That's a great question.
In the context of previous suicide attempts, much of our assessment is retrospective, as it relates to mental health conditions and prognosticating from that standpoint. From the standpoint of past suicide attempts or suicidality, I think it is difficult to untangle what a current request for MAID is from an active suicidal ideation or intent, because that's so intricately embedded in some of the major mental illnesses, like depression. There are high rates of suicidality in patients with schizophrenia or psychotic illness as well.
I would say that this is difficult for us to untangle on the front lines—whether someone's request for MAID is, in fact, no longer part of a past suicide intent or part of their current suicidality. It's really difficult on the front lines, and this is validated by experience in our clinical settings.