INTERIM POLICY FOR PROSECUTORS

IN RESPECT OF CASES OF ASSISTED SUICIDE

 

 

INTRODUCTION

 

1                A person commits an offence if he or she aids, abets, counsels or procures [referred to in this policy as “assists”] the suicide of another, or the attempt by another to commit suicide. The consent of the Director of Public Prosecutions [DPP] is required before an individual may be prosecuted.

 

2                While the DPP can issue a policy which sets out the factors he will take into account in deciding whether to prosecute in individual cases, only Parliament can change the law on assisted suicide. The DPP cannot assure a person in advance of committing a crime that a prosecution will not be brought, and nothing in this policy can be taken to amount to such an assurance.

 

3                It has never been the rule that a prosecution will automatically follow whenever an offence is believed to have been committed. The way in which prosecutors make their decisions in all cases whether or not to prosecute is set out in the Code for Crown Prosecutors. However, the courts have decided that prosecutors should have further guidance setting out additional factors that may be relevant when deciding whether a prosecution for assisted suicide is needed in the public interest in a particular case.

 

4                For the purposes of this policy, the term “victim” is used to describe the person who may have committed or attempted to commit suicide. Not everyone may agree that this is an appropriate description but in the context of the criminal law it is probably the most suitable term to use.

 

5                This policy applies when the acts that allegedly constitute the assistance are committed in England and Wales; the suicide or attempted suicide may occur anywhere in the world, including in England and Wales.

 

THE INVESTIGATION

 

6                The police are responsible for investigating all cases of assisted suicide and they are encouraged to ask for the advice of prosecutors at an early stage and throughout their enquiries to ensure that all appropriate lines of investigation have been undertaken. Prosecutors should only make a decision when they have all the relevant material that is reasonably capable of being obtained after a full and thorough investigation.

 

THE DECISION-MAKING PROCESS

 

7                Prosecutors will apply the Code for Crown Prosecutors in making their decisions: there must be sufficient evidence to provide a realistic prospect of conviction in respect of an offence of assisted suicide. If there is sufficient evidence, prosecutors should consider whether a prosecution is needed in the public interest.

 

8                The factors taken into account in deciding whether a prosecution is needed in the public interest also determine whether or not the DPP will consent to a prosecution.

 

THE EVIDENTIAL STAGE

 

9                A person commits the offence of assisted suicide if he or she aids, abets, counsels or procures the suicide of another, or an attempt by another to commit suicide.

 

10                For the evidential stage to be satisfied, the prosecution must prove that:

 

Ø           the victim committed or attempted to commit suicide; and

Ø           the suspect assisted them in doing so.

 

11                The prosecution also has to prove that the suspect intended to assist the victim to commit or attempt to commit suicide and that the suspect knew that those acts were capable of assisting the victim to commit suicide.

 

12                The act of suicide requires the victim to take his or her own life. It remains murder or manslaughter to cause the death of someone who wishes to commit suicide but is unable to do so for him or herself. Even genuine and clear expressions of intent from someone who wishes to end his or her life do not entitle another person, even acting wholly out of compassion, to carry out those wishes if the person who wishes to commit suicide is asleep or is not conscious.

 

13                It is possible in law to attempt to assist a suicide. This means that there may be an offence committed even where a suicide does not occur or where there is not an attempt to commit suicide. Whether there is sufficient evidence of an attempt to assist suicide will depend on the factual circumstances of the case.

 

THE PUBLIC INTEREST STAGE

 

14                Prosecutors must consider the public interest factors set out in the Code for Crown Prosecutors and the factors set out in this policy.

 

15                Deciding on the public interest is not simply a matter of adding up the number of factors on each side and seeing which side has the greater number. Each case must be considered on its own facts and on its own merits. Prosecutors must decide the importance of each public interest factor in the circumstances of each case and go on to make an overall assessment. It is quite possible that one factor alone may outweigh a number of other factors which tend in the opposite direction.

 

16                Some public interest factors set out below appear in both lists, because their presence or absence is either a factor in favour of or against prosecution, to be taken into consideration in each case. Others are only either a factor in favour of or against prosecution and they therefore only appear in the appropriate list.

 

17                It may sometimes be the case that the only source of information about the circumstances of the suicide and the state of mind of the victim is the suspect. Prosecutors and investigators should make sure that they pursue all reasonable lines of further enquiry in order to obtain, wherever possible, independent verification of the suspect’s account.

 

18                Once all reasonable enquiries are completed, if prosecutors are doubtful about the suspect’s account of the circumstances of the suicide and the state of mind of the victim which are relevant to any factor set out below, they should conclude that they do not have sufficient information in support of that factor.

