In clinical practice, every psychiatrist is trained to assess suicidality. That's also a continuously changing field. We are now recognizing the fact that we are really bad at predicting suicidality, but it's even more fundamental than that. I think that what we call suicidality matters, and there's not an agreed-upon definition of suicidality internationally.
It appears to me that, in the Canadian context, suicidality is synonymous with an irrational death wish. If that is the case, if that's the way we define suicidality, then it's possible to distinguish a rational death wish or a competent death wish from an incompetent death wish that is the result of psychiatric order. We have guidelines to do that, and physicians all over the world are able to do that.