Friday, May 24, 2013

Things To Consider....

Things to consider

It is worth once again stressing here, that the odds of a successful drug poisoning suicide are around 40 to 1 against. That is not great odds for any bet. Many people reading this might still be desperate enough to take their chances at those odds thinking that it is worth the chance for a quick, peaceful death. But those same people are probably ignorant of the consequences of this method going wrong (or even going right). Anyone considering drug poisoning as a method is thus urged to read the Drug poisoning intro section first to ensure they are fully aware of how long death takes, and the likely physical effects.
The following are some key things to consider if contemplating a suicide by drug poisoning:
  1. Select a drug that has a statistically high chance of success of achieving death. The tables of drug related deaths will provide guidance. Nembutal is known for being one of the most reliable, swift and painless drugs.
  2. Check the expiry/use by dates of the drugs being used. Drugs will often be effective for long after their expiry date, which is typically two to three years. They may still be effective 10 years after purchase, but much depends on how they are stored. For drugs well past their expiry, where the drug is the principal means of suicide, testing of the drug’s potency would be sensible (although testing kits may be hard to source).
  3. Ascertain the minimum lethal dose, and add an extra margin. Consider the effects of tolerance on the required MLD if relevant.
  4. Consider taking the drugs with alcohol, and/or other drugs. Alcohol increases the toxicity of barbiturates, so this might be particularly important if taking a barbiturate at the lower end of minimum lethal dose estimates. It would be unwise to drink such a significant quantity of alcohol that it increases the risk of vomiting. If drinking a bitter tasting liquid, it is often best to down the liquid as quickly as possibly, then have an alcoholic drink to remove the bitter aftertaste.
  5. The vast majority of attempts at suicide by drug overdose alone fail. Use of a plastic bag (see Plastic bag & drugs) significantly increases the chances of success if the dosage of drugs itself is not lethal.
  6. Although drug absorption is best on an empty stomach, many drugs, taken in lethal amounts, are intensely bitter. To try and reduce the chances of vomiting eat a snack, like toast and a cup of tea (not a meal), 40 – 60 mins before taking the drugs. It is also worth taking up to four anti nausea tablets before drug ingestion, or perhaps better, taking them in their standard dose for around two days beforehand.

    Travel sickness tablets are said to have limited effect. Better is hyoscine, promethazine, cinnarizine and cyclizine which are commonly available, although whether a prescription is needed varies from country to country. Domperidone (trade names Motilium, Motillium, Motinorm and Costi), Metoclopramide (sold as Reglan in the USA, Maxalon in the UK and Pramin and other names worldwide) and Prochlorperazine (sold as Compazine, Stemzine, Buccastem, Stemetil and Phenotil) are prescription only drugs.

    Vomiting is a very real risk when taking high drug doses, and vomiting when semi conscious may mean that death occurs via choking which is likely to be distressing and unpleasant. Very far from a peaceful death. Further information on anti-sickness regimens can be found on the new Alt Suicide website. It is possible to source prescription drugs without a prescription from some online pharmacies, but to find a reliable source would really require a recommendation from someone on a forum.
  7. Unless the drugs are in liquid form, grind/crush any pills down to a powder, or if the drug is contained in gelatine capsules, remove all the capsules. This is so they can be taken quickly. Without doing this pills may clump together in the stomach preventing them being absorbed quickly, and increasing the chances of vomiting.
  8. Note that the drugs might taste extremely bitter (Nembutal is known for this, and 100ml or more might need to be taken). If the drugs are not in liquid form to start with, it is worth considering dissolving the drugs in something that can be ingested quickly, to ensure that unconsciousness does not start before all the drugs are ingested. Possibilities are to mix them with an alcoholic drink, a strong tasting hot drink (that is then cool enough to drink very quickly), mixing it with milk, fruit/yogurt smoothie or melted ice cream. Bear in mind that whatever the drugs are dissolved in may still taste quite bitter, so ideally keep the quantity of whatever needs to be ingested small enough to be downed quickly. It may be better to have a smaller amount of bitter liquid than a larger amount of only slightly less bitter liquid.
  9. Ensure the entire dose is ingested quickly (ideally within a couple of minutes). Passing out before the MLD is ingested is a sure way to fail.
  10. Be somewhere where being discovered is not likely for a number of hours. Interruption may end up with the attempt being survived, but with serious health implications like brain or organ damage. Be aware that the body, depending on the precise drugs and method used, may suffer from convulsions and seizures, so it is important that any noise will not cause alarm from anyone nearby who may try to interrupt the attempt.

