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Warning: This article contains references to suicide

On Friday this week, MPs will debate if England and Wales should legalise assisted dying.

The proposed legislation restricts it to adults with six months or less to live.

Canada introduced assisted dying in 2016 for adults with a terminal illness. In 2021, it was extended to people with no terminal illness and the disabled.

On 17 March 2027, anyone with a serious mental health problem will also be eligible.

Campaigners in Canada argue that the programme, known as MAID [medical assistance in dying], has gone too far.

Orlando Da Silva has struggled with crippling depression since he was a nine-year-old boy.

More on Assisted Dying

The high-flying Ontario lawyer is 56 years old now and has tried to take his own life a number of times.

Orlando Da Silva
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Orlando Da Silva

He says if MAID had been offered to him when he was at his lowest, he would have taken the option to end his life.

But he argues that people like him need help with their condition – not help to die.

“You just think you’re a worthless little boy and eventually a worthless teenager, and then one day, a worthless man,” Orlando says, describing the impact of his mental health on his childhood and later into his adult life.

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Assisted dying: Lessons from Canada

Working as a top barrister in the province of Ontario helped Orlando. It was a distraction from the suicidal thoughts that would overwhelm him when he left his office on the 47th floor of a downtown Toronto skyscraper.

“If you could measure it on a scale of zero to 10 [where] 10 is the happiest you’ve ever been, and zero is suicidal, my cruising altitude is about five or six, so I rarely get better than that.”

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Orlando has received almost all of the conventional therapies available for his condition.

“Now I have a condition called treatment-resistant depression, which means I’ve been on more than 40 different kinds of antidepressants. I’ve had 13 electroconvulsive shock treatments. I’ve been on ketamine treatments. And nothing works.

“So the critical problem for me with this condition is that it escalates into a major depressive episode every 18 to 24 months.”

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What happens if assisted dying bill passes?

Safeguards in place for Orlando

He says he has now learned how to manage his depression by reminding himself that the cycle will eventually end no matter how impossible the situation might feel at the time.

“I just push myself through one day at a time. Sometimes it’s one hour at a time, one minute at a time, one breath until the next one. Because I know it doesn’t last forever, but when I’m in that moment, I think it will, and there’s nothing anyone can say to convince me.”

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MPs split ahead of assisted dying vote

He also has safeguards in place designed to protect him from himself.

“I’ve developed tools and a support network and even a 10-point scale that I share with my family and friends, so they can see how I’m doing, and they know I’m at a three or below, it’s time for an intervention.”

Orlando nearly died in 2008 after a failed suicide attempt. It led to six months in hospital.

He is now using his experience to try and help others like him who might choose an assisted death when they are allowed to in just over two years.

“It scares me to death. If it was available earlier, I would have chosen it in 1994. I would have tried it and I would have asked for it in 2002, in 2004, in 2008 and when I attempted my suicide in 2012, in 2014. And I’m alive because it’s not available now and because I failed in 2008.”

Fears over Canada’s programme

The move to include mental illness in Canada’s assisted dying programme was delayed twice because of fears around the impact it will have on the country’s health system.

By offering people with mental health issues an assisted death, Orlando warns, it further reinforces their sense of worthlessness.

“You want the pain to end, right? And the last thing you need is someone in a white coat who says: ‘Well, I see it’s kind of rough for you. How about we help you and your life? Do you like that?

“Now, does that say you’re worthwhile if you hear that? Does that say you have value? Does that contradict that voice in your head? Or does it reaffirm and confirm it?”

“We need to help. We need to give hope. Don’t need an easy death, like I want us to be a better society than that. If they say we’re judged by how we treat our most vulnerable. How do we treat people with mental illness who want to die?”

Orlando’s struggle is not over. But for him life is worth living no matter how hard it gets.

“Thank God I didn’t succeed, thank God I failed because if I had succeeded, I would never have met my wife.

“I never would have had my three beautiful daughters. I never would have had the rewarding personal and professional career I’ve had since and I would never have learned all that’s beautiful in this world from them.”

Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email jo@samaritans.org in the UK. In the US, call the Samaritans branch in your area or 1 (800) 273-TALK

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Twelve British soldiers injured in major traffic pile-up in Estonia – local media

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Twelve British soldiers injured in major traffic pile-up in Estonia - local media

Twelve British soldiers were injured in a major traffic pile-up in Estonia, close to the border with Russia, local media have reported.

