Medical Advocacy

I’ve been educating the public through workshops, blogging, writing, and public speaking about suicide intervention for over a decade. One question that rarely comes up, but is critically important, is: How do I advocate for someone with thoughts of suicide or someone with a history of suicide attempts?

It’s a vital question—because advocacy can save lives. Every life is special, unrepeatable, and valuable. With that understanding, most of us would agree that protecting and preserving life is something we must take seriously.

In Canada, MAiD—Medical Assistance in Dying—is becoming an increasingly popular option for those seeking to escape physical pain, mental anguish, or financial hardship. Just ten years ago, many Canadians would have found these reasons for euthanasia unacceptable, believing that people could overcome such challenges with love, time, and support from family, friends, coworkers, and the wider community.

Today, MAiD no longer requires the approval of two doctors. That doesn’t mean a person can only consult two doctors—it means they can approach multiple doctors until they find two who approve. Furthermore, in Canada, registered nurses or hospital social workers can advocate for MAiD on behalf of patients, even those with mental health issues or dementia.

So, how do they advocate? Often, they approach patients as caring professionals, expressing empathy and understanding when loved ones or caregivers aren’t present. Shockingly, many family members are unaware that their loved ones have scheduled a MAiD procedure—having signed consent forms without informing them. Sounds upsetting or shocking? Most people react that way, and I don’t blame them.

I'm bringing attention to MAiD again because we urgently need to understand how to advocate for people about to be admitted to a hospital or mental health clinic. It’s a good step to drive someone in crisis to a hospital, but it’s not enough. Advocacy requires a serious commitment.

Once at the hospital, you may need to assist during triage to ensure the admitting staff understands that the person you're accompanying needs your communication support. You might even have to be their voice during this vulnerable time. Make sure you've made arrangements with your own family or significant other to be available—this isn’t something to take lightly.

Be present during their psychological evaluation or assessment. Ensure they understand the questions being asked—especially regarding their medical history and any recent mental health appointments, if applicable.

It’s important to advocate for all people who are struggling to stay alive. Every life is special, unrepeatable, and valuable. We all have a role to play in preserving and protecting life.

I’ll share more on medical advocacy in my upcoming book, Eyes Above the Water, coming soon. In it, you’ll learn how to protect and support your loved ones through these difficult times.

Warmly,

Your friend,
Bill Vassilopoulos