This week in North Philly Notes, an interview with Alexandre Baril, author of Undoing Suicidism, conducted by Ally Day during his recent online book launch.
Can you tell us about what brought you to this topic?
My desire to write a book on suicide and assisted suicide comes from both a personal and academic interest. I have been a suicidal person since the age of 12. Even though there are periods in my life when I feel better, suicidality never really disappears. Much of my work, such as my work in trans, disability/crip and Mad studies, is anchored in my marginalized identities. My writing and research help me to better understand my lived experience and to connect it to a broader sociopolitical context. My interest in suicide comes from this need to understand my own subjective experience of suicidality and to situate it in a larger sociopolitical context. In terms of my academic interests, I was astonished to learn that no concept existed to name the oppression of suicidal people until I coined the term suicidism. I was disappointed about this lack, and that was the spark for this book.
You have coined the term suicidism. Can you tell us more about suicidism?
Suicidism refers to an oppressive system functioning at the normative, medical, legal, social, political, economic, and epistemic levels, a system in which suicidal people experience forms of injustice and violence, such as discrimination, stigmatization, exclusion, pathologization, and incarceration. Many suicidal individuals face violent and inhumane treatments after revealing their suicidality. Indeed, some are hospitalized without their consent, drugged against their will, experience mistreatments by police officers, have difficulty to find new jobs or lose their current jobs or housing, have their parental rights revoked, to name only a few. Because of these suicidist consequences, suicidal people remain silent and complete their suicides without reaching out to anyone. As I always say, every single completed suicide is the proof that what we are doing currently is not working, because each of those people didn’t call for help before completing their suicides.
These stories illustrate that, despite the supportive discourses surrounding suicidality, suicidal people who call for help do not find the promised support. Worse, I contend that suicide prevention does more harm than good. This is particularly true for marginalized suicidal individuals, such as racialized, Indigenous, homeless, 2SLGBTQIA+, disabled/Mad or neurodiverse individuals, who often experience, through suicide prevention interventions, increased forms of colonialism, racism, classism, sexism, homophobia, transphobia, ableism and sanism.
You are proposing some radical ideas in this book, notably a suicide-affirmative approach. Can you tell us what this approach entails?
First, I want to say that my approach to suicide and assisted suicide is not intended to encourage suicide. Second, you are right: the most controversial argument of my book is to conceptualize suicide as a positive right. This implies accompanying suicidal individuals in their possible journey toward death. This accompaniment would be provided through what I call a suicide-affirmative approach. My approach is inspired by trans-affirmative perspectives. A suicide-affirmative approach does not mean pushing suicidal people to suicide, just as the goal of the trans-affirmative approach is not to push a person to transition. Rather, it means that instead of trying to cure trans people of their transness or suicidal people of their suicidality, we develop safer spaces in which we can examine their suicidality with them and discuss a variety of options. My approach proposes to shift from a preventionist logic to a logic of accompaniment to help suicidal people to make the best-informed decision, a support that could be life-affirming and death-affirming.
Most importantly, my suicide-affirmative approach has the potential to prevent more deaths by suicide than existing prevention interventions. Indeed, rather than being forced to die in secrecy by completing their suicide without consulting anyone due to fear of experiencing suicidist consequences, suicidal people would have the chance to speak freely and to benefit from an accompaniment process to reach an informed decision.
What distinguishes your position from the extension of assisted death to people with mental/psychological suffering?
I argue that suicidism makes some people’s desire for death abnormal. In contrast, we legitimize assisted death for those cast as “unproductive” and “undesirable,” based on dominant norms, such as disabled/sick/ill/old people. In their case, their desire for death is considered normal. However, suicidal people’s desire for death is cast as “irrational,” “crazy,” “mad,” “insane,” or “alienated,” and they are stripped of their decision-making capacity. In other words, from an ableist, sanist, ageist and capitalist perspective, people who are seen as “unproductive” are supported to die, while suicidal people, who are seen as having productive futures, are excluded from these laws and forced to stay alive. My work questions why are we offering assistance in dying to disabled/sick/ill/old people who, in the vast majority of cases, don’t want to die but ask for better living conditions, while those who do want to die, such as suicidal people, are denied any assistance?
In all national contexts that allow assisted death, suicidal people are excluded; only people who are physically, or sometimes mentally, ill can have access to these procedures, and these laws specify that no suicidal person should be supported in their desire to die. My approach is therefore radically distinct from that of offering assisted death for people for whom mental illness is the sole condition of their request. I advocate for the abolition of these discriminatory laws that allow assisted suicide only for “special populations” based on dominant norms of who should live or die. I would like to see the creation of new laws and policies surrounding assisted suicide for all adults who have a stable desire to die, including suicidal people. In other words, my approach is not based on a physical/mental illness or disability diagnosis.
What would you say are the three most important messages and take-aways of your book?
I would first say that it’s important to understand that suicidal people, like all other marginalized groups, experience structural oppression. Second, it’s important to start listening to suicidal people and realize that prevention discourses and interventions, despite their best intentions, often make things worse for suicidal people, particularly those who belong to marginalized communities. A third key message is that giving positive rights to suicidal people, that is, providing them the support they need and facilitating access to a renewed form of assisted suicide, might be a much more effective way to prevent unnecessary deaths by suicide.
Regarding the concrete take-aways of my book, the first one is that if we are committed to helping suicidal people, particularly those most determined to die and who currently complete their suicide, we need to acknowledge that we do almost everything wrong. The second take-away is that suicidal people have important messages to convey. We should start paying attention to what they have to say and consider them experts regarding their needs. The last take-away is that despite multiple prevention strategies, decade after decade, despite a few ebbs and flows in suicide statistics, we don’t see a significant decrease in suicide rates. What we have been doing so far doesn’t work, and it might be time to try solutions outside the box, like the one I am proposing in this book.
Filed under: american studies, Disability Studies, economics/business, ethics, gender studies, health, law & criminology, LGBT studies, philosophy, political science, race and ethnicity, racism, sexuality, sociology | Tagged: assisted suicide, death studies, disability/crip, law, Mad studies, medicine, mental illness, politics, sociology, suicidism, Trans | Leave a comment »