Drugs Minimum Lethal Doses.

Drug MLDs

The tables listing the drugs used in drug poisoning deaths show that it is possible to use drugs as a successful method of suicide using a variety of different drugs. One important success factor is the dosage - how much of any particular drug needs to be taken for it to be lethal.

Minimum lethal doses (MLDs) were historically calculated based on animal testing, with the results extrapolated for humans. After all, you can't test how much of a certain drug is required to make a human die. In a study by 18 pharmaceutical companies in 20081, it was found that the single dose acute toxicity test that was normally used to identify the minimum lethal dose of a medicine had little or no value in assessing the risk to humans.

Part of the problem is that humans come in such a variety of different shapes and sizes. Certain drugs might need much higher dose in someone weighing 100kg then 60kg, although if it is a drug that affects the brain the dose might be very similar. Furthermore, according to a study by T Ludden quoted in Stone2, the effect of some drugs on men and women can be marked, with variation between the sexes 100% or more.

Also, exposure to certain drugs generates a tolerance to them, so that much higher doses are required to have an effect. For example, people taking morphine for long term pain control often need increased doses over time to have the same effect.

For all these reasons, predicting MLDs in humans is very difficult. So beware.
With that proviso, there have been tables published on MLDs. Two such tables are presented below (note some entries have footnotes associated). The first column has MLDs from a blog post http://moriahconqueringwind.vox.com (site now closed) with no information as to the source of the information. The figures in the second column were taken from a posting on alt.suicide.methods, reportedly from a book "The Prediction of Suicide". In his book, Stone2 points out that lethal doses quoted in medical reviews are generally a range of values, and that the MLD can vary significantly between sources.

So whilst there is a table of MLDs below, it must be highly questionable how much accuracy can be attributed to this information. The section Which drug provides more information on lethal drugs that are commonly used for suicide, and the notes to the table below proving important information on doses for some of the more commonly discussed lethal drugs. 

Common name of prescriptiona MLD (Moriah) MLD (alt.suicide)
Aspirin, (Acetylsalicylate) 90/5 grainsb As left
Amytal (Amobarbital) 30/50mg As left
Arcane (Trihexiphenideyl) 47/50 mg
Asendin (Amoxapine) 66/50 mg
Atarax (Hydroxyzine HCL) 164/10 mg
Ativan (Lorazepam) 1648/2 mg
Aventyl (Nortryptyline HCL) 84/25 mg
Benadryl (Diphenhydramine) 26/50 mg 60/50 mg.
Butisol (Butabarbital) 30/30 mg As left
Carbrital (Pentobarbital+) 10/100 mg As left
Chloral Hydrate (Noctec, Felsules) 7.5/250 mg 20/500 mg.
Codeine 8/60 mg
Compazine (Prochlorperazine) 66/15 mg
Compoz (Diphenhydramine) 53/25 mg
Contac (Chlorpheniramine, Phenlpropanolamine) 35/cap
Cope (Aspirin, Methapyrilene) 64/tab
Coricidin (Chlorpheniramine) 84/tab
Coricidin D (above plus Phyenlpropanolamin) 78/tab
Coumadin 47/2 mg
Dalmane (Flurazepam HCL) 110/30 mg
Darvocet-N (Propoxyphene Napsylate) 46/50 mg
Darvon (Propoxyphene)
36/65 mgc 30/65 mg.
Demerol (Meperidine) 19/50 mg 24/50 mg.
Desipramine HCL (Norpramin, Pertorfrane) 15/150 mg
Dextroamphetimine, Dexidrine 20/5 mg
Dilantin (Diphenylhydantoin) 66/100 mg 30/100 mg.
Doloxene (Propoxyphene)
36/65 mgc 30/65 mg.
Doriden (Glutethimide) 12/500 mg 16/500 mg.
Dramamine (Dimenhydrinate) 33/50 mg 100/50 mg.
Dristan Tablets 78/tab
Dristan Capsules 19/cap
Endep & Elavil (Amitriptyline) 120/25 mgd As left
Excedrin 22/tab
Fiorinal                                          28/tab
                                              