 

Public interest factors in favour of prosecution

 

19                The public interest factors in favour of prosecution are set out below.

 

(1)        The victim was under 18 years of age.

 

(2)        The victim’s capacity to reach an informed decision was adversely affected by a recognised mental illness or learning difficulty.

 

(3)        The victim did not have a clear, settled and informed wish to commit suicide; for example, the victim’s history suggests that his or her wish to commit suicide was temporary or subject to change.

 

(4)        The victim did not indicate unequivocally to the suspect that he or she wished to commit suicide.

 

(5)        The victim did not ask personally on his or her own initiative for the assistance of the suspect.

 

(6)        The victim did not have:

 

Ø           a terminal illness; or

Ø           a severe and incurable physical disability; or

Ø           a severe degenerative physical condition;

 

from which there was no possibility of recovery.

 

(7)        The suspect was not wholly motivated by compassion; for example, the suspect was motivated by the prospect that they or a person closely connected to them stood to gain in some way from the death of the victim.

 

(8)        The suspect persuaded, pressured or maliciously encouraged the victim to commit suicide, or exercised improper influence in the victim’s decision to do so; and did not take reasonable steps to ensure that any other person did not do so.

 

(9)        The victim was physically able to undertake the act that constituted the assistance him or herself.

 

(10)     The suspect was not the spouse, partner or a close relative or a close personal friend of the victim.

 

(11)     The suspect was unknown to the victim and assisted by providing specific information via, for example, a website or publication, to the victim to assist him or her in committing suicide.

 

(12)     The suspect gave assistance to more than one victim who were not known to each other.

 

(13)     The suspect was paid by the victim or those close to the victim for their assistance.

 

(14)     The suspect was paid to care for the victim in a care/nursing home environment.

 

(15)     The suspect was aware that the victim intended to commit suicide in a public place where it was reasonable to think that members of the public may be present.

 

(16)     The suspect was a member of an organisation or group, the principal purpose of which is to provide a physical environment [whether for payment or not] in which to allow another to commit suicide.

 

Question 1 which appears at the end of this document seeks your views about the public interest factors we have identified as being in favour of a prosecution.

 

Question 2 which appears at the end of this document seeks your views about whether there are any other public interest factors which you consider are in favour of a prosecution.

 

20                In most cases, factors (1) to (8) above will carry more weight than the other factors in deciding that a prosecution is needed in the public interest.

 

Question 3 which appears at the end of this document seeks your views about public interest  factors (1) to (8) which we have identified as carrying more weight than the other factors in deciding that a prosecution is needed in the public interest.

 

Question 4 which appears at the end of this document seeks your views about whether there are any other public interest factors which you think should carry more weight than the other factors in deciding that a prosecution is needed in the public interest.

 

Public interest factors against prosecution

 

21                The public interest factors against prosecution are set out below.

 

(1)        The victim had a clear, settled and informed wish to commit suicide.

 

(2)        The victim indicated unequivocally to the suspect that he or she wished to commit suicide.

 

(3)        The victim asked personally on his or her own initiative for the assistance of the suspect.

 

 

 

 

(4)        The victim had:

 

Ø           a terminal illness; or

Ø           a severe and incurable physical disability; or

Ø           a severe degenerative physical condition;

 

from which there was no possibility of recovery.

 

(5)        The suspect was wholly motivated by compassion.

 

(6)        The suspect was the spouse, partner or a close relative or a close personal friend of the victim, within the context of a long-term and supportive relationship.

 

(7)        The actions of the suspect, although sufficient to come within the definition of the offence, were of only minor assistance or influence, or the assistance which the suspect provided was as a consequence of his or her usual lawful employment.

 

(8)        The victim was physically unable to undertake the act that constituted the assistance him or herself.

 

(9)        The suspect had sought to dissuade the victim from taking the course of action which resulted in his or her suicide.

 

(10)     The victim has considered and pursued to a reasonable extent recognised treatment and care options.

 

(11)     The victim had previously attempted to commit suicide and was likely to try to do so again.

 

(12)     The actions of the suspect may be characterised as reluctant assistance in the face of a determined wish on the part of the victim to commit suicide.

 

(13)     The suspect fully assisted the police in their enquiries into the circumstances of the suicide or the attempt and his or her part in providing assistance.

 

Question 5 which appears at the end of this document seeks your views about the public interest factors we have identified as being against a prosecution.

 

Question 6 which appears at the end of this document seeks your views about whether there are any other public interest factors which you consider are against a prosecution.

