Also known as:death by her own hand · death by his own hand · deaths by one's own hand · suicide · self-inflicted death
Written by attorneys — see sources below.
The intentional causation of one's own death by direct action.
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How its tested
Common Examples
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Delirious Patient Restrained
Damian Decker, delirious from medication, threatened to jump from his hospital window. Nurse Devon Drake locked the door and windows to stop him. Drake faced no liability for the restraint because the intervention prevented apparent self-harm.
Refusal of Life Support
Diana Delgado, in a persistent vegetative state after an accident, had previously stated she would not want artificial nutrition. Her family directed withdrawal of the feeding tube. The hospital complied, resulting in death by one's own hand through refusal of treatment rather than active assistance.
Cruzan by Cruzan v. Director, Missouri Dept, of Health497 U.S. 261, 277 (1990)
On the night of January 11, 1983, Nancy Beth Cruzan lost control of her car as she traveled down Elm Road in Jasper County, Missouri. The vehicle overturned, and Cruzan was discovered lying face down in a ditch without detectable respiratory or cardiac function. Paramedics were able to restore her breathing and heartbeat at the accident site, and she was transported to a hospital in an unconscious state. An attending neurosurgeon diagnosed her as having sustained probable cerebral contusions compounded by significant anoxia. The Missouri trial court found that permanent brain damage generally results after six minutes in an anoxic state, and it was estimated that Cruzan was deprived of oxygen from twelve to fourteen minutes.
She remained in a coma for approximately three weeks and then progressed to an unconscious state in which she was able to orally ingest some nutrition. Surgeons implanted a gastrostomy feeding and hydration tube in Cruzan with the consent of her then husband. Subsequent rehabilitative efforts proved unavailing. She now lies in a Missouri state hospital in what is commonly referred to as a persistent vegetative state in which a person exhibits motor reflexes but evinces no indications of significant cognitive function. The State of Missouri is bearing the cost of her care.
After it had become apparent that Nancy Cruzan had virtually no chance of regaining her mental faculties, her parents Lester and Joyce Cruzan, who serve as coguardians, asked hospital employees to terminate the artificial nutrition and hydration procedures. All agree that such a removal would cause her death. The employees refused to honor the request without court approval. The parents then sought and received authorization from the state trial court for termination. The trial court found that a person in Nancy's condition had a fundamental right under the State and Federal Constitutions to refuse or direct the withdrawal of death prolonging procedures. The court also found that Nancy's expressed thoughts at age twenty-five in conversation with a housemate friend suggested that given her present condition she would not wish to continue on with her nutrition and hydration.
The Supreme Court of Missouri reversed by a divided vote. The court recognized a right to refuse treatment embodied in the common-law doctrine of informed consent but expressed skepticism about the application of that doctrine in the circumstances of this case. The court found that Cruzan's statements to her roommate regarding her desire to live or die under those conditions were unreliable for determining her intent and thus insufficient to support the coguardians' claim to exercise substituted judgment on Nancy's behalf. It rejected the argument that Cruzan's parents were entitled to order the termination of her medical treatment, concluding that no person can assume that choice for an incompetent in the absence of the formalities required under Missouri's Living Will statutes or the clear and convincing inherently reliable evidence absent here.
The Supreme Court granted certiorari to consider the question whether Cruzan has a right under the United States Constitution which would require the hospital to withdraw life-sustaining treatment from her under these circumstances.
David Dawson was convicted of murder and sentenced to death. He argued the penalty constituted cruel and unusual punishment. The Court upheld the sentence, distinguishing state execution from death by one's own hand.
Furman v. Georgia408 U.S. 238, 92 S.Ct. 2726, 33 L.Ed.2d 346 (1972)
In 1969 William Henry Furman was convicted of murder in Georgia and sentenced to death under Ga. Code Ann. § 26-1005 (Supp. 1971), after which the Georgia Supreme Court affirmed the judgment in 225 Ga. 253, 167 S.E.2d 628 (1969). In the same year Lucius Jackson, Jr., was convicted of rape in Georgia and sentenced to death under Ga. Code Ann. § 26-1302 (Supp. 1971), and the same court affirmed that judgment in 225 Ga. 790, 171 S.E.2d 501 (1969). Also in 1969 Elmer Branch was convicted of rape in Texas and sentenced to death under Tex. Penal Code, Art. 1189 (1961), after which the Texas Court of Criminal Appeals affirmed the judgment in 447 S.W.2d 932 (Ct. Crim. App. 1969).
