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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.”

Read more:
Why is assisted dying so controversial?
Wes Streeting to vote against assisted dying

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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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Trump criticises Putin after potentially ‘historic’ meeting with Zelenskyy before Pope’s funeral

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Trump criticises Putin after potentially 'historic' meeting with Zelenskyy before Pope's funeral

Donald Trump has criticised Vladimir Putin and suggested a shift in his stance towards the Russian president after a meeting with Volodymyr Zelenskyy before the Pope’s funeral.

The Ukrainian president said the one-on-one talks could prove to be “historic” after pictures showed him sitting opposite Mr Trump, around two feet apart, in the large marble hall inside St Peter’s Basilica.

The US president said he doubted his Russian counterpart’s willingness to end the war after leaving Rome after the funeral of Pope Francis at the Vatican.

Follow live updates: 200,000 mourn at Vatican

In a post on his Truth Social platform, he said “there was no reason” for the Russian president “to be shooting missiles into civilian areas, cities and towns, over the last few days”.

The two leaders held talks before attending the Pope's funeral
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The two leaders held talks before attending the Pope’s funeral

He added: “It makes me think that maybe he doesn’t want to stop the war, he’s just tapping me along, and has to be dealt with differently, through ‘Banking’ or ‘Secondary Sanctions?’ Too many people are dying!!!”

The meeting between the US and Ukrainian leaders was their first face-to-face encounter since a very public row in the Oval Office in February.

Mr Zelenskyy said he had a good meeting with Mr Trump in which they talked about the defence of the Ukrainian people, a full and unconditional ceasefire, and a durable and lasting peace that would prevent the war restarting.

Other images released by the Ukrainian president’s office show Sir Keir Starmer and French President Emmanuel Macron were present for part of the talks, which were described as “positive” by the French presidency.

Mr Zelenskyy‘s spokesman said the meeting lasted for around 15 minutes and he and Mr Trump had agreed to hold further discussions later on Saturday.

The world leaders share a moment before the service
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The world leaders shared a moment before the service

Trump and Zelenskyy meet in the Basilica
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Donald Trump and Volodymyr Zelenskyy meet in the Basilica

But the US president left Rome for Washington on Air Force One soon after the funeral without any other talks having taken place.

The Ukrainian president’s office said there was no second meeting in Rome because of the tight schedule of both leaders, although he had separate discussions with Mr Starmer and Mr Macron.

The French president said in a post on X “Ukraine is ready for an unconditional ceasefire” and that a so-called coalition of the willing, led by the UK and France, would continue working to achieve a lasting peace.

There was applause from some of the other world leaders in attendance at the Vatican when Mr Zelenskyy walked out of St Peter’s Basilica after stopping in front of the pontiff’s coffin to pay his respects.

U.S President Donald Trump attends the funeral Mass of Pope Francis, at the Vatican, April 26, 2025. REUTERS/Kai Pfaffenbach
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Donald Trump and the Ukrainian president met for the first time since their Oval Office row. Pic: Reuters

Sir Tony Brenton, the former British ambassador to Russia, said the event presents diplomatic opportunities, including the “biggest possible meeting” between Mr Trump and the Ukrainian leader.

He told Sky News it could mark “an important step” in starting the peace process between Russia and Ukraine.

Professor Father Francesco Giordano told Sky News the meeting is being called “Pope Francis’s miracle” by members of the clergy, adding: “There’s so many things that happened today – it was just overwhelming.”

The bilateral meeting comes after Mr Trump’s peace negotiator Steve Witkoff held talks with Mr Putin at the Kremlin.

They discussed “the possibility of resuming direct negotiations between Russia and Ukraine”, Kremlin aide Yuri Ushakov said.

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Russia and Ukraine have not held direct talks since the early weeks of the war, which began in February 2022.

Mr Trump has claimed a deal to end the war is “very close” and has urged Mr Zelenskyy to “get it done” in a post on his Truth Social platform.

He has previously warned both sides his administration would walk away from its efforts to achieve a peace if the two sides do not agree a deal soon.

Meanwhile, the Polish armed forces said a Russian military helicopter violated its airspace over the Baltic Sea on Friday evening.

“The nature of the incident indicates that Russia is testing the readiness of our air defence systems,” they said in a post on X.

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What we learn from remarkable photos of Trump-Zelenskyy meeting

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What we learn from remarkable photos of Trump-Zelenskyy meeting

On an extraordinary day, remarkable pictures on the margins that capture what may be a turning point for the world.

In a corner of St Peter’s Basilica before the funeral of Pope Francis, the leaders of America and Ukraine sit facing each other in two solitary chairs.

They look like confessor and sinner except we cannot tell which one is which.

Leaning forward hands together in their laps, Donald Trump and Volodymyr Zelenskyy stare at each other in one photo.

In another, the Ukrainian president seems to be remonstrating with the US president. This is their first encounter since their infamous bust-up in the Oval Office.

The two leaders held talks before attending the Pope's funeral
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The two leaders held talks before attending the Pope’s funeral

Other pictures show the moment their French and British counterparts introduced the two men. There is a palpable sense of nervousness in the way the leaders engage.

We do not know what the two presidents said in their brief meeting.

But in the mind of the Ukrainian leader will be the knowledge President Trump has this week said America will reward Russia for its unprovoked brutal invasion of his country, under any peace deal.

Mr Trump has presented Ukraine and Russia with a proposal and ultimatum so one-sided it could have been written in the Kremlin.

