Hannah and the Crisis Team just came, and I have officially been dispatched, therefore am no longer considered to be in a crisis. Hurrah! I do feel mentally better, although rather sad, though that’s for real life reasons. I feel physically like toss at the moment, but hey ho.
There’s a documentary called “Reverend Death” on May 19th on Channel 4 that some of you might be interested in watching. It follows Reverend George Exoo, who assists non-terminally ill people in committing suicide. However, after reading this article, I feel he coerces, rather than assists.
Whereas I feel that people have the right to end their life, I don’t think that they should be encouraged, not without serious psychological and psychiatric intervention to explore those feelings, and the alternatives to suicide.
Mental health problems can be terminal, a lot of people, either treated or untreated, do go on to commit suicide, and I can understand wanting someone to be with you, who won’t judge you, or won’t try to stop you.
Whereas Exoo himself seems to consider his mission his purpose, it’s his assistant that I feel is the most questionable part of the operation.
Exoo drove off to do some real estate business and I was left alone with Susan. We sat on her porch. And she said something extraordinary. She said that unbeknown to Exoo she had set up her own suicide business and was willing to help practically anyone if the price was right.
“I see this as a business,” she said. “George sees it as a calling. There’s a big difference there. For me it’s no cash, no help.” She said her price was approximately $7,000.
“You’re bound to get it wrong, aren’t you?” I said. “And help someone who shouldn’t be helped.”
Susan shrugged. “Probably, at some point, yes,” she said.
She said Exoo’s worst crime was his financial imprudence: that he’ll help people who can’t afford to pay.
“George will get to a point where he’ll run out of money,” she said. “He won’t scale down the expensive cuts of meats every night. He would rather kill himself than economise.”
“He seems quite keen on killing himself,” I said.
“I think he’ll do it soon,” said Susan. “And that’s why I’ve been pressing him to give me a list of his current clients.”
A few weeks passed. Then I got an early morning call from Susan. She said the FBI had just arrested Exoo. His partner McGurrin had woken up to find Exoo and two men standing there. They said, “We’re putting George in prison until we can take him to Ireland.”
A few weeks after that (I later learned) Susan flew to New Zealand to help a depressed, non-terminally ill woman she had met on the internet commit suicide. The woman had previously asked a mainstream right-to-die group called Dignity NZ to help her, but they had refused.
“I was of the impression that she needed assistance in living rather than advice on how to end her life,” Dignity NZ’s founder, Lesley Martin, later explained to me in an email. She added, “I imagine you are developing a good understanding of what an absolute mess the euthanasia underground is. Unfortunately, there are ‘gung-ho’ individuals involved [she meant Susan] who, in my opinion, treat the matter of assisting someone to die as an exciting relief from the boredom of their own lives and do so completely ill-equipped and dismissive of the responsibility we have of ensuring that people who need mental health assistance receive it, while still working towards humane legislation that addresses the real issues.”
I visited Susan and asked her what had been wrong with the New Zealand woman. “She had some sort of breathing disorder,” she said, “and the doctors there wouldn’t give her the medication that she needed. I happened to take the same medication. I gave her a little bit of mine and she was fine.”
“But you helped her commit suicide, even though you helped her breathe better?” I asked.
“Yeah,” said Susan. “Isn’t that ironic?”
“You shouldn’t do it,” I said.
“Somebody’s got to pay the bills so you can have some water in that glass you’re drinking,” she said.
I had agreed to protect Susan’s identity before I knew she was going around the world helping people die for money.
On October 25 2007 a federal judge in Charleston, West Virginia, freed Exoo. He decreed that because assisted suicide is not a crime in 25 of the 50 states, he couldn’t allow the Irish prosecutor to try him in Dublin.
I visited Exoo one last time. I thought there wouldn’t be any more twists and turns in this story about the messy assisted suicide underground, but he offered one.
“You know I provided you with a tape?” He meant the Shirley/Arizona telephone tape. “That was not a real deathing. I was talking to a dial tone.”
I looked at him askance.
“You’re a very good actor,” I said.
“I wanted to give you an example of how I would work with somebody,” he shrugged. “And she was the only possibility.”
He explained that Shirley was a real person, and he really had visited her on many occasions, and that she really had prevaricated. All that was true.