Each death sentence was imposed after a jury trial under a statute that left the choice between death and a lesser punishment to the uncontrolled discretion of the jury or judge, and the state courts upheld the convictions and sentences. The Supreme Court granted certiorari limited to the question whether the imposition and carrying out of the death penalty in these cases constitutes cruel and unusual punishment in violation of the Eighth and Fourteenth Amendments, then consolidated the matters for argument in January 1972.
The records showed that the three petitioners were Black men convicted of crimes against white victims. Furman had been diagnosed with mild mental deficiency and psychotic episodes associated with convulsive disorder, while Jackson and Branch had limited education and low intelligence scores. No standards guided the sentencing decision, and the penalty was imposed on only a trivial fraction of eligible offenders despite statutory authorization for these offenses.
Deborah Dunn raped and murdered a child. The state sought the death penalty. The Court ruled the sentence unconstitutional for a non-homicide offense, preserving the distinction between execution and death by one's own hand.
Kennedy v. Louisiana554 U.S. 407, 128 S.Ct. 2641, 171 L.Ed.2d 525 (2008)
On March 2, 1998, Patrick Kennedy called 911 at 9:18 a.m. to report that his eight-year-old stepdaughter L.H. had been raped in the side yard by two neighborhood boys who fled on a blue bicycle.
Police arrived between 9:20 and 9:30 a.m. and found L.H. on her bed wrapped in a bloody blanket. She was bleeding profusely from severe vaginal injuries that included a laceration separating her cervix from the vagina and a torn perineum requiring emergency surgery at Children's Hospital.
Kennedy initially told investigators that L.H. had been dragged from the garage to the yard. Both L.H. and Kennedy maintained this account in early interviews, including a three-hour videotaped session with a psychologist days after the assault.
Physical evidence soon contradicted the yard account. The grass showed little disturbance except for coagulated blood. A bicycle found nearby had flat tires and spider webs. Blood was discovered on the underside of L.H.'s mattress inside the home.
Kennedy had also made telephone calls before 7:37 a.m. inquiring how to remove blood from carpet. He had called a cleaning service. He did not contact 911 until roughly 9:18 a.m.
Eight days after the crime, Kennedy was arrested.
About a month later L.H. was removed from her mother's custody. On June 22, 1998, she first told her mother that Kennedy had raped her. In December 1999 she recorded a videotaped accusation at the Child Advocacy Center.
The State charged Kennedy with aggravated rape of a child under twelve under La. Stat. Ann. § 14:42 and sought the death penalty.
The trial began in August 2003 when L.H. was thirteen. She testified that Kennedy had been on top of her, had given her orange juice with chopped pills afterward, and had instructed her to blame neighborhood boys.
The jury convicted Kennedy of aggravated rape. After hearing testimony from another child about prior sexual abuse by Kennedy, the jury unanimously sentenced him to death.
The Louisiana Supreme Court affirmed the conviction and death sentence in 2007. The United States Supreme Court granted certiorari in 2008.
Darrell Duncan challenged a state law criminalizing contraceptive use. The Court dismissed the case on justiciability grounds, leaving intact statutes that also addressed suicide and death by one's own hand.
Poe v. Ullman367 U.S. 497 (1961)
In 1961 two appeals reached the Supreme Court from judgments of the Connecticut Supreme Court of Errors sustaining demurrers and dismissing actions brought by Dr. C. Lee Buxton, a Yale professor of obstetrics and gynecology who also served as medical director of the Planned Parenthood Center in New Haven, together with married patients Paul and Pauline Poe and Jane Doe.
The complaints sought declaratory and injunctive relief against enforcement of Conn. Gen. Stat. §§ 53-32 and 54-196. The women had consulted Dr. Buxton, who advised that contraceptive methods were medically indicated because of prior pregnancies that had resulted in stillbirths or critical illness. The statutes prevented them from obtaining or following such advice. The complaints further alleged that the New Haven County State's Attorney had made public statements threatening to prosecute violators of the statutes.