Equanil, Miltown Meprospan (Meprobamate)
17/400 mg 38/400 mg.
Haldol (Haloperidol) 49/20 mg
Librium (Chlordiasepoxide) 330/10 mg 500/10 mg.
Lithium Carbonate 15/300 mg
Lomotil 75/tab
Loxitane (Loxapine) 66/50 mg
Luminal (Phenobarital) 45/30 mg 40/30 mg.
Mellaril (Thioridazine) 39/25 mg 100/25 mg.
Methadone (Dolophin HCL) 19/5 mg
Nardil (Phenelzine So4) 110/15 mg
Navane (Thiothixene HCL) 49/ 20 mg
Nembutal (Pentobarbital) 10/100 mge As left
Nodoz (Caffeine) 120/tab
Noludar (Methyprylon) 17/300 mg As left
Nytol (Methapyrilene+) 107/25 mg 140/25 mg.
Paraldehyde 1-3/oz
Parnate (Tranycypromine SO4) 164/10 mg
Percodan (Oxycodon) 94/4.5 mg 125/4.5 mg.
Phenobarbital 47/30 mg
Placydil (Ehtchlorvynol) 13/500 mg 30/500 mg.
Quaalude (Methaqualone) 44/150 mg
Quiet World 58/tab
Ritalin (Methylphenidate HCL) 9/20 mg
Seconal (Secobarbital) 19/100 mg 15/100 mg.
Serax (Oxazepam) 110/30 mg 333/30 mg.
Sleepeze (Pyrilamine maleate) 105/25 mg
Sominex (Pyrilamine maleate) 105/25 mg
Sominex-2 (Diphenhydramine HCL) 53/25 mg
Stelazine (Trifluoperazine) 198/5 mg 500/5 mg.
Sinequan (Doxepin HCL) 23/100 mg
Sudafed (Pseudophedrine) 31/30 mg
Talwin (Pentazocine) 6/50 mg
Thorazine (Chlorpromazine) 19/50 mg 44/50 mg.
Tofranil (Imipramine) 46/50 mg 100/25 mg.
Tuinal (Amo/secobarbital) 15/100 mg As left
Tylenol (Acetamineophen):

Regular
40/325mg
Extra
26/500mg
Valium (Diazepam) 658/5 mg 1600/5 mg.
Valmid (Ethinamate) 13/500 mg 30/500 mg.
Veronal Bs (Barbital) 100/30 mg As left
Xanax 7500/1 mg
  1. Generic name in brackets
  2. 1000 milligrams (mg.) = 15 grains (gr.) = 1 gram (gm.)
  3. Nitschke and Stewart3 state that Propoxyphene commonly comes in 100mg tablets, and state an MLD of 10 grams (100 tablets of 100 mg), taken together with long acting sleeping tablets like Oxazepam.
  4. Nitschke and Stewart3 state that the MLD of Amitriptyline is 5gm, and the most commonly supplied dosage is 50mg, meaning 100 x 50mg would be required, taken together with long acting sleeping tablets like Oxazepam. The Alt Suicide Holiday (ASH) website4 states MLD is 7-8 gm. Both sources recommend taking the drug in combination with others.
  5. Nitschke and Stewart3 state that the oral form of Nembutal sold in 100ml bottles (sterile bottles) at a concentration of 60mg per ml (i.e. 6 grams in a bottle) is enough to provide a peaceful death, although in some cases this can take up to 24 hours. For powdered Chinese Nembutal which is sold in higher quantities, 10grams dissolved in 50ml of water is suggested, and forum posts suggest this is a more reliable dose whilst also being easier to ingest. They recommend ceasing any other medications a few days before taking Nembutal. There is also non-sterile (green coloured) Nembutal that is concentrated 300mg per ml, in which case a 50ml sample equates to 15 grams, and is more than enough for a peaceful death. Compassion in Dying5 recommend 6g - 9g of Nembutal. Dignitas use 15 grams of a concentrated soluble form of Nembutal that can be swallowed in a few mouthfuls.3, 6
The blog posts had the following notes:
  1. Minimal lethal doses were estimated from the literature and computed by assuming the victim would be a healthy male, 35 years of age weighing 150 pounds. This yields a conservative estimate since the amounts listed would be more toxic in all other people, except for heavier males.
  2. When any ingestion is accompanied by ETOH (ethyl alcohol), it increases the toxicity level by approx 50%.
  3. If it is established that a person is a regular drug user, then raise the number of milligrams for MLD by 33%.
  4. To avoid mishap one probably ought to take 150% the minimum lethal dose. Ending up a vegetable with liver failure isn't exactly a kinder fate than death.
The point about alcohol is in particular worth noting, and referring back to data presented in the section Suicide statistics, it is worth noting that this is present in around a quarter of deaths due to drug poisoning.

