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Euthanasia advocates now promoting ‘rational suicide’

As euthanasia and right-to-die activists debate the use of a new lethal drug for euthanasia in the Netherlands, certain activists are promoting ‘rational suicide’ as an alternative to the current legislative framework.

Philip Nitschke and his partner, Fiona Stewart, are leading advocates of the ‘rational suicide’ movement, which believes that any person of “sound mind” over the age of 18 has the right to “request & be granted assistance with suicide if necessary or desired”.

Whereas advocates of euthanasia and assisted suicide typically promote its legality for those who are terminally ill or near the end of their lives, the ‘rational suicide’ movement, believes that any adult has the “right to implement plans for the end of their life so that their death is reliable, peaceful and at a time of their choosing”, regardless of any other considerations.

Nitschke’s organisation ‘Exit International’, defines a rational suicide as “the unassisted but well considered death of a mentally competent adult who may or may not be suffering from a serious medical illness”. In addition to promoting ‘rational suicide’, Exit International manufactures devices to assist with suicide and provides advice for those seeking to end their lives via these means.

In a podcast, Nitschke and Stewart candidly discuss a range of issues linked with ‘rational suicide’, the latest of which being the dispute in the Netherlands over the use of sodium azide, a lethal drug otherwise known as “Middel X”.

Assisted suicide and euthanasia in the UK

Assisted suicide and euthanasia remain illegal in the UK and have consistently been rejected by Parliament, which recognises the inherent danger that this kind of legislation represents, especially to people who are sick and/or elderly.

Unlike Nitschke’s ‘rational suicide’ movement, attempts to change the legislation on assisted suicide and euthanasia in the UK have focused on providing a medical suicide for those who are terminally ill and ‘suffering unbearably’.

Earlier this year, 70 MPs and Peers signed an open letter in opposition to renewed pushes to introduce assisted suicide, in which they pointed out that in other jurisdictions that have introduced assisted suicide and/or euthanasia, the law may initially have applied to a select group but it slowly expanded to apply to others.

The letter argued:

“There are escalating numbers of deaths over time in every jurisdiction, and in almost all places the categories of those who qualify for assisted suicide or euthanasia has been expanded”.

“In Oregon, which is the campaigners’ declared model for an ‘assisted dying’ law, cases of assisted suicide have risen fifteen-fold since it was introduced in 1997”.

In Canada “[t]he legislation itself proposes a review with the possibility of extending euthanasia to mature minors and those with solely mental health conditions”.

Right To Life UK spokesperson, Catherine Robinson, said: “The ‘rational suicide’ movement is really just an extension of the logic behind the more mainstream assisted suicide and euthanasia movement. Arguments tend to focus on the ‘unbearable suffering’ of individuals as a rationale for allowing assisted suicide, yet at the same time restricting assisted suicide to those who are terminally ill. Clearly, though, anyone at any stage of life could be ‘suffering unbearably’. Rational suicide, therefore, is more coherent on this point and so advocates for the unrestricted ‘right to die’”.

“The extreme approach of the rational suicide movement is afflicted with all the same difficulties as its less extreme cousin and even amplifies them. However, as we have seen time and time again, the safeguards in existing assisted suicide legislation almost never last and the legislation often expands its criteria for assisted suicide”.

“Laws permitting euthanasia in the Netherlands, Canada, and Belgium, have rapidly expanded. Belgium legalised euthanasia in 2002 and since then, the practice has even been extended to children”.

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Dear reader,

We are facing two major threats in the Lords - an extreme assisted suicide Bill and an abortion up to birth amendment.

THE GOOD NEWS - OUR STRATEGY IS WORKING

At Second Reading of the Leadbeater assisted suicide Bill in the House of Lords, a record number of Peers spoke, and of those who took a position, around two-thirds opposed the assisted suicide Bill. That is more than double the number who supported it.

Our side also secured a significant win, with the establishment of a dedicated Lords Select Committee to further scrutinise the Bill’s proposals – and Committee Stage has been delayed until it reports.

This momentum has been built by tens of thousands of people like you. Thanks to your hard work, Peers are receiving a very large number of emails and letters by post, making the case against the Bill. 

Thanks to your support, we have been able to mount a major campaign in Parliament, in the media and online – alongside your own efforts – to keep us on course for our goal: that this dangerous Bill never becomes law.

BUT MORE CHALLENGES LIE AHEAD

We cannot become complacent. Well-funded groups - Dignity in Dying, My Death My Decision and Humanists UK - have poured millions into pushing assisted suicide. They can see support is slipping and will fight hard to reverse that.

This is not the only fight we are facing in the House of Lords.

At the same time, the Antoniazzi abortion up to birth amendment, which passed in the House of Commons in June, is moving through the House of Lords as part of the Crime and Policing Bill.

Second Reading will take place in a matter of weeks. It will then go on to Committee and Report Stages, where we will be up against the UK’s largest abortion providers – BPAS and MSI Reproductive Choices (formerly Marie Stopes) – who are expected to lobby for even more extreme changes to our abortion laws.

If the Antoniazzi amendment becomes law, it would no longer be illegal for women to perform their own abortions for any reason – including sex-selective purposes – at any point up to and during birth.

Thousands of vulnerable lives - at the beginning and the end of life - depend on what happens next. We must do everything in our power to stop these radical proposals.

WE NEED YOUR HELP

Our campaign against the Leadbeater Bill in the House of Lords is working, but the work we have already done has significantly stretched our limited resources.

We are now stepping up our efforts against the assisted suicide Bill while launching a major push to stop the abortion up to birth amendment in the Lords. 

To fight effectively on both fronts, we aim to raise £183,750 by midnight this Sunday (5 October 2025).

Every donation, large or small, will help protect lives, and UK taxpayers can add 25p to every £1 through Gift Aid at no extra cost.

Will you donate now to help protect vulnerable lives from these two major threats?

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Help stop three major anti-life threats.

Help fight the next phase of our battles against major assisted suicide and abortion up to birth threats.