 

22                In most cases, factors (1) to (7) above will carry more weight than the other factors in deciding that a prosecution is not needed in the public interest.

 

Question 7 which appears at the end of this document seeks your views about public interest factors (1) to (7) which we have identified as carrying more weight than the other factors in deciding that a prosecution is not needed in the public interest.

 

Question 8 which appears at the end of this document seeks your views about whether there are any other public interest factors which you think should carry more weight than the other factors in deciding that a prosecution is not needed in the public interest.

 

23                The evidence to support these factors must be sufficiently close in time to the assistance to allow the prosecutor reasonably to infer that the factors remained operative at that time. This is particularly important at the start of the specific chain of events that immediately lead to the suicide or the attempt.

 

24                These lists of public interest factors are not exhaustive and each case must be considered on its own facts and on its own merits.

 

HANDLING ARRANGEMENTS

 

25                Cases of assisted suicide are dealt with in Special Crime Division in CPS Headquarters. The Head of that Division reports directly to the DPP.

 

26                Any prosecutor outside Special Crime Division of Headquarters therefore who receives any enquiry or case involving an allegation of assisted suicide should ensure that the Head of Special Crime Division is notified.

 

27                This interim policy comes into effect on the day of its publication and is to be applied in all current and future cases. It will be reviewed in the light of the public consultation exercise currently being undertaken.

 

Question 9 which appears at the end of this document invites you to let us have any other comments that you would like us to consider.

 


CONSULTATION QUESTIONS

 

Please complete the following information.

 

Manner of preferred address: Mr/Mrs/Ms etc

Dr

First Name

John

Family Name

Ling

Any organisation you represent

Affinity

Postal Mailing Address

PO Box 246, Bridgend, CF31 9FD.

Contact telephone number

01970-880-416

E-mail Address

jrl@aber.ac.uk

 

QUESTION 1

 

We have identified the factors that we consider to be relevant in deciding whether a prosecution is needed in the public interest in paragraph 19. We have set out those factors again below.

 

Please indicate alongside each factor, using the drop down menu whether you agree or disagree that it is a factor in favour of prosecution.

 

Please can you reply using “Y” for yes and “N” for no; if you do not want to let us have your views on any particular factor, please ignore the drop down menu in the appropriate box.

 

 

FACTORS IN FAVOUR OF PROSECUTION

Y/N

(1)

The victim was under 18 years of age.

 

(2)

The victim’s capacity to reach an informed decision was adversely affected by a recognised mental illness or learning difficulty.

 

(3)

The victim did not have a clear, settled and informed wish to commit suicide; for example, the victim’s history suggests that his or her wish to commit suicide was temporary or subject to change.

 

(4)

The victim did not indicate unequivocally to the suspect that he or she wished to commit suicide.

(5)

The victim did not ask personally on his or her own initiative for the assistance of the suspect.

(6)

The victim did not have:

 

Ø           a terminal illness; or

Ø           a severe and incurable physical disability; or

Ø           a severe degenerative physical condition;

 

from which there was no possibility of recovery.

(7)

The suspect was not wholly motivated by compassion; for example, the suspect was motivated by the prospect that they or a person closely connected to them stood to gain in some way from the death of the victim.

(8)

The suspect persuaded, pressured or maliciously encouraged the victim to commit suicide, or exercised improper influence in the victim’s decision to do so; and did not take reasonable steps to ensure that any other person did not do so.

(9)

The victim was physically able to undertake the act that constituted the assistance him or herself.

(10)

The suspect was not the spouse, partner or a close relative or a close personal friend of the victim.

(11)

The suspect was unknown to the victim and assisted by providing specific information via, for example, a website or publication, to the victim to assist him or her in committing suicide.

(12)

The suspect gave assistance to more than one victim who were not known to each other.

(13)

The suspect was paid by the victim or those close to the victim for their assistance.

 

(14)

The suspect was paid to care for the victim in a care/nursing home environment.

(15)

The suspect was aware that the victim intended to commit suicide in a public place where it was reasonable to think that members of the public may be present.

(16)

The suspect was a member of an organisation or group, the principal purpose of which is to provide a physical environment [whether for payment or not] in which to allow another to commit suicide.

 


QUESTION 2

 

 

IF YOU CONSIDER THAT THERE ARE OTHER FACTORS IN FAVOUR OF PROSECUTION, PLEASE SET THEM OUT HERE:

 

The suspect is a member of the medical or healthcare professions.

 

The suspect or victim is not a UK citizen or resident - this would prevent the UK from becoming a place of 'assisted suicide tourism'.

