SUICIDE IS A SIN
AND OTHER RELIGIOUS OBJECTIONS


    Most of the religions of the world condemn irrational suicide.
Some religions have stronger sanctions than others.
And some individual believers within any given religious tradition
affirm this principle more strongly than other believers.
Even within each faith-community, there are sometimes
differences of opinion concerning what constitutes a 'suicide'.

    In theocratic countries of the world,
the laws concerning actions near the end of life
are based on the established religions of those countries.
In such places, the religious authorities decide the laws about 'suicide'.
There is no point in discussing laws based on religion here,
because such laws against 'suicide' are handed down from above
and are not open to public discussion or debate.

    In secular countries and states,
the laws about end-of-life decisions
usually permit believers of all religions to follow their own faiths.
Sometimes when a major portion of the population is religious,
the lawmakers for that region follow the principles of the dominant faith
---especially when most of the people belong to one faith-community.
In such cases, the legislators themselves were raised in that faith.
And they might see it as their right (and even
duty)
to embody the principles of their faith in the laws they enact.

    Truly secular countries carefully separate church and state:
Organized religion is usually permitted to operate openly,
but whenever laws were written to favor one religious group or another,
they are later removed from the law books
because they violate the principle of separation of church and state.

    Laws against some birth-control methods might be an example.
Some states used to
prohibit the distribution of some means of birth-control
because some religions prohibited 'artificial' means of birth-planning.
Later these laws were all repealed or ruled unconstitutional in the USA.
They improperly imposed the beliefs of one religion on
all the people.
And even some believers in religions that prohibit 'artificial' birth-control
decide for themselves to ignore that moral teaching.

    Religious sanctions could still be imposed by those churches
on their own followers even after birth-control measures became legal.
Some churches denied the sacraments
to members who used 'artificial' birth-control.
They could even tell their members that they would go to hell
if they used 'artificial' methods for planning their children.

    No attempt will be made here to sort out the various moral principles
concerning
death-planning based in religious beliefs.
In secular societies such as most modern nations,
each person who affirms a religious belief
will have to work thru those principles for himself or herself.

    Organized religions have a right
to attempt to influence the decisions of their members.
And religious leaders have a right to join in any
rational discussion
of all issues related to the end-of-life.
Also religious believers have a right to
vote on any public issues
based on their own religious faiths or beliefs.

    However, all secular governments should resist attempts
to put religious principles into laws.

    Some people have been taught that 'suicide is a sin'.
And some of these believers hold this to be an absolute principle,
which is not open to discussion, elaboration, or interpretation.
All forms of chosen death are prohibited.  End of story.

    But some religious believers use
rational discussion
to apply religious principles to each bedside situation.
For example, dialysis for patients who suffer from kidney failure
is well accepted by most religious believers.
And most religious leaders and their followers
would also consider it legitimate to
discontinue dialysis
when the patient is dying despite this treatment.

    Disconnecting life-support systems is not called 'suicide'.
The resulting death comes from natural causes (eg kidney failure).
This death comes
after a medical treatment is withdrawn,
but the death is not
caused by 'pulling the plug'.
The death-certificate will say "kidney failure".

    Exactly how religious principles apply to each death-bed situation
will have to be decided by each patient and/or that patient's family.
If they believe it would be a sin to use a certain medical treatment,
then
they will not authorize that course of action.
This principle of respecting religious beliefs is well established in law,
especially as seen in the right of Jehovah's Witnesses
to refuse blood-transfusions and all blood products.

    Another religious principle that should be respected
is the belief that only God can decide when a particular life is over.
This belief is sometimes expressed by objecting to 'playing God':
Humans must not 'play God' by making life-ending decisions.
Another discussion explicitly addresses this expression:
"God Will Decide When Life Will End: We Should Not 'Play God' ":
https://s3.amazonaws.com/aws-website-jamesleonardpark---freelibrary-3puxk/SG-GOD.html

    Another way to manifest this belief is to wait for God to take us.
We should not
hurry or hasten the dying process.
Let nature take its course.

    However, such religious thinking is seldom applied
to the other kind of medical intervention,
namely
slowing or delaying the process of dying.
Are we 'playing God' when we use life-support measures?
Without the respirator or the feeding-tube, the patient would surely die.

    Such religious questions will have to be worked out
between the believers and their religious advisors.
Medical practice should respect religious beliefs whenever possible.
But when
medical principles and religious principles conflict
(as for example when religious believers demand futile medical care),
then in secular societies the medical principles must ultimately prevail.

    However, with respect to life-ending decisions,
the exact timing of removing life-supports, for example,
can usually accommodate the religious beliefs of the patient and/or family.
Using their religious principles, when is the best time to 'pull the plug'?



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SAFEGUARDS TO PROTECT RELIGIOUS BELIEVERS

    The following 12 safeguards make sure
that the consciences of religious believers
are not violated in making any end-of-life choices.
In open societies such as our own,
followers of any religious tradition are free
to apply their own moral principles to their end-of-life situations
in whatever ways seem best to them.
The following safeguards allow ample opportunity
for several different persons
to make sure that religious principles are not violated.

