The application of mental health and mental capacity laws to suicide risk

In this article, I explore how the mental health and mental capacity laws in England and Wales can be used for suicide prevention. I criticise the use of compulsion for persons diagnosed with a mental disorder who nonetheless retain decision-making capacity and argue for a greater reliance upon capacity as a distinguisher between autonomous decision-making about the end of life and the risk to life posed by symptoms of mental illness. The label of 'suicide' is also criticised as an outdated legal notion carrying pejorative meaning. Although focused on the law in England and Wales, the arguments apply much more broadly to all jurisdictions seeking to reconcile the demands of respect for life and respect for autonomy.

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Publication Details

Journal
Irish Journal of Psychological Medicine
Published
2026-01-13
DOI
https://doi.org/10.1017/ipm.2025.10167
Primary Topic
Healthcare Decision-Making and Restraints
Type
article
Field-Weighted Citation Impact
0.00
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article

The application of mental health and mental capacity laws to suicide risk

Elizabeth Wicks
Irish Journal of Psychological Medicine
Healthcare Decision-Making and Restraints
article

The application of mental health and mental capacity laws to suicide risk

Elizabeth Wicks
article en

Abstract

In this article, I explore how the mental health and mental capacity laws in England and Wales can be used for suicide prevention. I criticise the use of compulsion for persons diagnosed with a mental disorder who nonetheless retain decision-making capacity and argue for a greater reliance upon capacity as a distinguisher between autonomous decision-making about the end of life and the risk to life posed by symptoms of mental illness. The label of 'suicide' is also criticised as an outdated legal notion carrying pejorative meaning. Although focused on the law in England and Wales, the arguments apply much more broadly to all jurisdictions seeking to reconcile the demands of respect for life and respect for autonomy.

Irish Journal of Psychological Medicine
University of Leicester (GB)
Peace, Justice and strong institutions
Openalex Percentile: Top 91%
Healthcare Decision-Making and Restraints
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