Discussion How physicians ctb

[gingerplum]

This is interesting. Mostly barbiturates and opiates, but a fair amount of hangings and a mixed bag of other methods.

The one that interests me is insulin. A big enough dose (a few hundred units) of a rapid-acting insulin would lead to a crash in blood glucose levels, followed by confusion and unconsciousness. Extreme hypoglycemia, like hypoxemia, isn't compatible with life for very long. Surely it must be easier to get insulin than Nembutal or Fentanyl? Obviously it's a prescription, but it's not a controlled substance.

https://academic.oup.com/qjmed/article/93/6/351/1536833

 

[Monday]

I've thought about this too since my family member has a bunch. Plus would not be hard to fake a blood test.

 

[TAW122]

Yeah I think anyone who has access to a lot of drugs and ability to obtain such drugs have it easier than people who don't. People such as nurses, doctors, healthcare workers, and professionals, etc.

 

[gingerplum]

I've thought about this too since my family member has a bunch. Plus would not be hard to fake a blood test.

Just do your research if you're even thinking about it... some insulins are very long-acting (24-48hrs), and you'd want an insulin that had an immediate onset.

 

[Monday]

Just do your research if you're even thinking about it... some insulins are very long-acting (24-48hrs), and you'd want an insulin that had an immediate onset.

Never thought of this, thanks for the heads up.

 

[Jodes]

@gingerplum, as a nurse what do you consider the best way to CTB is?

It's a bit unfair asking a nurse or a doctor that?

 

[gingerplum]

@gingerplum, as a nurse what do you consider the best way to CTB is?

Easy. An IV injection with Dilaudid or Morphine + Fentanyl. Pleasant, and pretty much a sure-fire thing.

Edit: Adding Propofol would also work well (what Michael Jackson's idiot physician killed him with). Again, you would just go to sleep super peacefully.

 

[gingerplum]

It's a bit unfair asking a nurse or a doctor that?

Why? I think if you're on a forum that sanctions suicide, it's all fair game. Ask away.

 

[Jodes]

Why? I think if you're on a forum that sanctions suicide, it's all fair game. Ask away.

Was just a though but Id say you're right actually now, fair point

 

[gingerplum]

Not at all inappropriate, and honestly, please don't even think about trying to OD on non-prescription drugs. Chances are good you'll fry your liver and die in agony a week later in an ICU.

Nope the fuck away from OTC drugs.

 

[Comatose11]

Not at all inappropriate, and honestly, please don't even think about trying to OD on non-prescription drugs. Chances are good you'll fry your liver and die in agony a week later in an ICU.

Nope the fuck away from OTC drugs.

That's if you even manage to die.

 

[stargazer]

I'd imagine there's strict controls though even for them...so that explains the odd non-drug related methods you mention, the hangings, etc.

Guess it feels nice to know not access to a job doesn't always guarantee access to "the goods" easily, in any occupation.

Doctors should be pretty smart at knowing what will and what won't finish them off, and the pain if any, the length of time, all that medical knowledge.

Those long shifts must push them to, me thinks :/

 

[stargazer]

Not at all inappropriate, and honestly, please don't even think about trying to OD on non-prescription drugs. Chances are good you'll fry your liver and die in agony a week later in an ICU.

Nope the fuck away from OTC drugs.

Unless...your a doc who knows what they're doing...who knows. I'm no doctor :)

 

[Smilla]

A NY trauma surgeon stabbed himself in his kitchen a couple years ago.

In the heart. I suppose if you know where to aim and have the courage of your convictions this method would be at least fast.

But wouldn't recommend for an amateur

 

[OkTotti]

There were a few medical students who CTB'ed in New York recently. One hanged herself, and the other jumped from the dormitory

 

[gingerplum]

Unless...your a doc who knows what they're doing...who knows. I'm no doctor :)

No. I'm a nurse, and I promise their livers will fail, too ;)

 

[Chinaski]

A NY trauma surgeon stabbed himself in his kitchen a couple years ago.

In the heart. I suppose if you know where to aim and have the courage of your convictions this method would be at least fast.

But wouldn't recommend for an amateur

I bet his wife was very grateful for that inquest verdict.

 

[gingerplum]

I'd imagine there's strict controls though even for them...so that explains the odd non-drug related methods you mention, the hangings, etc.

Guess it feels nice to know not access to a job doesn't always guarantee access to "the goods" easily, in any occupation.

Doctors should be pretty smart at knowing what will and what won't finish them off, and the pain if any, the length of time, all that medical knowledge.

Those long shifts must push them to, me thinks :/

There are really strict controls in place, however, they're all well-connected and sympathetic to each other. So, they have a community of peers and associates that they can get to write scripts for them.

The notable exception is anesthesiology. Those guys have complete control of who gets how much, and how it gets documented. Very easy for them to pilfer and divert drugs like Fentanyl.

 

[Shewaitsforme]

Even when i had access to all sorts on the ambulance and medication in peoples homes i would never do that because of the affter effects. Yes id be gone but is will effect those left behind i.e even tighter controls on drugs and how they are stored making it difficult for those wanting to do their jobs even some drugs being taken off the ambo because they are too high risk for suicidal people to be around. My bosses were informed i was sectioned after snorting ketamine and had suicidal ideation. 5 months down the line they are keeping me on sick untill they dicide im nkt a risk to the trust, wont take medication off the ambulance or steal it from patients. Imagine if for instance cardiac drugs, insulin had ti be taken off, it woukd lead to delayed treatment for those who need it and has in some cases led to their death because the right drug was on the way. When someone is in extreme pain and im there for 45minutes sometimes more because i have to wait for a paramedic to come with the morphine its hearbreaking. I would think that in some instances thats a reason why they choose to hang instead of raid the medication, i know i would.