Kyiv must surrender the land Russia has taken by force, Crimea forever, the rest at least for now. And it must submit to an act of extortion, a proposed deal that would hand over half its mineral wealth effectively to America.

The world leaders share a moment before the service
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The world leaders shared a moment before the service

Afterwards, Zelenskyy said it had been a good meeting that could turn out to be historic “if we reach results together”.

They had talked, he said, about the defence of Ukraine, a full and unconditional ceasefire and a durable and lasting peace that will prevent a war restarting.

The Trump peace proposal includes only unspecified security guarantees for Ukraine from countries that do not include the US. It rules out any membership of Ukraine.

Ukraine’s allies are watching closely to see if Mr Trump will apply any pressure on Vladimir Putin, let alone punish him for recent bloody attacks on Ukraine.

Or will he simply walk away if the proposal fails, blaming Ukrainian intransigence, however outrageously, before moving onto a rapprochement with Moscow.

If he does, America’s role as guarantor of international security will be seen effectively as over.

This could be the week we see the world order as we have known it since the end of the Second World War buried, as well as a pope.

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Pope Francis funeral: 200,000 people bidding farewell to pontiff who had ‘open heart towards everyone’

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Pope Francis funeral: 200,000 people bidding farewell to pontiff who had 'open heart towards everyone'

Tens of thousands of people have packed St Peter’s Square as the funeral of Pope Francis begins.

Royals, world leaders and cardinals joined scores of worshippers at the Vatican, as mourning of the 266th pontiff transcended wealth and social class.

In keeping with Francis’s life as a breaker of tradition, many of the more elaborate and expensive rituals customary for the burial of popes have been foregone in favour of simpler options.

Around 200,000 people are attending the funeral, with around 50,000 packing out St Peter’s Square.

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Pope’s coffin carried out as funeral begins

Follow live: Pope Francis funeral service latest updates

His body had been lying in state since his death aged 88 on Easter Monday, spending the last few days in St Peter’s Basilica to allow mourners to pay their respects.

The Vatican – where the funeral service is taking place – and Rome – where Francis will be laid to rest – are under heavy security, with a no-fly zone in place overhead.

The coffin of Pope Francis is carried during the funeral Mass of Pope Francis in St. Peter's Square at the Vatican, April 26, 2025. REUTERS/Kai Pfaffenbach
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The coffin of Pope Francis is borne aloft by pallbearers. Pic: Reuters

Members of the clergy sit, ahead of the funeral Mass of Pope Francis, at the Vatican, April 26, 2025. REUTERS/Yara Nardi
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Members of the clergy gathered to say farewell to their pontiff. Pic: Reuters

President Donald Trump and Joe Biden, along with Sir Keir Starmer, President Emmanuel Macron and Ukraine’s President Volodymyr Zelenskyy, headline a huge selection of global leaders and dignitaries.

Read more:
Pope Francis’s funeral – what is happening and when
Full order of service for Pope’s funeral

Francis’s coffin has been taken out into St Peter’s Square where 220 cardinals and 750 bishops and priests are sitting in rows, waiting to say goodbye to the Bishop of Rome.

A series of readings and prayers are being read before the 50,000 faithful gathered before the basilica, and the coffin will be sprinkled with holy water and incense.

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Singing rings out at the Vatican

Members of the clergy attend the funeral Mass of Pope Francis, in Saint Peter's Square, at the Vatican, April 26, 2025. REUTERS/Kai Pfaffenbach
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Members of the clergy stand in St Peter’s Square. Pic: Reuters

It began with Cardinal Giovanni Battista Re reading the Penitential Act – a way for the faithful to confess their sinfulness.

This was followed by the Liturgy of the Word, a part in Catholic mass where faithful gather to hear and reflect on the word of God.

Cardinal Re then delivered the homily, speaking about Pope Francis’ life and service to God.

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Applause breaks out as Zelenskyy arrives

Cardinal
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Cardinal Giovanni Battista Re read the homily

The cardinal praised the pontiff as someone who “touched the minds and hearts of people” who was “attentive to the signs of the times”.

He added: “Despite his frailty and suffering towards the end, Pope Francis chose to follow this path of self-giving until the last day of his earthly life.”

He said Francis “was a pope among the people, with an open heart towards everyone”.

A view of St Peter's Square during the funeral of Pope Francis, at the Vatican, Saturday, April 26, 2025. (AP Photo/Evan Vucci)
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Tens of thousands pack St Peter’s Square for the funeral. Pic: AP

Clergy during the funeral of Pope Francis in St. Peter's Square at the Vatican, Saturday, April 26, 2025. (AP Photo/Markus Schreiber)
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Clergy seated during the funeral. Pic: AP

At the end of the mass, the choir will sing in Latin: “May the angels lead you into paradise; may the martyrs come and welcome you and take you into the holy city, the new and eternal Jerusalem.”

After the service, Pope Francis’s body will be taken in procession through the streets of Rome to his final resting place at his favourite church, the Basilica of Santa Maria Maggiore.

People react as they wait outside the Papal Basilica of Saint Mary Major (Santa Maria Maggiore), ahead of the funeral of Pope Francis, in Rome, Italy, April 26, 2025. REUTERS/Carlos Barria
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Worshippers outside the Papal Basilica of Santa Maria Maggiore. Pic: Reuters

He will be ushered into the basilica – dedicated to the Virgin Mary – by prisoners and migrants, a last reflection of his priorities as pope.

In a break with tradition, the Pope outlined in his will his request to be buried “in the ground, without particular ornamentation” but simply with the inscription “Franciscus”.

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