I also think this is desperately sad. I don’t think we can view the desire to die due to a physical terminal illness with a desire to die due to a mental illness in quite the same way. Similar to others, I have survived a period of my life where I was suffering from severe PTSD and suicide attempts. These were not cry for help suicide attempts, these were you should really be dead suicide attempts. I meant it. I wanted it. I still suffer from PTSD daily, but therapy has given me coping tools to help although to be fair I have limited my life through avoidance of triggers as well.
But, having survived this and looking back, I know I was not myself then. I wasn’t capable of consent (hence being sectioned). It was like a compulsion that along with hallucinations drove me to suicidal behaviour. During therapy and in hospital, I met other survivors of suicide attempts and not one of us lamented about being rescued or found in time or stopped. Not one. We weren’t grateful for a second chance at life, nothing so pedestrian or easy. Most of us felt numb and like we had died and were ghosts just drifting along until “it” our illness would win and eventually kill us. We were shell shocked and afraid to hope that the medical professionals could stop it. It was a bleak period of my life and I still think Dante says it best:
Midway upon the journey of our life
I found myself within a forest dark,
For the straightforward pathway had been lost.
Ah me! how hard a thing it is to say
What was this forest savage, rough, and stern,
Which in the very thought renews the fear.
So bitter is it, death is little more;
But of the good to treat, which there I found,
Speak will I of the other things I saw there.
I cannot well repeat how there I entered,
So full was I of slumber at the moment
In which I had abandoned the true way.
Of course, we were also what was called “complex cases” parlance for not easy to treat or help. And I do remember one psychiatrist actually saying if I were serious about dying, why wasn’t I dead yet? It was a shocking thing to say and he’s just the sort of doctor that would have, I think, signed off on euthanising me because it’s easier that way for him. Doesn’t need to think how to help a “complex case” who isn’t responding to a one size fits all course of chin up CBT, so just give her her “wish” and euthanise her. I would have said do it too. Do it. End it. I can’t bear this anymore. But it wasn’t the real me cowering inside. It was the mental illness making me think and say and do things.
It’s the kind of thing that looks good on paper, but in practice I can only think of the abuse it would be open too.