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Chapter 13: Treatment of Suicidal Patients

 

This is part of the online companion site to the book Medical Treatment: Decisions and the Law - The Mental Capacity Act in Action, edited by Christopher Johnston, written by members of 3 Serjeants' Inn and published by Bloomsbury Professional in 2010.

 

The site provides (1) updating material as it becomes available and (2) hyperlinks to website addresses given in the hard copy. The material is organised according to the book's chapter headings. Click on the chapter headings on the left-hand side to access the material for other chapters. 

 

Updating material    

 

 

Paragraphs 13.6-13.15 [concerning Suicide Act 1961 and DPP's interim guidance etc]

 

04/03/10: 3 Serjeants’ Inn’s commentary on the DPP’s assisted suicide prosecution policy

 

On 25th February 2010 the DPP published his eagerly awaited policy in relation to the prosecution of those who assist the suicide of another:

http://www.cps.gov.uk/publications/prosecution/assisted_suicide_policy.html

 

It lists 22 individual ‘public interest’ factors - 16 in favour of prosecution and 6 against.  Those features against prosecution include actions arising wholly out of compassion; a minor involvement in the cause of the suicide; evidence that the suspect sought to dissuade the person from suicide; subsequent reporting to the police and full co-operation thereafter.

 

Predictably those factors favouring prosecution focus on the relationship between the parties; the age and capacity for understanding of the person committing suicide; whether or not the suspect had other motives for assisting (not wholly out of compassion); and the degree of the suspects involvement in the death.

 

The publication of such guidelines has attracted criticisms that the law is being altered without the involvement of Parliament and that it is unprecedented for the CPS to set out in detail how people can commit a crime without being charged.   However, the guidelines do not suggest that the attitude to assisted suicide is being relaxed.

 

In fact one can envisage more prosecutions not fewer.  Certainly they provide clear warning signs to the medical profession.  Whilst it may be true that in most cases members of the medical profession would act wholly out of compassion their position of influence and likely close association with the death of any patient (friend or family member) mark them out as vulnerable to prosecution under these guidelines.

 

This field will continue to develop - along with ‘mercy killings’ - and one can expect controversial prosecutions and calls for legislative intervention.

 

Richard Partridge

 

Paragraphs 13.6-13.15 [concerning Suicide Act 1961 and DPP's interim guidance etc]

 

01/03/10: Director of Public Prosecution's final guidance on assisted suicide published

 

"Policy for Prosecutors in Respect of Cases of Encouraging or Assisting Suicide" came into effect on 25/02/10 and supersedes the interim police issued on 23/09/10:

http://www.cps.gov.uk/publications/prosecution/assisted_suicide_policy.html

 

 

Paragraphs 13.6-13.15 [concerning Suicide Act 1961 and DPP's interim guidance etc]

 

01/02/10: Terry Pratchett's call for assisted suicide "tribunals" follows two contrasting criminal trials

 

Author and early-onset Alzeihmer's sufferer Terry Pratchett delivers the 34th annual Richard Dimbleby lecture, "Shaking Hands with Death", on 01/02/10 at 22.35 on BBC1. Link to programme details:

http://www.bbc.co.uk/programmes/b00qmfgn

 

Panorama, "I helped my daughter die", broadcast earlier in the evening at 2030, features Kay Gilderdale, who was acquitted on 25/01/10 of murdering her daughter Lynn, who suffered from ME. Kay Gilderdale admitted aiding and abetting Lynn's suicide and was given a 12 month conditional discharge. Link to programme details:

http://www.bbc.co.uk/programmes/b00qs930

 

BBC news, "ME mother Kay Gilderdale backs suicide law calls": http://news.bbc.co.uk/1/hi/uk/8490869.stm

 

On 26/01/10 the Director of Public Prosecutions issued a statement defending the decision to prosecute Kay Gilderdale:

http://www.cps.gov.uk/news/press_statements/questions_about_kay_gilderdale_decision/

 

Kay Gilderdale's case contrasts with that of Frances Inglis, who on 20/01/10 was convicted of murdering her brain-damaged son Thomas by injecting him with heroin. She had said during the trial, "I did it with love in my heart, for Tom, so I don't see it as murder."

 

BBC news, "Mother gets life for heroin death": http://news.bbc.co.uk/1/hi/england/8470572.stm

 

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