My sister didn’t commit suicide by train, but I still think killing herself was an asshole move. She made it very clear in her three-page note that she did it in part to hurt other people, most notably the person she had been in a seven-year relationship with, said relationship ending at that point in time.
That said, I also recognize my sister suffered from a severe and real illness. I recognize she was hurting. I still love her for the many positive things she did. She still used her suicide to deliberately cause other people pain. Granted, that pain was purely emotional and not physical, but why discount the survivors’ pain?
And just a note - my sister did have access to treatment, and utilized it, for well over a decade. You can’t attribute her particular death to lack of access.
My sister’s illness did not make her lose contact with reality, and did not make her incapable of moral choice. As I previously stated, she took care that no one else would be physically hurt by her death, and chose a relatively non-messy manner of killing herself. It was still a dick thing to do to those who loved her.
I realize that makes me a bad person to the “oh, boo-hoo, the mentally ill are completely helpless crowd” but so be it. I did not come to my conclusion through ignorance.
Meanwhile - IF depression DOES cause such a loss of moral culpability then the only rational thing to do is to immediately incarcerate anyone with a history of depression for the rest of his or her life to protect themselves and others from their disconnected-from-reality actions, and to make them all wards of a non-mentally ill person (relative, friend, the state) so to manage the affairs of the incompetent. I don’t believe that is a necessary action, and I don’t think those championing the mentally ill think so either. Mental illness does not automatically render a person helpless or incompetent.