Eight of the troops – part of a major NATO mission to deter Russian aggression – were airlifted back to the UK for hospital treatment on Sunday after the incident, which happened in snowy conditions on Friday, it is understood.

Five of these personnel have since been discharged with three still being kept in the military wing of the Queen Elizabeth Hospital in Birmingham.

The crash happened at an intersection at around 5pm on Friday when the troops were travelling in three minibuses back to their base at Tapa.

Two civilian cars, driven by Estonians, are thought to have collided, triggering a chain reaction, with four other vehicles – comprising the three army Toyota minibuses and a third civilian car – piling into each other.

According to local media reports, the cars that initially collided were a Volvo S80, driven by a 37-year-old woman and a BMW 530D, driven by a 62-year-old woman.

The Estonian Postimees news site reported that 12 British soldiers were injured as well as five civilians. They were all taken to hospital by ambulance.

The British troops are serving in Estonia as part of Operation Cabrit, the UK’s contribution to NATO’s “enhanced forward presence” mission, which spans nations across the alliance’s eastern flank and is designed to deter attacks from Russia.

Around 900 British troops are deployed in Estonia, including a unit of Challenger 2 tanks.

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A spokesperson for the Ministry of Defence said: “Several British soldiers deployed on Operation CABRIT in Estonia were injured in a road traffic incident last Friday, 22nd November.

“Following hospital treatment in Estonia, eight personnel were flown back to the UK on an RAF C-17 for further treatment.

“Five have since been discharged and three are being cared for at the Royal Centre for Defence Medicine, Queen Elizabeth Hospital Birmingham. We wish them all a speedy recovery.”

Defence Secretary John Healey said: “Following the road traffic incident involving British personnel in Estonia, my thoughts are with all those affected, and I wish those injured a full, swift recovery.

“Thanks to the Royal Centre for Defence Medicine at Queen Elizabeth Hospital Birmingham for their excellent care.”

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Egypt: Two Britons believed to be among 16 missing as tourist boat sinks after being ‘hit by large wave’

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Egypt: Two Britons believed to be among 16 missing as tourist boat sinks after being 'hit by large wave'

Two Britons are believed to be among more than a dozen people missing after a boat sank in the Red Sea off the Egyptian coast.

The yacht, called Sea Story, had 44 people on board, including 31 tourists of varying nationalities and 13 crew.

Authorities are searching for 16 people, including 12 foreign nationals and four Egyptians, the governor of the Red Sea region said, adding that 28 other people had been rescued.

Preliminary reports suggested a sudden large wave struck the vessel, capsizing it within about five minutes, governor Amr Hanafi said.

“Some passengers were in their cabins, which is why they were unable to escape,” he added in a statement.

Pic: STR/EPA-EFE/Shutterstock

More than dozen missing after tourist boat sinks off Red Sea in Egypt, Marsa Alam - 25 Nov 2024
Survivors of the sinking boat rest at a harbor in Marsa Alam, Red Sea Governorate, in Egypt 25 Novermber 2024.
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Survivors rescued from the Sea Story in Marsa Alam. Pic: STR/EPA-EFE/Shutterstock

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Passengers rescued from sunken tourist boat

The people who were rescued only suffered minor injuries such as bruises and scrapes with none needing hospital treatment.

A Foreign, Commonwealth and Development office spokesperson said: “We are providing consular support to a number of British nationals and their families following an incident in Egypt and are in contact with the local authorities.”

The foreign nationals aboard the 34-metre-long vessel, owned by an Egyptian national, included Americans, Belgians, British, Chinese, Finns, Germans, Irish, Poles, Slovakians, Spanish, and Swiss.

Sea Story had no technical problems, obtained all required permits before the trip, and was last checked for naval safety in March, according to officials.

The four-deck, wooden-hulled motor yacht was part of a multi-day diving trip when it went down near the coastal town of Marsa Alam following warnings about rough weather.

Egypt map

Officials said a distress call was received at 5.30am local time on Monday.

The boat had left Port Ghalib in Marsa Alam on Sunday and was scheduled to reach its destination of Hurghada Marina on 29 November.

