Dr. Gagnon, the Canadian Association of MAiD Assessors and Providers, or CAMAP, and the expert panel on MAiD and mental illness say that individuals in suicidal crisis aren't eligible for medical assistance in dying.
Earlier you discussed suicide attempts and suicide prevention. These experts say that suicidality is a reversible state. So the question doesn't arise. There's no way a person in a suicidal state can be eligible for medical assistance and die.
Why are you confusing the issue? If an assessor sees a connection between a request and structural vulnerabilities, there's no way he or she should agree to a request for medical assistance in dying.
You say there are no safeguards, but there are. These people have established their own safeguards. They conduct assessments and tell their peers there's no way a patient can be eligible in that kind of situation. I imagine you agree with that.