    These safeguards are arranged beginning with the safeguards
that would be most relevant and powerful.
The
blue title links to a complete explanation of that safeguard.
The
red comments explain how that safeguard respects religious beliefs.


A MEMBER OF THE CLERGY
            APPROVES OR QUESTIONS CHOOSING DEATH

    The patient and/or family members might consult their clergy-person.
If this professional religious leader says
that
all life-ending decisions are forbidden,
then that patient and his/her family might never consider any practice
such as disconnecting life-supports even when the case is hopeless.
On the other hand, the religious leader might say
that nothing in their faith tells them
that certain medical treatments are mandatory.

RELIGIOUS OR OTHER MORAL PRINCIPLES
            APPLIED TO THIS LIFE-ENDING DECISION

    When the patient does embrace a certain set of moral principles,
written statements can be created explaining how those principles
might apply to the medical decisions at hand.

ADVANCE DIRECTIVE FOR MEDICAL CARE

    Each comprehensive Advance Directive for Medical Care
has a section for religious beliefs
since one's faith is often very important for end-of-life decisions.
When the patient has stated the most relevant principles in advance,
then there should be much less confusion at the bedside
when religious or moral principles might have some bearing
on the decisions that must be made.

REQUESTS FOR DEATH FROM THE PATIENT

    When the patient makes a request for death,
he or she might mention some relevant religious faith.
What implications do his or her religious beliefs
have for the patient's request for death?

INFORMED CONSENT FROM THE PATIENT

    When the patient is asked to give informed consent,
he or she might apply religious principles to the decision.
For example, if shortening the process of dying is prohibited,
then the patient will
never give consent
for any medical procedure that might lead to an earlier death.

UNBEARABLE SUFFERING

    Suffering might have some religious meaning for the patient.
How does
suffering figure in the patient's thinking about death?
When (if ever) does suffering become meaningless for the patient?
How does the patient's belief-system
deal with protracted, unbearable suffering?


UNBEARABLE PSYCHOLOGICAL SUFFERING

   
The patient might also be suffering psychologically or spiritually.
And this should be taken into account in all end-of-life decisions.
Sometimes the religious beliefs of the patient
will be a
cause of psychological suffering.
How will any such conflicts be resolved?
For example, is the patient worried about going to hell for some sin?
Can confession and absolution
resolve this form of psychological or spiritual suffering?


STATEMENTS FROM FAMILY MEMBERS
            AFFIRMING OR QUESTIONING CHOOSING DEATH

    When family members create their own written statements,
they also are free to mention any relevant religious beliefs or principles.
The family might have a
range of moral and religious systems.
In case of conflicts about end-of-life decisions,
the
patient or the duly-authorized proxies must make the final decisions.
But at least all points of view will have been heard
before the deciders go ahead with
whatever seems
wisest and most moral to them.

PHYSICIAN'S STATEMENT OF CONDITION AND PROGNOSIS

   
The physician's summary of the patient's physical condition
will be the basic factual background for making end-of-life decisions.
In most cases, the physician will not express any religious views.

INDEPENDENT PHYSICIAN REVIEWS THE CONDITION AND PROGNOSIS

   
A second physician will also issue a written statement,
giving an independent assessment of the patient's condition and prognosis.
This also will be taken into account by the deciders,
who are free to apply any moral or religious principles they wish.

PSYCHOLOGICAL CONSULTANT EVALUATES
           THE PATIENT'S ABILITY TO MAKE MEDICAL DECISIONS

   
A psychological professional might be asked to talk with the patient
to see if any chosen death is well based in reality.
And this consultant should not attempt to override any religious beliefs

or other moral principles that the patient and/or the family wish to use.

ETHICS COMMITTEE REVIEWS THE LIFE-ENDING DECISION

    The institution caring for the patient might have an ethics committee
that could be asked to review the plans for the last year of the patient.
And if this committee knows of any relevant religious or moral views,
they should not attempt to
override such principles.
Rather, the ethics committee should make sure
that all relevant ethical principles are brought to bear
on the final decisions for this life.


   
If these safeguards do not seem sufficient
to prevent trampling on the religious beliefs of the patient,
then there are several other safeguards
that might be brought to bear on the end-of-life decisions.



Created March 29, 2007; revised  4-1-2007; 11-12-2008; 11-13-2008; 1-25-2009; 2-22-2009;
1-17-2010; 4-2-2010; 5-21-2010; 1-11-2011; 2-26-2011; 6-28-2011; 12-22-2011;
1-27-2012; 2-21-2012; 3-28-2012; 7-18-2012; 9-12-2012;
3-28-2013; 6-20-2013; 7-17-2014; 10-10-2014; 4-6-2017; 2-1-2018; 8-23-2018; 5-13-2020; 



This discussion of whether suicide is a sin
and how religious principles might apply to end-of-life decision-making
has become Chapter 9 of How to Die: Safeguards for Life-Ending Decisions:
"Suicide is a Sin and other Religious Objections".



Go to other dangers, mistakes, & abuses of the right-to-die.




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