This is a story about euthanasia...

I need to cover what I'm about to write with a hefty preamble, full of caveats and other disclaimers, because there are so many considerations with this issue, but it's an issue I need to tackle.

Firstly, let's consider this: nobody really wants to die.

For people who are in pain and other kinds of physical discomfort, or are otherwise afflicted by diseases, injuries or genetic problems that mean their quality of life is terrible, or certainly going to end up terrible: these people do not want to die. Those people would dearly love for a cure or some kind of relief from their symptoms that doesn't come with intolerable side effects.

Clearly people who want to prematurely end their lives in a dignified manner, have exhausted all treatment options, and their future looks bleak: pain, discomfort, infirmity, senility and disability.

Alzheimers and other kinds of incurable degenerative brain diseases carry the added worry that the sufferer will no longer be of a sound and rational mind when the illness reaches its late stages, and they will burden their carers, while perhaps not even being able to recognise their loved ones any more.

Let's also consider this: some people have hope, while others do not.

Yes, there's always a chance of a miracle cure. Yes, there's always a 1-in-a-trillion shot that God might personally intervene to remove the horrible afflictions that he originally cursed you with.

Most people love life and can't bear the thought of being torn from the arms of their loved ones. Most people cry out in fear, when they think they're about to die. Most people fight to survive.

There are people who have gone through many bouts of surgery, chemotherapy, radiotherapy, transplants and who take bucketloads of medications with horrible side effects, and generally battle through awful sickness and pain, holding out hope that their ailments will be at least treated well enough to prolong their lives a little longer.

Some people might spend a long time on a transplant list, barely surviving, while oxygen and dialysis just about preserve them while they wait for a donor match. An agonising race against time happens: will a donor arrive before the illness kills the poor helpless person who can only sit and wait?

I feel like I should use softer language, to cushion the blows for every person who's lost a child, parent, friend, partner, relative. Death is painful, and all the more so knowing that a person had so much more life left in them. Death can be so cruel. People so deserving of more life can be snatched away, while others who are seemingly careless with the gift of life can seem so selfish and ungrateful for their good fortune to have been spared by the gods.

And it's the ungrateful ones I want to talk about.

What do you do with the alcoholic who 'wants' to drink themself to death? What do you do with a suicidal person?

The footballer George Best famously received a liver transplant, and then proceeded to court controversy when he was caught drinking again. Instead of demonstrating his gratitude for his stay of execution, by becoming teetotal, he was clearly the same person - ungrateful for life some might say - as he was before he received an organ donation.

What do you do with somebody who is determined to kill themself? Do you put them in a straightjacket and keep them in a padded cell indefinitely, just so that they can die of old age in an asylum?

It might be the case that a suicidal person is in perfectly good physical health and does not abuse drugs or alcohol, but they are nonetheless determined to end their own life prematurely.

There's a general belief that telling people that their lifestyle is much akin to suicide, will curtail their health-damaging behaviour. Doctors mostly seem to take the route of saying "if you keep drinking, you're going to die young" to alcoholics. While most people would think that this would shock somebody into cutting down their drinking, in fact there's little evidence that it has any affect at all.

Similarly, telling suicidal people "you've got so much to live for" and "it's just your depression telling you lies" and other statements that make perfect sense to people who are not suicidal, is also ineffective. The only thing that has proven somewhat effective - as far as short 12-week studies paid for by pharmaceutical companies can tell - is psychoactive medication.

Smoking causes many preventable diseases, and is a big killer, but yet people still choose to smoke even though it's expensive, makes you smell and stains your teeth. You would have thought that the large "SMOKING KILLS" health warnings on packets would cause people to stop smoking immediately, but no.

You know what one of the most effective smoking cessation treatments is? It's the antidepressant called Wellbutrin (marketed as stop-smoking drug Zyban and generically known as Bupropion).

Why would an antidepressant be a good treatment for smokers? Well, let's consider two things: firstly, people smoke because they're missing something. Take smoking away, and a smoker's life is now incomplete. Removing nicotine and the habit/ceremony of smoking leaves a void in that person's life. Also, you've got to be fairly depressed to do something that's clearly a threat to your health, and possibly your life.

Wellbutrin is a fast-acting antidepressant, unlike anything we can get on the NHS. Instead of making people feel sleepy and emotionally numbed, Wellbutrin has been proven to offer a number of improvements in the lives of patients, including their sex lives. Wellbutrin is France's most popular antidepressant.

What do you really want from an antidepressant, other than to relieve your symptoms of depression now when you're feeling it? Being told that a medication might take 6 to 8 weeks to become effective, and then having to suffer your symptoms that whole time while you're waiting is no use at all! Some depressions will lift naturally after a month or two anyway.

But what goes up must come down. After some weeks or months taking Wellbutrin, many patients experience panic attacks and insomnia. Plus there's the obvious problem of having to stop taking the medication at some point, and suffering the comedown (sorry, I mean withdrawal syndrome).

