, there is still such widespread condemnation of assisted suicide and euthanasia. In a Gedankexperiment, I suggest that certain stories of martyrdom in the history of the Christian Church shed some light on the role of taking one's life, or putting one's life in danger out of love. I further suggest that requesting assisted suicide and/or euthanasia from the motive of love of one's family or care givers might possibly qualify as one instance of justifiable euthanasia, although I acknowledge that the Church will not be making changes in its stance any time soon.     

Laying down one's life for oneself.

Roman Catholicism has long opposed suicide. Although Scripture neither condones nor condemns suicide explicitly, cases in the Bible that are purported to be suicides fall into several different categories, and the Roman Catholic tradition can show why some of these should be considered morally wrong and some should not. While Christian martyrdom is praised, it is not correct to argue that this Christian outlook invites suicide, or that it recommends physician-assisted suicide for altruistic motives. Church Tradition, from its earliest days, has clearly distinguished martyrdom from suicide. The principles of double effect and cooperation, mainstays in Roman Catholic moral theology, enable one to see the moral difference between martyrdom and suicide, and to appreciate why physician-assisted suicide is wrong for both patient and physician.     

Confirmatory Factor Analysis of the Multi-Attitude Suicide Tendency Scale

This paper reports an examination of the factor structure of Orbach's Multi-Attitude Suicide Tendency Scale (MAST) utilizing confirmatory factor analytic techniques. Participants were 215 undergraduate students ranging in age from 18 to 20 who completed the MAST, the Reynolds Adolescent Depression Scale, the Suicide Ideation Questionnaire, and a self-harmful behavior scale. Support was found for the original factor structure, reliability, and validity of the MAST. A correlated model fit the data significantly better than an uncorrelated model. The results of this study indicate that the MAST is a valid and reliable measure appropriate for use with college-aged individuals for research purposes. Because the correlated model fit the data better than the uncorrelated, we suggest that future studies should attempt to replicate this finding, which would lead to a reexamination of the theory which underlies the MAST.     

Sexual Risk-Taking Behaviors Among Adolescents with Severe Emotional Disturbance

We investigated the sexual risk-taking behaviors of adolescents with severe emotional disturbance (SED). Subjects (N = 70) were clients of the South Carolina Continuum of Care. Information on sexual intercourse, sexual risk-taking, aggressive behaviors, substance use, and suicidal behavior was gathered using a modified version of the US Centers for Disease Control and Prevention self-report Youth Risk Behavior Survey. Forty-two percent of each race-gender group reported first intercourse before age 13, except for African American females at 63%. Seventy-five to 79% of all race-gender groups reported first sexual intercourse by age 18. Drinking alcohol before age 13 and carrying a weapon in the past 30 days were associated with first intercourse before age 13. Youth reporting first intercourse between ages 13 and 18 were about 12 times more likely to report suicide ideation than those youth who reported never having sexual intercourse. Youth with SED reporting first intercourse before age 13 appear to have an increased risk for unintended pregnancy and for contracting a sexually transmitted disease compared to youth with SED reporting first intercourse after age 13.     

“You're all a bunch of feminists:” Categorization and the politics of terror in the Montreal Massacre

Following Sacks's model membership categorization analysis (MCA) of a suicidal person's conclusion 'I have no one to turn to,' the paper examines in MCA terms a political actor's twin conclusions that murder-suicide is a rational course of action. The case in question is the killer's reasoning in the Montreal Massacre as revealed in his reported announcement at the scene (notably 'You're all a bunch of feminists. I hate feminists') and recovered suicide letter (for example, 'For why persevere to exist if it is only to please the government').     

Suicide prevention in the genetic counseling context

Utilizing a case report, this paper explores psychosocial aspects of suicidal intent in a woman seeking prenatal diagnosis. Using knowledge and practice of appropriate assessment, referral, and intervention procedures, the therapy team of genetic counselor and psychotherapist facilitated successful identification and management of this potentially suicidal client. The main counseling goals for the genetic counselor are to assess the situation adequately, decrease the immediate danger, and, with supervision and/or consultation, stabilize the seriously suicidal person until that individual can be triaged to mental health or medical professionals for treatment. The prevalence of suicide issues in genetic counseling contexts is unknown and reports mentioning suicidal ideation unusual in the genetic counseling literature. Is this reported case a rarity among genetic counseling referrals? Systematically collected information on the prevalence and resolution of suicidal issues in genetic counseling contexts would be helpful for those setting curricula for genetic counseling training programs, standards for professional certification exams, and policy and procedures manuals for clinical units.     

Who lives,who dies,who decides: Differences between mass public shooters who survive,are killed,and commit suicide

This study provides an in-depth analysis of American mass public shooting conclusions between 1966 and 2017. Specifically, this work examines differences in factors contributing to the perpetrator's likelihood of surviving, being killed, and committing suicide. Ten hypotheses, rooted in previous homicide, suicide, homicide-suicide, and mass public shooting literature consider different psychological, situational, and background factors shaping the outcome of mass public shootings. Significant findings indicate factors influencing perpetrators' suicide include suicidal ideation, higher victim counts, and suicide copycat effects. Factors influencing perpetrators being killed similarly include higher victim counts, the arrival of law enforcement, lethal/non-lethal resistance, and government targets. This investigation provides practical implications for practitioners and policymakers, especially law enforcement and mental health practitioners, seeking to develop intervention and prevention strategies for addressing suicidal ideation and its most lethal outcome: mass public shootings.     

Safety Planning Within Acceptance and Commitment Therapy

Acceptance and commitment therapy (ACT) is a contextual behavioral psychotherapy that helps clients build meaningful lives in the service of their own chosen values, rather than specifically focusing on symptom reduction or prevention of destructive behaviors. However, empowering ACT clients to navigate suicidal crises effectively is vital to ensuring the opportunity to build a life they will choose to live. Suicide safety planning is a widely used empirically supported approach to prepare clients to survive suicidal crises, and can be effectively incorporated into ACT. In this paper, we offer a contextual behavioral conceptualization of suicide as an extreme attempt to solve the problem of painful thoughts, emotions, and sensations, and provide an example of how this conceptualization and the necessity of safety planning can be introduced to clients. Use of chain analysis of suicidal behavior is introduced as a tool to inform the suicide safety plan. We describe how ACT processes can enhance safety plans and, in turn, create safety plans that will serve as means to develop skills associated with efficacious/effective ACT interventions. Finally, we discuss the ongoing evaluation and revision of the safety plan from an ACT framework.     

Suicide lié au travail et prévention

Regarding social law, work-related suicide can be qualified as a professional risk, in particular as a work accident. It's the option chosen by case-law. The idea is to compensate: qualifying suicide as a work accident provides a social security compensation to the suicided employee's family and, in certain cases, the possibility to sue the employer. But, this case-law does not really question the prevention of the suicide before its commitment. In Labour law, the employer's obligation to prevent risks must face the risk of work-related suicide.     

Assisted Suicide: Do We Own Our Bodies?

Abstract:  The ethics of physician‐assisted suicide is explored here in light of classic philosophical discussions of the ownership of one's body plus biblical discussions of the relationship of body and soul. Motives for individual and group suicide are brought to bear on bioethical principles such as that of autonomy. Ethical analysis is here challenged by the case of a 91 year‐old woman, Ragnhild, who lived after professional judgments that her life should be ended.