“She really is now dead,” he added, sounding quite triumphant. He said she killed herself in Kingman, Arizona, while he was in prison. (The Kingman police later confirmed this.)
Extraordinary, rather chilling stuff. Do read Jon Ronson’s article in The Guardian and tell me what you think.
Filed under: Bipolar 1 Disorder, Bipolar Disorder, articles, assisted suicide, bipolar, coping with manic depression, crisis team, culture, depression, how manic depression can impact on your life, manic depression, mental illness, reverend death | Tagged: bipolar, Bipolar Disorder, depression, manic depression, mental illness



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Things like that make me very angry when I have a loved on who is terminally ill and will probably not see the end of this year. I support people’s right to die when nothing can be done (in fact I wish my Grandad had been allowed to die sooner rather than having suffered for almost a month). I wouldn’t condemn someone without ‘just’ a mental illness for killing themselves. However, I think of someone else is going to get involved it should always be in that they are trying help the person rather than assisting the person with their suicide. It’s chilling that there are people out there who are so willing to help so many people die. Exoo says it’s a calling but I’m more inclined to lean towards an idea in the article, that he in fact enjoys being with people at their deaths.
I think the thing with helping a mentally ill die is you have no idea whether or not they could change their mind, which makes it extremely morally questionable to help them kill themselves. A depressive episode can last months, and although that may be deemed long enough ‘thinking time’ once the episode has ended for whatever reason they may have completely changed their mind, in which case Exoo is helping people who may not actually want to die when they are actually truly capable of thinking about it.
Also, and this is going to sound very crass, I don’t see a need for someone like him. To put it simply, people manage to kill themselves without him, so what exactly is his ‘calling’? As so many manage with out him, the only reason for doing this is not to ‘help’ them but so he can take part in their death,
I find that… bizarre. And worrying.
I can see the potential of his assistant’s business plan – given we can’t take our money with us when we do die, what’s $7,000 if it means the end of percieved suffering?
On the one hand, we can’t stop people from killing themselves if they’re sufficently determined. Any one could go and delay a train or jump off a cliff, etc. But, I think the figure is something like 90% of people who commit suicide have some form of psychiatric disorder? For me, in depression suffering seems endless, and unescapable, and suicide seems the most logical escape route. The trouble with suicide is that it’s a one way decision.
My main problem with that Exoo guy is this – If someone wants to adopt, then they’re screened. People who want a sex change operation have to live as their target sex for several years. If people want assistance with suicide, why should it be easier than either of these? It’s just as serious a decision, if not more so.
I agree with Chouette, assisted suicide should be limited to the terminally ill. A lot of the people Exoo “helps” could improve with treatment and live a mostly normal life.
I think those people, Exoo and Susan, disgust me.
Mental illness is serious and it can be fatal, but it is not terminal. It’s in no way inevitable that someone with it will die as a result. Recovery, support, devising constructive strategies to cope, chipping away at the bad assumptions – these are things that happen in the majority of cases, given time and effort.
Mental illness is a disability, albeit a real disability rather than an imaginary one (which is what “haters” claim).
If I break my leg, I want the doctor who offers me an x-ray, a plaster cast and a wheel chair or crutches, even if it never heals properly I will manage rather than abandon hope.
Mental illness is defined by a distortion of perspective – either directly through hallucinations or indirectly through warped assumptions – To someone in the grip, it might seem that there is no resolution possible, but that means they should be protected from the likes of Exoo.
Exoo sounds like he’s a dangerous, insidious coward who is practicing his own death on other people. He certainly does not have anyone’s best interests in mind.
It’s easy to imagine that Susan person helping herself to some of her victims property while she’s at it. I don’t think it should be a possible defense of murder to say “it’s providing a service.” or “they paid me”, even if there are people unwell enough to want to die some of the time, or who can be bullied into saying they do.
I really don’t think Exoo or Susan should be allowed to do what they’re doing. I also think it’s irresponsible for Channel 4 to make such a voyeuristic and morbid programme about people being encouraged to abandon hope. I’m surprised that any advertiser would let their adverts screen in the middle of that show.
I’d rather like C4 to balance the show with stories or documentaries following how effective treatment of depression is carried out – to remind people that a good result is very often the outcome and that things do improve.
So Susan thinks it’s ethical to go round taking advantage of the ill and vulnerable for financial gain? As pb said, how are we to know that she doesn’t nick stuff or get them to change their will first?
