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Seattle University Collaborative Projects - International Academy of ...

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Results: 31% prevalence <strong>of</strong> suicidal thoughts, 9% <strong>of</strong> women possessed a history <strong>of</strong> suicideattempts in a sample <strong>of</strong> 77 women, and 75% were aged between 21 and 30 years.Conclusion: Knowing the prevalence <strong>of</strong> suicidal thoughts among hospitalized women is veryimportant for the organization <strong>of</strong> mental health services in prisons in order to prevent furthersuicide attempts through intervention in preciptant symptoms.Does Suicide Have to Be Intended?Dennis Cooley, North Dakota State <strong>University</strong> (dennis.cooley@ndsu.edu)Michael Cholbi recognizes that the standard definition <strong>of</strong> suicide relied too heavily on a mistakennotion <strong>of</strong> intention and how intention works in suicides. As Cholbi shows in various examples, aperson does not have to intend his own death primarily for an action <strong>of</strong> self-killing to be asuicide. Intentionality is sufficient to make the act one <strong>of</strong> suicide. The result <strong>of</strong> Cholbi’s work isa fuller understanding <strong>of</strong> what suicide is, which allows us to evaluate better its morality, andpossibly, devise improved treatments for those who are suicidal. However, I contend thatCholbi's definition should be broadened even further to include other mental states. Instead <strong>of</strong>using the actor's intention or intentionality to determine if an action is suicide or not, I argue thatthe actor's acquiescence in his self-killing is sufficient to do all the work we want done in regardto identifying suicides, talking about their morality, and devising ways to help those who aresuicidal.Physician Assisted Suicide/Death: A Mental Health PerspectiveVolker Hocke, Western <strong>University</strong> (Volker.Hocke@lhsc.on.ca)Gertrud HockePhysician assisted suicide/death is a controversial topic with multiple dimensions. A discussion<strong>of</strong> pros and cons requires an in-depth discussion <strong>of</strong> each dimension. A first dimension focuses onthe person who requests an assisted suicide/death, specifically his relationships, personal history,suffering and motivation to seek this solution. A second dimension is the sphere <strong>of</strong> the physicianwith his/her personal and pr<strong>of</strong>essional values. A third dimension explores the interactionbetween society and person on one hand and society and physician on the other hand. A fourthdimension looks at the mental health status <strong>of</strong> the person requesting the assistance. A thoroughliterature review found that up to 98% <strong>of</strong> suicide victims suffered from depression prior to thefinal step and that independent <strong>of</strong> depression, feelings <strong>of</strong> hopelessness, a sense <strong>of</strong> loss <strong>of</strong>meaning in life, a perceived lack <strong>of</strong> social support and a loss <strong>of</strong> dignity strongly contribute to thedecision to actively end one’s life. Therefore, the question arises as to why changes in the lawshould support the wish to end one’s life rather than fostering suicide prevention by providing380

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