Yes, the difference between 'drugs of abuse' and 'prescribed psychoactive medications' is precisely zero. Every medication that has an upside also has a downside. Addiction and habituation with prescription medications is just as much of a problem as with street drugs. The only difference is medical oversight and quality control.

And so, I arrive at the situation where I'm perfectly well aware that I can get short-term relief for the symptoms of my depression, in the form of a pill from my doctor. However, I'm equally aware that to go down that road is to have a lifetime dependence on medication for my sense of wellbeing. Basically, do I want to be a medically sanctioned drug addict? None of the stigma, but all of the same behaviours.

You're right, I wouldn't have to lie, cheat or steal to feed my habit. I can wander into my pharmacist, and get my uppers over the counter, and carry on like I'm a fine upstanding member of the community. Did you know that even heroin addicts are completely functional members of society, when they can get a clean high quality supply of the opiates they need? When doctors in the UK used to prescribe heroin, there were none of the antisocial problems that we instinctively associate with drug abuse today.

Of course, I'm not advocating drug abuse, but then I'm also pointing out that the flaws that afflict a smoker, a drinker, a junkie and even a depressed person... they're all rooted in the same psychological need to cure an invisible illness.

Pretty soon, I will have spent a year where over 75% of the time I was using no psychoactive substances at all, except for alcohol. A period of 115 consecutive days - 32% of the year - I was completely teetotal. For the whole year I had no tea, coffee, cola, energy drinks, or caffeine containing headache pills (more common than you think). I'm completely unmedicated.

How do I feel? Awful.

It seems to me like I have a choice: suicidal depression, or drugs (i.e. medication, coffee & alcohol etc.)

I know that a scientific study with one participant tells us nothing, but equally I'm not a group, I'm me. You can't dismiss my individual findings, that are true for me. I've gathered the data during a 20 year career, and I've come to the conclusion that my life is unliveable in its current form.

When you are conducting a scientific study, you have to control the variables. Thankfully, I'm an ideal test subject for this.

Since the age of 17, I've been a very well paid software engineer. For sure, during the first couple of years it took me a while to get my salary up to a decent level, but since the age of 19 I've never had to worry about money. Also, I've done pretty much the same thing for all my career: sitting at a desk, tapping on a keyboard, making software.

I've had the same running crisis my whole career. When I was 19, I was bored so I applied to university and was offered places at some very prestigious institutions to study psychopharmacology. I decided to stick with the money, and keep selling my soul to the highest bidder.

When I was 28, depression had crushed me to the point I was on my knees and unable to turn up and do the same office bullshit anymore. I retrained as an electrician and started my own company.

As a self-employed tradesman, I loved what I did, but I was grossly underpaid for the level of responsibility I had. Ordinary members of the public think that tradesmen are out to rip them off. In reality tradesmen are highly trained professionals whose job it is to stop houses burning down and families being electrocuted or poisoned by carbon monoxide.

The freedom of not having a boss, not having a 9 to 5, Monday to Friday routine, and not having to sit in the same damn chair at the same damn desk, pushing the same damn 102 keys on the same goddam keyboard... all of those things are just as great as they sound. However, getting paid peanuts to do dangerous dirty work is also not great either.

And so, I returned to what I'm experienced and qualified to do.

I earn staggering amounts of cash for moving my mouse around and looking busy at a desk. However, I used to earn £470 per day when I was 20 years old, doing computer programming for Lloyds TSB back in the year 2000. My job is exactly the same today, doing the same damn computer code for HSBC, JPMorgan, Barclays or any other damn bank.

But maybe the problem's banking? Nope. I've written computer code for nuclear submarines, torpedos, school computer networks, trains, parking ticket machines, busses, security guards, shop assistants and just about every other weird and wonderful industry you can think of. I've written in dozens of programming languages, for dozens of operating systems, on dozens of form factors. It's all the fucking same binary 1s and 0s and boolean algebra under the covers. All code is made from the same nuts and bolts. It's fucking boring.

And so, I can be a miserable exploited worker on a low wage, doing something I take pride in but knowing that I'm undervalued. I can be an overpaid and underworked software developer / scrum master / development manager / IT director. I can be a stressed out startup founder working my arse off to line the pockets of the venture capitalists who are going to get filthy rich at the expense of my health. I can be a destitute bum, a tramp, a hobo. Which would YOU choose?

I particularly object to the idea that I have to drug myself up, just to fit in with the bullshit jobs economy. I object to having to be high on antidepressants just to be able to cope with the same bunch of fucktards making the same fucking mistakes I've seen a million times over, in the job that I've mastered and brings in obscene amounts of cash. I object to having to be high on anxiety medication, to cope with the insecurity faced by the underpaid and undervalued front-line members of society who build your houses, look after you in hospital, grow your food and perform every other truly useful function that we need.

