Rational Suicide and AIDS

One of the issues arising out of the increasing incidence of acquired immunodeficiency syndrome (AIDS) is whether or not suicide may be considered to be a rational choice for a person with AIDS. In an effort to address this dilemma, this article begins by reviewing the literature pertaining to suicide and persons with terminal illnesses. Then, after recounting the suicide rate for persons with AIDS, it explores some of the physical and psychosocial factors that may be a part of a decision by a person with AIDS to commit suicide. Siegel's criteria for a rational suicide are applied to the case of a person with AIDS. In addition, the role of the psychotherapist in the decision-making process is critically examined, as are some arguments against allowing suicide. Finally, suggestions for future directions by counseling psychologists are offered.