Morphine

There is no mention in the MLD tables of morphine, one of the reasons probably being that people become tolerant to morphine (and similar drugs like codeine) over time. In a 1977 study, Kaye & Tudó de Lewis7 studied the toxicology of morphine and some other drugs. They estimated the following MLDs:

Drug MLD MLD if tolerant
Amphetamine 200 mg 2,000 mg
Cocaine 500 mg 2,000 mg
Morphine 200 mg 2,000 mg
Methadone 75 mg 500 mg


They mention that tolerance to these drugs is lost after a period of abstinence, and many overdoses are as a result of people taking their previous dose of the drug after a period of abstinence.
In The Peaceful Pill Handbook, Nitschke and Stewart3 conclude that morphine is an unreliable method of suicide simply due to the difficulty in predicting what the lethal dose is.

Heroin

Whilst one does read about death by heroin overdose, as a method of suicide it is fraught with difficulty. Firstly, it is impossible to know the purity of any drug bought off the street. Second, even if the purity was known, heroin suffers from the same drawbacks as morphine in terms of calculating the minimum lethal dose, in that tolerance rises over time. For these reasons it is not a reliable method.

Other barbiturates

Nitschke and Stewart3 claim that10g of Phenobarb (250 of the 30mg tablets) and Pentothal (thiopentone sodium) (10gm/20 ampules dissolved in 50ml of water) are also both lethal, and potentially easier to obtain than Nembutal. They also mention that Dilantin (phenytoin sodium) can be used to increase the potency of Nembutal. More information on all of these are in The Peaceful Pill Handbook.

Suicide Methods, Which Drug ?

Which drug?

In the UK, data from the Office for National Statistics for 2001 (see England & Wales methods of suicide) showed that of the total 1,243 drug related suicides, 28.5% were due to paracetamol and its compounds, and 24.5% were by anti-depressants, making these the top two methods.
In the US (see Drug poisoning in the US), the story is similar, with the CDC reporting that the most commonly used drugs identified in drug-related suicides were psychoactive drugs, such as sedatives and antidepressants, followed by opiates and prescription pain medications.
The UK Office of National Statistics also publishes data on all deaths from poisoning (i.e. intentional and unintentional death). In that table (see Drug poisoning in England & Wales), class A drugs like heroin/morphine, methadone and cocaine come highest, followed by paracetamol, anti-depressants and insomnia medications. The data from the US (see Drug poisoning in the US) also features a similar top four.
So the statistics give a clear indication of which drugs can be used to achieve a drug induced death, although they don't actually show, by method, what the percentage success rate of each method is. If the overall ratio of success with a drug induced suicide is 40 to 1 against, it is probably likely that even the drugs that appear highest on the table still have a fair number of unsuccessful attempts.
A common drug used in attempted suicides is sleeping tablets of various forms. Decades ago, when barbiturates were prescribed for sleep issues, it was possible to overdose on them. Modern sleeping tablets are not, by themselves, lethal, and taking a large dose as a suicide attempt is more likely to result in a long sleep and a trip to the hospital emergency department than death.
What does not appear high on the list of drug related deaths is barbiturates. Although a number of barbiturates are highly lethal, the reason they don't appear highly on the tables of drug related deaths is that they are now rarely prescribed, and extremely difficult to obtain without a prescription.
Literature and websites most commonly cite Seconal (Secobarbital) and Nembutal (Pentobarbital) as the two most effective barbiturates for a swift, painless and swift death. The suicide holy grail. Seconal is a strong sedative that is used to treat severe, long-standing insomnia in people already taking barbiturates. Reportedly this drug is not even available on prescription in the UK anymore, although it may well be in other countries, including the USA.
Other effective drugs include:
  • Propoxyphene (commonly sold as Darvon, Doloxene, Depronal) taken in tandem with Oxazepam (see Nitschke and Stewart1), although Propoxyphene has already been withdrawn in the USA, Canada, UK, EU and New Zealand, and will become unavailable in Australia during 2012.
  • Amitriptyline is a tricyclic anti-depressant that can also be very effective when combined with a sleeping medication like Oxazepam. It is important to take anti sickness drugs with this method as the drugs taste very bitter (see Things to consider). Or else try and put them into empty 1gm gelatine capsules if they can be obtained. Opinions on minimum lethal doses for this method differ, with Nitschke and Stewart1, stating 5 grams, and the ASH website2 stating 7-8 grams depending on weight. ASH2 also recommend a cocktail of drugs that includes Cimetidine and Midazolam. Full information on quantities is on their website. It should be noted that death using this method takes between 12 and 24 hours, which does not make it the quickest method, although death is said to be peaceful.