 

 


QUESTION 3

 

We have identified factors (1) to (8) as carrying more weight than the other factors in deciding that a prosecution is needed in the public interest. We have set out those factors again below.

 

Please indicate alongside each factor whether you agree or disagree that the factor should carry more weight than the other factors.

 

Please can you reply using “Y” for yes and “N” for no; if you do not want to let us have your views on any particular factor, please ignore the drop down menu in the appropriate cell.

 

 

FACTORS IN FAVOUR OF PROSECUTION

Y/N

(1)

The victim was under 18 years of age.

(2)

The victim’s capacity to reach an informed decision was adversely affected by a recognised mental illness or learning difficulty.

(3)

The victim did not have a clear, settled and informed wish to commit suicide; for example, the victim’s history suggests that his or her wish to commit suicide was temporary or subject to change.

(4)

The victim did not indicate unequivocally to the suspect that he or she wished to commit suicide.

(5)

The victim did not ask personally on his or her own initiative for the assistance of the suspect.

(6)

The victim did not have:

 

Ø           a terminal illness; or

Ø           a severe and incurable physical disability; or

Ø           a severe degenerative physical condition;

 

from which there was no possibility of recovery.

(7)

The suspect was not wholly motivated by compassion; for example, the suspect was motivated by the prospect that they or a person closely connected to them stood to gain in some way from the death of the victim.

(8)

The suspect persuaded, pressured or maliciously encouraged the victim to commit suicide, or exercised improper influence in the victim’s decision to do so; and did not take reasonable steps to ensure that any other person did not do so.

 


QUESTION 4

 

 

IF YOU THINK THERE ARE OTHER FACTORS THAT FALL INTO THIS CATEGORY THAT WE HAVE NOT IDENTIFIED, PLEASE SET THEM OUT HERE:

 

11]  The suspect was unknown to the victim and assisted by providing specific information via, for example, a website or publication, to the victim to assist him or her in committing suicide.

 

12]  The suspect gave assistance to more than one victim who were not known to each other.

 

14]  The suspect was paid to care for the victim in a care/nursing home environment.

 

16]  The suspect was a member of an organisation or group, the principal purpose of which is to provide a physical environment [whether for payment or not] in which to allow another to commit suicide.

 

The suspect had a history of violence towards, or abuse of, the victim.

 

The suspect is a member of the medical or healthcare professions.

 

The suspect or victim is not a UK citizen or resident - this would prevent the UK from becoming a place of 'assisted suicide tourism'.

 

 


QUESTION 5

 

We have identified the factors that we consider to be relevant in deciding whether a prosecution is not needed in the public interest in paragraph 21. We have set out those factors again below.

 

Please indicate alongside each factor whether you agree or disagree that it is a factor against prosecution.

 

Please can you reply using “Y” for yes and “N” for no; if you do not want to let us have your views on any particular factor, please ignore the drop down menu in the appropriate cell.

 

 

 

FACTORS AGAINST PROSECUTION

Y/N

(1)

The victim had a clear, settled and informed wish to commit suicide.

(2)

The victim indicated unequivocally to the suspect that he or she wished to commit suicide.

 

(3)

The victim asked personally on his or her own initiative for the assistance of the suspect.

(4)

The victim had:

 

Ø           a terminal illness; or

Ø           a severe and incurable physical disability; or

Ø           a severe degenerative physical condition;

 

from which there was no possibility of recovery.

 

(5)

The suspect was wholly motivated by compassion.

(6)

The suspect was the spouse, partner or a close relative or a close personal friend of the victim, within the context of a long-term and supportive relationship.

 

(7)

The actions of the suspect, although sufficient to come within the definition of the offence, were of only minor assistance or influence, or the assistance which the suspect provided was as a consequence of his or her usual lawful employment.

 

(8)

The victim was physically unable to undertake the act that constituted the assistance him or herself.

 

(9)

The suspect had sought to dissuade the victim from taking the course of action which resulted in his or her suicide.

 

(10)

The victim has considered and pursued to a reasonable extent recognised treatment and care options.

 

(11)

The victim had previously attempted to commit suicide and was likely to try to do so again.

 

(12)

The actions of the suspect may be characterised as reluctant assistance in the face of a determined wish on the part of the victim to commit suicide.

 

(13)

The suspect fully assisted the police in their enquiries into the circumstances of the suicide or the attempt and his or her part in providing assistance.

 

 

 


QUESTION 6

 

IF YOU CONSIDER THAT THERE ARE OTHER FACTORS AGAINST PROSECUTION, PLEASE SET THEM OUT HERE:

 

None.