Although i plan to CTB i want my death to have as little impact on others who have done no harm to me.

 

[gingerplum]

A NY trauma surgeon stabbed himself in his kitchen a couple years ago.

In the heart. I suppose if you know where to aim and have the courage of your convictions this method would be at least fast.

But wouldn't recommend for an amateur

Omfg. I had to look this up, that is unbelievable! Maybe he gave himself a local anaesthetic first? Still, the fortitude of pushing a knife or a scalpel thru your own chest, the skin, the fascia, the intercostal muscles (between your ribs)... holy fuckballs, that is bananas.

 

[gingerplum]

Even when i had access to all sorts on the ambulance and medication in peoples homes i would never do that because of the affter effects. Yes id be gone but is will effect those left behind i.e even tighter controls on drugs and how they are stored making it difficult for those wanting to do their jobs even some drugs being taken off the ambo because they are too high risk for suicidal people to be around. My bosses were informed i was sectioned after snorting ketamine and had suicidal ideation. 5 months down the line they are keeping me on sick untill they dicide im nkt a risk to the trust, wont take medication off the ambulance or steal it from patients. Imagine if for instance cardiac drugs, insulin had ti be taken off, it woukd lead to delayed treatment for those who need it and has in some cases led to their death because the right drug was on the way. When someone is in extreme pain and im there for 45minutes sometimes more because i have to wait for a paramedic to come with the morphine its hearbreaking. I would think that in some instances thats a reason why they choose to hang instead of raid the medication, i know i would.

Although i plan to CTB i want my death to have as little impact on others who have done no harm to me.

That is very admirable, and incredibly selfless.

 

[Smilla]

Omfg. I had to look this up, that is unbelievable! Maybe he gave himself a local anaesthetic first? Still, the fortitude of pushing a knife or a scalpel thru your own chest, the skin, the fascia, the intercostal muscles (between your ribs)... holy fuckballs, that is bananas.

Do you think it was quick?

Sad story, he was found by his daughter with a large kitchen knife in his chest.

I hope he was dead when found and not struggling for air.

 

[Shewaitsforme]

That is very admirable, and incredibly selfless.

Thankyou. I did have to tell them where i got the ketamine because they thought id stolen if from a patient and they asked me if ive ever taken medication off the ambulance. I guess if they ever let me back (ill have CTB by then anyway) id be restricted to what vehicle im on, what patients id get sent to and in some cases searched after a shift. I also have to agree that if i did cone back id have random drug tests and evaluation by the occupational health team.

 

[gingerplum]

Thankyou. I did have to tell them where i got the ketamine because they thought id stolen if from a patient and they asked me if ive ever taken medication off the ambulance. I guess if they ever let me back (ill have CTB by then anyway) id be restricted to what vehicle im on, what patients id get sent to and in some cases searched after a shift. I also have to agree that if i did cone back id have random drug tests and evaluation by the occupational health team.

That sucks, but believe me when I tell you the consequences would be much, much worse in the US.

 

[Anima]

Not really representative but anyways

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2556768/

There are really strict controls in place, however, they're all well-connected and sympathetic to each other. So, they have a community of peers and associates that they can get to write scripts for them.

The notable exception is anesthesiology. Those guys have complete control of who gets how much, and how it gets documented. Very easy for them to pilfer and divert drugs like Fentanyl.

Yeah this is true. I think the suicide rates amongst people in the field of anaesthesiology are quite high. A doc once told be that many of his colleagues have committed suicide.

 

[gingerplum]

Not really representative but anyways

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2556768/

Yeah this is true. I think the suicide rates amongst people in the field of anaesthesiology are quite high. A doc once told be that many of his colleagues have committed suicide.

Good article. Note the key is "delay to therapy". Like any OD, the goal should be to not be discovered.

 

[About_to_Go]

Not at all inappropriate, and honestly, please don't even think about trying to OD on non-prescription drugs. Chances are good you'll fry your liver and die in agony a week later in an ICU.

Nope the fuck away from OTC drugs.

What do you think of od'ing on promethazine? According to the overdose thread it's peaceful and an OTC drug in Canada.

 

[Anima]

Good article. Note the key is "delay to therapy". Like any OD, the goal should be to not be discovered.

Doesn't this also go hand in hand with a lot of suffering? I have heard a lot of different stories about insulin. I know of two people who succeeded, but I don't know how the process of dying was like.

 

[Anima]

What do you think of od'ing on promethazine? According to the overdose thread it's peaceful and an OTC drug in Canada.

I don't know. Tried it, but still here.

 

[gingerplum]

Doesn't this also go hand in hand with a lot of suffering? I have heard a lot of different stories about insulin. I know of two people who succeeded, but I don't know how the process of dying was like.

I have seen a couple of people in severe hypoglycemia; they were confused and disoriented, but one was interacting and still somewhat conversant with a blood glucose of 26.

So. If you use a rapid acting insulin, it's going to cause pretty rapid unconsciousness. IV would be better than SQ, but either would work. There might be some nausea and diphoresis (sweating), but I think you'd gray out pretty quickly.