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Assisted Suicide

It is a great honour to follow the passionate speech of my hon. Friend the Member for Hexham (Guy Opperman), and I am most grateful to my hon. Friend the Member for Croydon South (Richard Ottaway) not only for tabling the motion but for his courtesy in writing to all hon. Members with understanding and detailed work on the subject. I speak in support of amendment (b), in the name of my hon. Friend the Member for Congleton (Fiona Bruce), and I wish to touch on the issue of palliative care. My contribution arises from conversations that I have had with a great friend of mine who is a consultant in palliative care and has thought about the matter very deeply. He has drawn my attention to the work of Harvey Chochinov, who addressed the congress on palliative care in Gateshead earlier this month. Harvey Chochinov is a psychiatrist from Canada who has researched extensively the experiences of patients who are approaching the end of their lives, and ways of helping them. His work includes research on the expression of a desire for death or a loss of will to live, which he explains is often misconstrued as synonymous with a request for euthanasia or assisted suicide. There is good evidence that in the context of advanced illness, the desire for death can be thought of as a continuum. At its most extreme, it is synonymous with suicidal intent, and perhaps with the wish to die. Far more common are the many patients who, over the course of their illness—perhaps cancer—experience occasional and fleeting thoughts that not waking to another day may offer the escape and comfort that they perceive life can no longer afford. However, the research shows that in response to appropriate palliative care and the rallying of a community of support, thoughts about the wish to die can dramatically recede.