The Sea Story was carrying 45 people according to a statement by the Red Sea Governorate.
Pic: Dive Pro Liveaboard
Image:
The Sea Story had 44 people on board. File pic: Dive Pro Liveaboard

Some survivors had been airlifted to safety on a helicopter, officials said.

The firm that operates the yacht, Dive Pro Liveaboard in Hurghada, said it has no information on the matter.

According to its maker’s website, the Sea Story was built in 2022.

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The incident comes after the Egyptian Meteorological Authority issued a warning on Saturday about turbulence and high waves on the Red Sea.

The organisation had advised against maritime activity for Sunday and Monday.

Some tourist companies have stopped or limited operations on the Red Sea due to the potential dangers from conflicts in the region.

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Prosecutors file to drop 2020 presidential election interference charges against Trump

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Prosecutors file to drop 2020 presidential election interference charges against Trump

A motion has been filed to drop the charges against Donald Trump of plotting to overturn the 2020 US presidential election result.

Mr Trump was first indicted on four felonies in August 2023: Conspiracy to defraud the United States, conspiracy to obstruct an official proceeding, obstruction of and an attempt to obstruct an official proceeding, and conspiracy against rights.

The president-elect pleaded not guilty to all charges and the case was then put on hold for months as Mr Trump’s team argued he could not be prosecuted.

U.S. Special Counsel Jack Smith looks on as he makes a statement to reporters after a grand jury returned an indictment of former U.S. President Donald Trump in the special counsel's investigation of efforts to overturn his 2020 election defeat, at Smith's offices in Washington, U.S. August 1, 2023. REUTERS/Kevin Wurm TPX IMAGES OF THE DAY
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Special Counsel Jack Smith. Pic: Reuters

Donald Trump supporters storm the US Capitol
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Donald Trump supporters storm the US Capitol

On Monday, prosecutors working with special counsel Jack Smith, who had led the investigation, asked a federal judge to dismiss the case over long-standing US justice department policy, dating back to the 1970s, that presidents cannot be prosecuted while in office.

It marks the end of the department’s landmark effort to hold Mr Trump accountable for the attack on the US Capitol on 6 January 2021 when thousands of Trump supporters assaulted police, broke through barricades, and swarmed the Capitol in a bid to prevent the US Congress from certifying Joe Biden’s 2020 election victory.

Trump plays blinder as accusers forced to turn blind eye over Capitol riots

In winning the White House, he avoids the so-called ‘big house’.

Whether or not prison was a prospect awaiting Donald Trump is a moot point now, as he now enjoys the protection of the presidency.

The delay strategy that he pursued through a grinding court process knocked his federal prosecution past the election date and when his numbers came up, he wasn’t going down.

Politically, and legally, he has played a blinder.

Read more analysis from James Matthews here

Mr Smith’s team had been assessing how to wind down both the election interference case and the separate classified documents case in the wake of Mr Trump’s election victory over vice president Kamala Harris earlier this month, effectively killing any chance of success for the case.

In court papers, prosecutors said “the [US] Constitution requires that this case be dismissed before the defendant is inaugurated”.

They said the ban [on prosecuting sitting presidents] “is categorical and does not turn on the gravity of the crimes charged, the strength of the government’s proof, or the merits of the prosecution, which the government stands fully behind”.

Mr Trump, who has said he would sack Mr Smith as soon as he takes office in January, and promised to pardon some convicted rioters, has long dismissed both the 2020 election interference case and the separate classified documents case as politically motivated.

Trump supporters try to break through a police barrier at the Capitol in Washington
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Trump supporters try to break through a police barrier at the Capitol in Washington. Pic: AP

He was accused of illegally keeping classified papers after leaving office in 2021, some of which were allegedly found in his Mar-a-Lago home in Florida.

The election interference case stalled after the US Supreme Court ruled in July that former presidents have broad immunity from prosecution, which Mr Trump’s lawyers exploited to demand the charges against him be dismissed.

Mr Smith’s request to drop the case still needs to be approved by US District Judge Tanya Chutkan.

No date had been set for a trial.

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At least 1,500 cases have been brought against those accused of trying to overthrow the election result on 6 January 2021, resulting in more than 1,100 convictions, the Associated Press said.

More than 950 defendants have been sentenced and 600 of them jailed for terms ranging from a few days to 22 years.

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