Suicide is not a public health issue and perhaps very few things should be

In her interesting response 'Suicide is always a public health issue', Susan Pennings puts forward a critique of a current controversy article written by us, 'When is suicide a public health issue?'. Most notably, Pennings argues that national suicide prevention strategies have an important expressive function and that the framework proposed in our original piece would undermine this function. In this article, we will be responding to some of the objections raised by Pennings. We will be arguing that the approach proposed in the original article would not be undermining the expressive function of suicide prevention, but rather championing the principle of autonomy as opposed to a modified sanctity of life ideal. We will aim to demonstrate that this constitutes a more inclusive and nuanced approach, better able to accommodate the increasing cultural and religious pluralism Pennings herself alludes to in her critique.

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Publication Details

Journal
Journal of Medical Ethics
Published
2026-06-25
DOI
https://doi.org/10.1136/jme-2026-112234
Primary Topic
Suicide and Self-Harm Studies
Type
article
Field-Weighted Citation Impact
0.00

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article

Suicide is not a public health issue and perhaps very few things should be

Tessa Jane Holzman, Julian Savulescu
Journal of Medical Ethics
Suicide and Self-Harm Studies
article

Suicide is not a public health issue and perhaps very few things should be

Tessa Jane Holzman, Julian Savulescu
article en

Abstract

In her interesting response 'Suicide is always a public health issue', Susan Pennings puts forward a critique of a current controversy article written by us, 'When is suicide a public health issue?'. Most notably, Pennings argues that national suicide prevention strategies have an important expressive function and that the framework proposed in our original piece would undermine this function. In this article, we will be responding to some of the objections raised by Pennings. We will be arguing that the approach proposed in the original article would not be undermining the expressive function of suicide prevention, but rather championing the principle of autonomy as opposed to a modified sanctity of life ideal. We will aim to demonstrate that this constitutes a more inclusive and nuanced approach, better able to accommodate the increasing cultural and religious pluralism Pennings herself alludes to in her critique.

Journal of Medical Ethics
Charles Sturt University (AU), National University of Singapore (SG), University of Oxford (GB)
Australian Research Council
Openalex Percentile: Top 6%
Suicide and Self-Harm Studies
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