    The length of time to death makes not being interrupted quite crucial, meaning other methods are probably better. There is a report and discussion on The Peaceful Pill Handbook forum following someone getting numbness and burning in their mouth whilst trying to ingest a lethal dose of Amitriptyline, although the response from the expert was that not everyone would get this reaction. Beware though, as ingesting high but non-lethal quantities of drugs is likely to cause harm.
  • Phenobarb (see http://en.wikipedia.org/wiki/Phenobarbital) is also cited to be lethal, but can take several hours to be effective, so use in combination with a drug that induces sleep is sensible. Nitschke and Stewart1 do mention this method, although it is not widely commented on as a popular suicide method.
Nembutal is currently the drug of choice for human euthanasia in countries where that is legal, making it an unsurprising choice for people wishing to end their own lives in other countries. Given it is highly effective, its use is tightly controlled, and thus it is extremely difficult to get hold of at all, and almost impossible to obtain legally. One of the reasons why many people resort to less effective drugs.

Nembutal's FDA approved human uses include treatment of seizures and preoperative (and other) sedation. It is used by vets as an anaesthetic, and for animal euthanasia.

Nembutal is generally obtained in liquid form, but is difficult to obtain from any place in the US, Canada, Europe or Australia. In the Peaceful Pill Handbook1, Nitschke and Stewart have a long section about how to obtain this drug, mainly centred around purchasing it in person from vets in Mexico, Peru, Bolivia and Thailand (although noting that taking it out of any of those countries is illegal, as is posting it back to your home country). Prices are much cheaper than mail order.

There are reports from people who have successfully obtained the drug, and from those that haven’t. Towards the end of 2011 it seemed it was increasingly difficult to obtain the drug over–the-counter in Mexico, although by no means impossible with persistence. In 2012 Peru seemed the country of choice for obtaining over-the-counter Nembutal.

They also mention a source in Mexico which has had generally positive feedback, where veterinary Nembutal can be purchased over the internet (for around US $450), although 10-15% of deliveries are said to be intercepted by customs.

It is also possible to obtain very pure powered Nembutal from China via a number of mail order sources. It is generally sold in quantities sufficient for two people at around US $1,000, and simply needs dissolving in water to be used.

Another valuable source mentioned accross the board is finalexit@tormail.org a dark net supplier of exit drugs.

It is best to check the latest version of the Peaceful Pill ebook and forum1 for current information before attempting to purchase from any source (although see the notes to Minimum lethal doses for information on lethal doses). Users on the forum often discuss most reliable sources to purchase this drug, and it is changing all the time. It is also worth noting that importing Nembutal into most countries is illegal, although Nitschke only cites one report of a person being prosecuted.

The information contained in the Peaceful Pill Handbook about Nembutal is regularly updated, and does include pictures of packaging. Anyone considering purchasing and using this drug would gain much information by purchasing the latest version of the ebook, as this is the most comprehensive source of up to date information about obtaining and using Nembutal.

Exit International (www.exitinternational.net), founded by Dr Nitschke, also offer a Nembutal testing kit, to check if the drug is (a) a barbiturate and (b) of sufficient strength to provide a peaceful death at the time of one's choosing. Given some people obtain Nembutal from uncertain sources, or store it for some time before use (it has a limited shelf life, although has been known to be stored for 15 years and still be fine), the kits were designed to reassure people that their Nembutal is still effective.

Derek Humphy's book Final Exit3 is also worthy of consideration for further information on drugs as a method of suicide. It is available as a book or ebook and periodically updated, although not as often as the Peaceful Pill Handbook.