The Connecticut Supreme Court of Errors held that the allegations failed to show any specific threat of prosecution against these plaintiffs. It also held that the plaintiffs had not committed or were about to commit acts subjecting them to liability. Therefore, the court dismissed the actions for lack of a justiciable controversy. The cases came to the United States Supreme Court on appeal. The Court noted probable jurisdiction.
The challenged statutes had been on the books since 1879. In the more than eighty years since enactment, the only recorded prosecution was a 1940 test case against two doctors and a nurse at a birth-control clinic. That case ended when the State moved to dismiss the information after the state supreme court upheld the statutes. Contraceptives were commonly and openly sold in Connecticut drug stores. Yet no prosecutions for sale or use were recorded.
Dominion Capital employee Devon Drake killed a coworker during a psychotic episode. The court applied the Durham test and found the act resulted from mental disease, excusing liability even though the conduct involved risk of death by one's own hand.
Durham v. United States214 F.2d 862, 874–75 (D.C.Cir.1954)
Monte Durham was convicted of housebreaking by the District Court of the District of Columbia sitting without a jury. The prosecution proceeded on a charge arising from an incident on July 13, 1951, in which Durham was found in a house.
Durham's history included discharge from the Navy in 1945 at age seventeen following a psychiatric examination revealing a profound personality disorder rendering him unfit for service. In 1947 he pleaded guilty to violating the National Motor Theft Act and was placed on probation for one to three years. In January 1948, as a result of a conviction in the District of Columbia Municipal Court for passing bad checks, the District Court revoked his probation and he commenced service of his Motor Theft sentence. His conduct within the first few days in jail led to a lunacy inquiry in the Municipal Court where a jury found him to be of unsound mind. Upon commitment to St. Elizabeths he was diagnosed as suffering from 'psychosis with psychopathic personality.' He experienced multiple discharges and readmissions to St. Elizabeths between 1949 and 1951, including a conditional release in June 1950 that he violated, and a further lunacy finding in 1951.
Following the July 1951 housebreaking, Durham was indicted in October 1951 and adjudged of unsound mind based on psychiatrists' affidavits diagnosing psychosis with psychopathic personality. He underwent subshock insulin therapy during a six-month commitment ending in February 1953, after which Dr. Silk certified him mentally competent to stand trial and able to assist counsel.
At the ensuing trial, the prosecutor expressed a plan to allow Durham to raise an insanity defense on this charge. The court accepted waivers of jury trial and additional competency proceedings despite Durham's expressed desire for further hospitalization. Testimony included that of Durham's mother regarding his post-May 1951 behavior and a psychiatrist who examined him in September 1951 and opined on his mental condition around the time of the offense. The trial court found the defense of insanity not established under the prevailing standards.
The appeal reached the United States Court of Appeals for the District of Columbia Circuit.
Does a suicide note qualify as a statement against interest when the declarant is unavailable?
Yes. When the declarant has died by suicide and is unavailable, a note that admits personal wrongdoing is admissible under the statement-against-interest exception if it exposes the declarant to civil or criminal liability and is corroborated by the circumstances of its making.
Supporting sources
When may a third party use force to prevent suicide without incurring battery liability?
A third party may use reasonable force without consent when the circumstances reasonably indicate an imminent risk of self-harm. The privilege arises independently of consent and is illustrated by locking doors to stop a delirious person from jumping or restraining an agitated patient who removes medical equipment.
Supporting sources
Is there a constitutional right to physician-assisted suicide?
No. States may prohibit physician-assisted suicide because they have legitimate interests in preserving life, preventing suicide, protecting the vulnerable, and maintaining the integrity of the medical profession. Such bans satisfy rational-basis review.
Supporting sources
410 U.S. 113 (1973)
…Oath was not uncontested even in Hippocrates' day; only the Pythagorean school of philosophers frowned upon the related act of suicide. Most Greek thinkers, on the other hand, commended abortion, at least prior to viability. See Plato, Republic, V, 461; Aristotle, Politics, VII, 1335b 25. For the Pythagoreans, however, it…