Often there is a suggestion that there are differences between the patient who has a depressive illness and who is suicidal and one who has MAID. In practice, there is very little difference to distinguish between those two things. There is very little suicidal behaviour—whether it's lethal or non-lethal, of course—without planning. In fact, impulsive attempts are associated with people who have, possibly, a lower psychopathology. Individuals who make planned attempts at suicide are more likely to be depressed and hopeless compared to those who make unplanned attempts.
The clinical profile, as my colleague Dr. Nicolini highlighted earlier, appears to be similar in MAID and suicidal behaviour, as evidenced by the high prevalence of women in both situations. Therefore, it's unclear whether or not we can draw a firm distinction between MAID and suicidality, which poses a major problem for the practice of MAID for mental disorders.