Suicide By Hanging

Hanging

Whilst hanging is one of the most reliable methods of suicide, as for firearms, it is not 100% effective - studies would suggest 77% - 88% effective1. Although when carried out correctly, there is high certainty of death. There are two principal methods for hanging:
  1. Short drop/simple suspension. In this method cause of death is normally asphyxiation (lack of oxygen) caused by weight of the body on the noose, thereby constricting the trachea (air passage). However, death is also possible simply by compression of the carotid arteries or the jugular veins, thereby cutting off the blood supply to/from the brain. Cutting off the airway in this case would not be essential.
  2. Drop hanging. This method was typically used for judicial hangings, where a trap door opens and the person drops somewhere between 5 and 9 feet. The force of the drop, coupled with the positioning of the noose, violently jerks the head back, thereby rupturing the spinal cord causing instant deep unconsciousness and rapid death.

    The reality of hanging yourself is not so straight forward.

    If you wish to break your neck, you need a very long drop and in a muddled state, setting up a noose, correct height, weight, drop etc is going to be very tricky.

    Get this wrong, and you will be hanging, in agony for quite some time until you suffocate to death.

    Not so great !!..

Most Lethal Forms Of Suicide.

Most lethal methods of suicide

For information on the most lethal methods of suicide, a good starting point is the statistics on the number of successful suicides by method (see Suicide statistics). There is also a much published study from 19951, where 291 lay persons and 10 forensic pathologists rated the lethality, time, and agony for 28 methods of suicide for 4,117 cases of completed suicide in Los Angeles County in the period 1988-1991.
They were asked to rate each method as follows:
  • Lethality: How likely is the method to cause death (where 0% is no chance, and 100% is absolute certainty)
  • Time: An opinion on the length of time the method will require to produce death
  • Agony: The amount of pain and discomfort you would expect from the use of the particular method (ranked on scale of 0 to 100 where 0 is no pain/discomfort and 100 is the most pain/discomfort possible)
The outcome of the study is presented below, ranked by order of lethality from just the pathologists who participated in the study (the lay persons tended to drastically overestimate the lethality of methods).
Anyone reading this table to identify a suitable method of suicide is advised to read carefully the information on the dangers of the suicide methods mentioned on this site, and visit the section Help me, because statistically you are much more likely to hurt yourself by attempting suicide than to succeed killing yourself (see Suicide statistics for more information).

Rank
Method Name
Lethality (%)
Time (min)
Agony
1
Shotgun to head
99.0%
1.7
5.5
2
Cyanide
97.0%
1.8
51.5
3
Gunshot of head
97.0%
2.5
13
4
Shotgun to chest
96.4%
1.4
16
5
Explosives
96.4%
1.6
3.75
6
Hit by train
96.2%
17.92
7.08
7
Jump from height
93.4%
4.56
17.78
8
Gunshot of chest
89.5%
7
21.7
9
Hanging
89.5%
7
25.5
10
Auto crash
78.5%
20.5
30
11
Household toxins
77.5%
24
54.5
12
Set fire to self
76.5%
57
95
13
Structure fire
73.0%
52.5
91.5
14
Carbon Monoxide
71.0%
21.5
18
15
Hit by truck/auto
70.0%
19
63
16
Electrocution
65.5%
2.4
72
17
Gunshot of abdomen
65.0%
69
74
18
Drowning ocean/lake
63.0%
18.5
79
19
Stab of chest
58.5%
96
76
20
Cut throat
51.5%
15.5
86
21
Overdose illegal drugs
49.4%
116.25
5.25
22
Plastic bag over head
23.0%
7
23
23
Drowning bathtub
21.5%
18.5
79
24
Drowning swimming pool
21.5%
18.5
79
25
Stab of abdomen
12.5%
252
78
26
Overdose prescription drugs
12.3%
129
8.5
27
Overdose non-prescription drugs
6.0%
456
22.5
28
Cut wrists/arms/legs
6.0%
105
71
In the study, there were significant differences between the methods chosen by females and males, with males choosing the most lethal and quickest methods, and females selecting methods varying in lethality, duration, and agony.
However, it should be noted that different studies produce different results of the fatality of different methods. For instance, JJ Card2 estimated the lethality of suicide by guns as only 91.6% effective, and Farberow and Shneidman3 had it as low as 84.7%. The Hawaii Department of Health (1990) had it even lower at 73%. The same studies showed the effectiveness of hanging to vary between 77% and 88%.
Whilst individual studies might differ in terms of the actual mortality rate, they are fairly consistent that firearms and hanging are the two most effective methods. Jumping is also very effective if done from sufficient height.
On the ASBS (alt.suicide.bus.stop) website, they present a calculator that enables a relative importance to be attributed to lethality, agony and time, then works out the most suitable methods of suicide accordingly.
However, the official data, and that from ASBS, does not provide any detailed information on how to use any one method, information on the pros and cons, details on the likely pain of any method, or the likely pitfalls.
The Peaceful Pill Handbook by Nitschke & Stewart4 also ranks a number of suicide methods using its “Reliability & Peacefulness (RP)” test, although they only rank methods involving drugs or asphyxiation.
On this website, information from a variety of sources is provided on a variety of suicide methods, centred around those that are most effective or popular. Depending on the method selected, readers of this site are recommended to do their own Further reading.

