Rational Suicide in the Elderly Clinical, Ethical, and Sociocultural

This book provides a comprehensive view of rational suicide in the elderly, a group that has nearly twice the rate of suicide when chronically ill than any other demographic. Views of rational suicide are evolving, particularly because

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Rational Suicide in the Elderly Clinical, Ethical, and Sociocultural Aspects

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Rational Suicide in the Elderly

Robert E. McCue • Meera Balasubramaniam Editors

Rational Suicide in the Elderly Clinical, Ethical, and Sociocultural Aspects

Editors Robert E. McCue Department of Psychiatry New York University School of Medicine New York, NY, USA

Meera Balasubramaniam Department of Psychiatry New York University School of Medicine New York, NY, USA

ISBN 978-3-319-32670-2 ISBN 978-3-319-32672-6 DOI 10.1007/978-3-319-32672-6

(eBook)

Library of Congress Control Number: 2016953741 © Springer International Publishing Switzerland 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Contents

1

Can Suicide in the Elderly Be Rational?............................................... Lawrence J. Nelson and Erick Ramirez

1

2

Would This Be Rational Suicide? .......................................................... Robert E. McCue

23

3

Rational Suicide and the Law ................................................................ Lawrence J. Nelson

33

4

Refractory Depression and the Right to Terminate Active Treatment ..................................................................................... Barbara R. Sommer and Kristin S. Raj

45

A Psychological History of Ageism and Its Implications for Elder Suicide...................................................................................... Alan Pope

63

5

6

Rational Suicide in the Elderly: Anthropological Perspectives .......... Simon Dein

75

7

Life’s Meaning and Late Life Rational Suicide.................................... Jukka Varelius

83

8

Baby Boomers and Rational Suicide ..................................................... Robert E. McCue

99

9

Who Are the Elderly Who Want to En