and coordinated care based on respect for patients preferences, values, and needs. This has led some researchers to suggest that suicide pacts are related to suicide clusters (a series of suicides in the same community) because there is a contagion effect. "Synthesis of Research and Evidence on Factors Affecting the Desire of Terminally Ill or Seriously Chronically Ill Persons to Hasten Death." Omega: The Journal of Death and Dying, 39,. The dominant/dependent relationship seems to be less prevalent in the friendship pact.
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Kevorkian functioned without adequate medical consultation. Cicely Saunders: Founder of the Hospice Movement : Selected Letters. United Kingdom, the United States and elsewhere. In contrast, the suicide attempts of the direct self-destructive are often related to the loss of a significant other. Nevertheless, they may ultimately result in injury or death. Freud's hypothesis of a death instinct had a great influence on thinking about suicide. Rational suicide The question of whether or not suicide can sometimes be rational is a controversial topic that has been the subject of considerable debate among mental health practitioners, scholars, and laypeople alike. Similarly, pets that are boarded at a kennel or have lost masters to whom they were very much attached may refuse to eat or may mutilate themselves.
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