AP is a man of 69. On august 2016 he received the following diagnosis: Adenocarcinoma at 4th stadium metastasized. For six months he passed a positive period of life. Then he had a new fMRI scan which revealed the presence of new metastasis. A few days later, his insisted in his desire to put end to his life. The Oncological Institute of the Italian Switzerland (IOSI), where AP was admitted, supported his request, facilitating contact with Exit (private Swiss Institution for suicide assisted). AP’s mental state has remained constantly clear. AP’s wife has remained close to her husband. AP quitted his life on april 2016, drinking Pentobarbital. His wife was absolutely convinced she would join her husband through her own assisted suicide. AP was able to choose assisted suicide because he demonstrated no egoistic intention, and had no other possibility of cure. What would happen to AP’s wife if she were not be admitted into a program of assisted suicide? Would she kill herself? The controversy on suicide is religious, philosophical, political and historical. Although the majority of general practioners and nurses in Switzerland, agree with the practice of assisted suicide in cases such as oncological or neuro-vegetative disease, opinion concerning assisted suicide in the presence of severe mental disorder switches dramatically to the opposite position. Why? We will try to discuss the implications present in the controversy between acceptation and non acceptation of sweet death in somatic and psychiatric state.
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