 


QUESTION 7

 

We have identified factors (1) to (7) as carrying more weight than the other factors in deciding that a prosecution is not needed in the public interest. We have set out those factors again below.

 

Please indicate alongside each factor whether you agree or disagree that the factor should carry more weight than the other factors.

 

Please can you reply using “Y” for yes and “N” for no; if you do not want to let us have your views on any particular factor, please ignore the drop down menu in the appropriate cell.

 

 

 

FACTORS AGAINST PROSECUTION

Y/N

(1)

The victim had a clear, settled and informed wish to commit suicide.

(2)

The victim indicated unequivocally to the suspect that he or she wished to commit suicide.

 

(3)

The victim asked personally on his or her own initiative for the assistance of the suspect.

(4)

The victim had:

 

Ø           a terminal illness; or

Ø           a severe and incurable physical disability; or

Ø           a severe degenerative physical condition;

 

from which there was no possibility of recovery.

 

(5)

The suspect was wholly motivated by compassion.

(6)

The suspect was the spouse, partner or a close relative or a close personal friend of the victim, within the context of a long-term and supportive relationship.

 

(7)

The actions of the suspect, although sufficient to come within the definition of the offence, were of only minor assistance or influence, or the assistance which the suspect provided was as a consequence of his or her usual lawful employment.

 

 

 


QUESTION 8

 

 

IF YOU THINK THERE ARE OTHER FACTORS THAT FALL INTO THIS CATEGORY THAT WE HAVE NOT IDENTIFIED, PLEASE SET THEM OUT HERE:

 

None.

 


QUESTION 9

 

PLEASE LET US KNOW HERE IF YOU HAVE ANY OTHER COMMENTS THAT YOU WOULD LIKE US TO CONSIDER:

 

Affinity represents approximately 1,200 evangelical congregations and is probably the largest association of exclusively Bible-centred churches in the UK.

 

We recognise that the Director of Public Prosecutions (DPP) was obliged by the Law Lords to produce an offence-specific policy.  Nevertheless, we consider the ‘tick-box’ approach of this Consultation, and thus the Interim Policy, to be inadequate in nature and flawed in many of its assumptions.  We therefore wish to rehearse our stance and additional concerns as follows:

 

1]  We welcome the DPP’s restatement that a person who assists in the suicide of another commits a criminal offence.  However, we fear that the publication of these 'prosecution factors' has already led to a subtle, but real, change of the law in favour of assisted suicide.

 

2]  Suicide is a selfish act and a heart-rending episode.  It is selfish because it disregards those left in the aftermath.  It is heart-rending because those left behind are bereft and plagued by guilt.  Hence the Suicide Act 1961 maintains a strict sanction against those who might assist.

 

3]  We wish the provisions, ethos and force of the Suicide Act 1961 to be retained.  Its meaning is determined and clear.  If its provisions are to be challenged, then Parliament is the proper forum, though we note that Parliament has recently rejected any changes to this Act.

 

4]  We are concerned that the current campaigns for legalising assisted suicide are a reflection of our ‘culture of death’.  This latter is a recent and radical departure from traditional medical (and civic) ethics and practice, which are rooted in the Hippocratic Oath (which specifically forbade assisting the suicidal) and Judaeo-Christian doctrines (which nowhere approve of any forms of suicide).  Public policies require robust and consistent frameworks.  Affinity’s framework maintains that all human life is made in the image of God and is therefore special and precious and, as a consequence, to be cherished and protected from conception until natural death.  We are therefore opposed to all forms of euthanasia, including assisted suicide.

 

5]  We consider that acts of assisted suicide are based upon two false premises, namely, overindulgent autonomy and false compassion.  The former has engendered the view that we are no longer stewards but rather independent owners and disposers of our lives.  The latter believes that it can be in a person’s best interests to be dead.

 

6]  Our response to those who are suicidal is both principled and compassionate.  They need our protection and special care to live, not assistance to die.  While we can never endorse suicide, we do support preventative schemes, such as, counselling services and palliative care.

 

7]  Approving of, or legalising, assisted suicide is a dangerous step towards a public policy of full-scale euthanasia – that is the well-documented goal of many of its supporters.  This would be a truly dreadful situation, especially for our vulnerable, disabled, elderly and ill citizens.   Whenever human life is regarded as cheap and expendable, the outcome is always terrible.

 

8]  We therefore call upon the DPP to resist implementing the permissive aspects of the Interim Policy and instead return to the presumption of prosecution of the Suicide Act 1961.