Oireachtas Joint and Select Committees

Tuesday, 14 November 2023

Joint Oireachtas Committee on Assisted Dying

Protecting Vulnerable Individuals from Coercion: Discussion

Dr. Eric Kelleher:

I thank the Deputy. To come back to his earlier point, I did not get a chance to answer the first part of his question. I will use an example locally in terms of how psychosocial supports, or the lack of them, can influence behaviour. I am anonymising this because I am conscious this person or their family may be listening. I was looking after somebody who has a progressive neurological illness and lives in a very rural area of Cork. They presented with suicidal ideation and some behavioural disturbance. They were diagnosed with a progressive neurological disorder. Their wish was to continue to live in their own home. When we assess somebody - and this goes to the second part of Deputy Gino Kenny's question - who has suicidal ideation we take a biopsychosocial approach to that case, looking at the biological factors but also the psychosocial stressors. Those two influence behaviour and suicidal ideation. For this person, who was expected to live many years with a progressive neurological illness, we really struggled to get homecare supports and disability services, to actually-----