Tuesday, May 14, 2013

Suicide, The Life Cure, The Life Choice

Hey :)...

Been gone a while, sometimes just need to do stuff

heard from so many people of late, feeling the pain, feeling the darkness descend and so many people wanting an exit.

Do not be afraid, Do not feel bad, this site is REAL !! and nobody can judge you !!...

whatever your reason, any and everyone over 18 has the right to make a choice and end their life.

I'm fucking sick of pro life assholes bleating on about better days !!....sunshine at the end of rainbows and better tommorows....

SHUT THE FUCK UP !!...for millions, be it illness physical or mental LIFE IS NOT A GIFT !!

ITS A FUCKING CURSE WE ARE FORCED TO LIVE BECAUSE ASSHOLES LIKE YOU SAY WE SHOULD.

End of discussion. 

Life is a daily grind of shit, problems, illness, voices, sleepless nights and pointless days just draggin on and on and on until we cant take any more and why should we ?

Selfish ?? says who ? who is more selfish. The people who expect you to live in agony and suffering just to keep them happy or YOU, for wanting out of this fucking bullshit..

For me, I say pro choice, if you want suicide then you should have the choice and its here !!

Get the fuck out of this shit once for all :))...

xxx

Friday, February 15, 2013

Nembutol, Pentobarbitol Sodium

The wonder drug......Nembutol....or pentobarbitol sodium....

the one it seems everyone is after and being espoused as the perfect exit drug....simply go to sleep and die....perfect :)...

however, Nembutal or pentobarbitol sodium as it is know...is pretty hard to come by.

only available OTC in Mexico, through vets by people with a prescription for putting animals down. Then its tricky to ship, as it is in 100ML glass bottles.....airport customs pick these up pretty easily....each bottle goes for around $300-$500....and to be sure you need TWO...

other options are china...but problem here is yes you can find the suppliers but you need a chemical import licence, you need ship to a legit business and you cannot simply but, a few grams worth....so, unless you own your own legit chemical company with a license to import this...(good luck)...u can forget this route.

secondly...as this is often something most talk about, and have never acquired or used...its really aint that simple.

IF the bottles arrive...again, most info will tell you one bottle is enough..bullshit.....u can end up in a coma with serious damage of just one bottle..you need two...

so, you have them.....opening them is a mission of its own....but a simple srewdriver in the top will suffice then u can pour into a glass...I would recommend mixing with some vodka to increase speed and effects..

also, u need to starve yourself few days prior and load up on anti sickness meds...

then....the tricky bit.....Nembutal tastes as I would imagine camel spunk does...this shit really is sickly and fucking disgusting.....

the other problem is...it really is strong !!....within a mouthful of this Nembutal stuff...u start drifting into a seriously sleepy state....you start losing consciousness and motor abilities...

you still have another 180 ML to drink....which after less then say 20ml...you will likely be unconscious for 20 hours or more....bottom line...unless you can guzzle all 200 ML....of this seriously sickly camel spunk shit in one go, without spewing your priced exit elixir everywhere......Nembutal is far from that great.


my thoughts on this would be.....if you can get it (yes i can) and u want to use it...I would not try drinking it.....I would load up a two 100ml syringes...........and simply inject...one blast and...gone.....


HyperSmash.com