At least the Rev is doing this through love of the afterlife but I still think he’s inadvertently preying on society’s most vulnerable.
If either of them came anywhere near any of my loved ones, I would be the one serving the sentence.
Perhaps Reverend whatever should go and top himself – do everyone a favour
It seems like in the minority so far, but I would actually appreciate the services of someone like this. No, I do not have a terminal illness – but does that mean that I do not have the right to choose whether I live or die? By myself I would screw up; maybe with someone else I wouldn’t.
Having watched this programme and being obsessed by death myself I was shocked that after 4 years of filming Jon Ronson (?) the journalist kind of missed some really important points. The first being that
Rev Death was going to kill himself rather than go to prison but he didn’t have time to drink the potion. As it was he was not sent to Ireland for trial and therefore I assume was happy not to have killed himself. The same for Susan referred to above, she had met Rev Death because she had wanted to die having been bitten by a spider and was seriously ill, yet ironically then found life in helping other people die for a fee. The programme raised all sorts of moral dilemmas, but overall I felt the real issue was one of support in times of need. We have no way of knowing if all of Dr Deaths clients were women on their own, or if that was only the cross section we saw. To be honest I personally don’t know how we all get up every morning and carry on even when we are feeling fit and well, let alone when we are suffering depression, but the world demands it of us, is it any wonder the alcohol figures are soaring and we are all still smoking ourselves to death.
I have always said that I would be more alive if I was dead, I think that is how Rev Death feels about his life too……I think he does enjoy being in the presence of death, and that surely is not creepy but understandable is it not? I am not a religious person at all, but a death always reminds me that there is more to this life than what our limited vision allows us to see. We are fighting several thousands years of belief systems that tell us that everything will be rewarded in heaven, and life on earth is about struggle, and those that struggle the most will be the most rewarded. “Mindfullness” seems to be the buzz word at the moment, and whilst I do feel that clearly what desperate people need to find is what is in the moment no matter what that moment looks like, obviously people do naturally need support in mining the infinite treasure when life loses it momentary pleasure.
Bringing death to this moment of life in a way that gives both meaning is I feel what Rev Death is in his naivety trying to do. We ALL need help with this, most, that live comfortable lives would not even consider beginning such a task, we who desire an end to our suffering need support to find purpose in it, a here and now purpose not a there and then one in some sort of last minute salvation at heavens gate.
The Samaritans do a good job I am sure but I have never found them helpful. The Mental Healthline suggests a cup of tea and an early night ! The local Mental Health Crisis Team offer drug support and beyond that not much else .
The documentary on Rev Death seemed to imply that we care enough about life to not want people to seek an early death, but we don’t seem to care enough about life to offer most support. I don’t know where we find the money and resources for doing so, but I sense some well run support groups for people who do not want to be labelled ( that is there are groups if you are labelled ie AA / Mental Health etc), perhaps incorporating a bit of “mindfullness” training and support. However, at the end of the day we all carry deep, dark, difficult parts of ourselves and until these can be accepted I guess we are always going to seek death instead of more awareness of the process of life at times of great distress.
That seemed to be the most poignant point in the documentary, that is the only support the people in it could find it would seem was support in dying.
We need a sea change in our thinking about life, about death about illness about despair, but at the end of the day when your world starts to collapse all around you what one needs most is unconditional support. Religion offered us that in past, the bridge to something other, the belief that suffering mattered the offer of life eternal. Now its all about money, appearances , success is it any wonder that we are all floundering…….
Have you every listened to Alanis Morissette “That I would be good” , link below or search “That I would be good You Tube. Perhaps its what Rev Death needs to take to a meeting with him.
http://youtube.com/watch?v=AmCFpBkV-9Q&feature=related
Thanks all for your comments on this programme. Not surprisingly, the film attracted a mixed response from Channel 4 viewers – many similar to those on this blog.
Thought you might be interested to read this TV Show blog post from Aaqil Ahmed, the commissioning editor of Reverend Death. Read more about the making of the documentary and find out why he is proud of his involvement in the project…
Thanks,
The TV Show
http://www.channel4.com/interact/viewfinder/viewers-editor/reverend.html
I would like to know how to contact Georege Exoo Directly. Can anyone assist.