Even to work in civil engineering would frustrate the hell out of me. Crossrail, the multi billion dollar project improve London's cross-capital transportation, is rather pointless because it will be at full capacity on the day it opens, because London is already packed full of idle fucktards like me, clogging up the world with pointless makework jobs. Do we really need any more offices and office workers? Do we really need any more service sector jobs? Do we really need such a bloated financial services sector, with its equally parasitic support industries of corporate law and accounting? It's all such utter bullshit.

And so, I'm damned if I do and I'm damned if I don't.

In my 20 years of full time work, I've become worn down with it all. I'm exhausted. I've tried a number of things, and I find that bullshit prevails everywhere I look. My heart is broken by all the bullshit that trumps everything else.

I'm exhausted, and I'm depressed and I'm suicidal.

Yes, I know some people are grateful for their lives and what little quality of life they can squeeze out of their existence. Yes, I know that I have good physical health and I'm reasonably young still. Yes, I know that there'd a queue that stretches around the planet, of people who would love to have my job.

So, if I choose to reject all that and end my life because I feel like I have no quality of life, is that morally wrong?

You can't even level the accusation of me that I don't know suffering, and I don't know poverty. I've lived homeless in a park, destitute, penniless and surviving on charitable food donations. I've woken up in hospital numerous times in pain and discomfort. I've had numerous scrapes with death. Shouldn't all that stuff make me grateful to be alive? Guess what? You have absolutely no idea. Guess what else, I have a very good idea, because it's already all happened to me.

I wasn't born with a silver spoon in my mouth. I went to state comprehensive schools. I wasn't gifted jobs by any friend or family member. I had no head start in life. It's true that I have no obvious disability or disadvantage either, unless you count a couple of drug addict alcoholic parents, but I still had other family members, teachers and friends who were nice to me. It's not a fucking competition. The point is that the variables are controlled. I neither had advantage nor disadvantage, but yet I arrived at this point, here, now, today.

It's not like we can say this is just a short-term crisis. Like this will fucking blow over.

It's not going to blow over. For 20 fucking years it's been the same. The same shit, different day.

Yes, there were times that were actually pretty good, but guess what... they weren't sustainable. I liked living in a hostel with a bunch of other homeless people. I liked not having a job and being a bum. I liked having no responsibilities. Who wouldn't? But that's not real life. We don't get to have a freebie just because 'real' life is killing us. It still cost £120 a week for my bunk bed in a dormitory that slept 15 people, with one fucking bathroom between us all. My current rent is only £240 a week and for that I get a double bedroom, an ensuite bathroom, a kitchen, a dining room, a dual-aspect lounge with panoramic views over London and a balcony overlooking the river Thames.

I should be happy, but I'm not. Happiness is not a choice, no matter what you read on some bullshit Internet meme inspirational quote.

All the right pieces are in place. My doctors are chuffed to bits that I don't drink, smoke, abuse drugs or in any way engage in health damaging behaviours. My blood pressure is amazing. My cholesterol is low. My eyesight, hearing, teeth, joints... all of it is perfect.

And yet, my mental health is in ruins. I'm so depressed. I'm so suicidal.

I'm doing everything right, and yet everything feels so wrong.

Of course I feel guilty for feeling like this. What the fuck am I supposed to do though?

Honestly, I feel like I want to spend the next 30 days convincing people that the most humane thing is to let me end my life. Honestly, despite the things that should be really great in my life, nothing feels great. Nothing feels good or nice. Nothing works. Nothing is working.

There's still the possibility of just running away and absenting myself from all responsibility, but then when I'm dirty and sick from a life of destitution... when I die then, will anybody understand? A tramp, a bum, a hobo, a junkie, an alkie... these people are all too easily dismissed by society.

What happens when highly paid banking IT consultants start dying? Well if they're white middle class thirtysomething men... not much. Who cares? Probably just a selfish socialite, having a tantrum because they can't do whatever they want, one newspaper article basically said, in the wake of one death.

What the fuck is anybody supposed to do about this fucked up life that we're supposed to live?

I really don't feel like I can live this bullshit rat race anymore, and the alternative is a long slow death, shunned by society and marginalised.

In the long run, we're all fucking dead anyway.

Apologies if I'm triggering raw and painful feelings about your beloved family member or friend who is busily fighting for survival, or who lost their battle. I really don't mean things disrespectfully, but I can't lie anymore. I feel this stuff and it's undeniable.

Call me narcissistic needy spoilt white middle class brat if you like, if it'll make you feel better. It certainly won't make me feel any worse, but isn't that so terribly melodramatic and attention seeking?

Can you understand, how exhausting it is, having to justify your feelings and apologise for wanting to be dead the whole fucking time?

It's a one-way ticket and for sure it needs careful thought, but aren't we being a bit unfair, shutting down the conversation by guilt-tripping people into hiding their feelings? Perhaps suicide is a smart choice for people who feel that they have no quality of life.

Tags: #suicide #depression #mentalhealth #addiction #alcohol #drugs #medication #nhs #hospital