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The phantasm of zero suicide

Published online by Cambridge University Press:  15 March 2023

Manne Sjöstrand*
Affiliation:
Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Sweden
Nir Eyal
Affiliation:
CPLB (IFH), HBSP (SPH), Philosophy (SAS), Henry Rutgers Professor of Bioethics, Rutgers University, USA
*
Correspondence: Manne Sjöstrand. Email: manne.sjostrand@ki.se

Abstract

Governments and non-governmental organisations are increasingly adopting a ‘zero-suicide’ goal, but what such a goal precisely involves is unclear. Ostensibly it strongly prioritises the prevention and elimination of all suicide. We argue that, so understood, a societal goal of zero suicide risks contravening several ethical principles. In terms of beneficence and non-maleficence, a ‘zero-suicide’ goal risks being inefficient and may burden or harm many people. Autonomy-wise, a blanket ban on all suicide is excessive. As regards social justice, zero suicide risks focusing on the symptoms of social malaise instead of the structures causing it. With respect to transparency, a ‘zero’ goal that cannot be met makes these authorities look detached and risks frustration, distrust and, worse, stigmatisation of suicide and of mental health conditions. Instead, we propose a middle path for suicide prevention, founded on harm reduction, ‘soft group paternalism’ and efforts directed at increased quality of life for disadvantaged groups. Although soft group paternalism respects autonomy, this approach permits coercive interferences in certain circumstances. We hope that the justificatory framework tying together these largely familiar elements is novel and sensible.

Type
Analysis
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists

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