Culture & Ethics Icon Culture & Ethics
Medicine Icon Medicine

CDC Undercounts Suicide Epidemic by Not Including Assisted Deaths

Photo credit: James Gathany, Centers for Disease Control and Prevention, Public domain, via Wikimedia Commons.

2021 was among the worst years ever for suicides in the U.S., with 2022 looking to have been even worse. According to the CDC, in 2021, 48,183 people killed themselves. That number is projected to increase to 49,449 for 2022 once the data are tabulated.

That’s a terrible tragedy. But it is even worse than that because assisted suicides are not included in the suicide statistics.

Why? Because the laws legalizing assisted suicide in most states — which is euphemistically referred to as “medical aid in dying” (MAID) or “death with dignity” — redefine a doctor-prescribed overdose as other than what it is: suicide. Indeed, most of these laws require doctors to lie about the actual cause as the underlying disease on death certificates rather than the reality of an ingested overdose of barbiturates. Some laws even define these suicides as natural deaths. And states do not include assisted deaths in their own suicide statistics.

You can call a dung beetle a butterfly, but it remains a dung beetle. The term suicide defines what is done, not why. In other words, assisted suicides are as much suicides as jumping off a bridge.

I checked the most recent state statistics of assisted-suicide deaths compiled in the ten states and D.C. where doctors prescribe death legally — available at this link. The reporting from the states is not complete, but close enough to get an idea about the total assisted-suicide toll. I found that in 2021, close to 1,400 people died by assisted suicide in the U.S. That means the actual number of suicides in the U.S. in 2021 was just under 50,000 and will surpass that number in 2022.

The CDC’s statistics do not mention assisted suicide. That’s a mistake. Normalizing suicide as an answer to suffering caused by illness, studies have shown, normalizes and increases suicides more generally.

The CDC should add “aid in dying” to its suicide statistics and include that category of people who should receive prevention services. Doing otherwise will only make our suicide tragedy even worse going forward.

Cross-posted at National Review.