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Analysis of a helium death

For general information:
Asphyxial Suicide by Inhalation of Helium Inside a Plastic Bag.

Case Report
American Journal of Forensic Medicine & Pathology. 28(4):364-367,
December 2007.
Schon, Corinna Ariane MD; Ketterer, Thomas MD

Abstract: Asphyxial suicide by placing a plastic bag over the head, especially in
combination with inhalation of gases, is a rarely described method of committing suicide. This article reports a case of suicidal asphyxiation by inhaling the inert gas helium inside a plastic bag. A 64-year-old man probably followed the instructions described in an article about committing suicide written by a medical practitioner from Zurich. This form of suicide is recommended by right-to-die groups and in the internet as a certain, fast, and painless suicide method. Additionally, it leaves only seldom externally visible marks or pathomorphological
findings on the body. If the plastic bag and other auxiliary means are
removed by another person, the forensic death investigation of cause and
manner of death may be very difficult. Therefore, the death scene
investigation and the inquiry ordered in the environment of the deceased
are very important.

NB This method is described, with illustrations, in the book ‘Final Exit’
which can be bought in hard copy, DVD or download at
www.finalexit.org/ergo-store

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PLEASE NOTE THAT THIS ARTICLE IS 10 YEARS OLD. MUCH PROGRESS HAS BEEN MADE SINCE. FOR AN
UPDATE GO TO THE ERGO BOOKSTORE AND SEE the Ebook “Final Exit 2020”

https://www.finalexit.org/ergo-store

The Vancouver Sun reported on 8 Dec 2007 that the helium in an ‘exit bag’ is new choice for assisted suicide for patients who are dying or suffering from an end-stage incurable illness.

Criminologist Russel Ogden said that at least 19 people
in B.C. have committed suicide by using helium since 1999, according to
statistics compiled for him by the Coroner’s Service of B.C.

Ogden acknowledged that he has no way of knowing whether these people
committed suicide because they had a terminal or progressively
debilitating illness — or because they were mentally ill.

But the figures, Ogden said, reflect a trend in the underground
right-to-die community — which he calls the “death counterculture” —
toward asphyxiation with helium for people ravaged by incurable suffering.

“What these B.C. statistics indicate is that a new method for suicide
has entered the public consciousness.”

Ogden said the technique of asphyxiation by helium inhalation first
gained public exposure in the assisted-suicide community with the
release in 2002 of the third edition of ‘Final Exit,‘ the landmark book
written by Hemlock Society founder Derek Humphry, a primer on suicide
and assisted suicide.

Information about the helium option has since been disseminated through
the Internet, including YouTube, and various handbooks, he added.

The helium method basically involves a person placing an “exit bag” over
his head with the helium entering the bag through a tube.

Helium is seen as a swift, highly lethal and painless way to die without
involving physicians or drugs. Helium is also nearly undetectable in
toxicological probes, which is important for people assisting a suicide
because of the potential of criminal charges.

Kwantlen criminologist Ogden said the 19 deaths recorded by the
Coroner’s Service under-represent the number of deaths in B.C. involving
helium.

“This is just the tip of the iceberg,” said Ogden, who has researched
the assisted-death movement for many years.

Ogden said the coroner’s service figures only involve cases where
equipment related to the use of helium was found.

The figures don’t include cases where death is assisted by activists who
remove all equipment or evidence so that the death is attributed to an
underlying illness or undetermined causes, Ogden said.

“I have data provided to me by activists in the right-to-die movement
between 1999 and 2002 on over 100 helium-related cases in North America
that were unreported in any forensic literature.”

Ogden said helium inhalation has become the preferred method among
activists in the Final Exit Network, an underground* U.S. group which
helps people kill themselves.

Final Exit is an offshoot* of the much larger Compassion and Choices,
which lobbies for political changes such as the Oregon model of
physician-assisted suicide for dying patients.

The best-known recent case of assisted suicide in B.C. involved Evelyn
Martens, a Vancouver Island grandmother and right-to-die activist, who
was charged with assisting two women to commit suicide.

One of the women, Monique Charest, a former nun, was found dead in her
Duncan apartment in 2002. Evidence at trial revealed that Charest used
the helium method to end her life.

Martens, who was an executive member of the Right to Die Network of
Canada and an agent for “Last Rights” Publications, was acquitted in 2004.

Ogden, who teaches a course at Kwantlen College called “Socio-legal Aspects of
Assisted Death,” said the emergence of new methods such as helium
inhalation don’t appear to spur any rise in the number of suicides.
“What we know is that when a new method is found, people simply change
their methods. The statistical incidence of suicide doesn’t increase.”

The emergence of helium as a method stems from Canadian and American
laws prohibiting assisted suicide — except in the state of Oregon.

“It certainly shows that necessity is the mother of all invention,” said
Ogden.
————————————————

ERGO-Store: http://www.finalexit.org/ergo-store
for ‘Final Exit’ paperback, DVD, or digital download.

Two Clarifications:
*The Final Exit Network is not an ‘underground’ organization as the above writer says. It is a fully registered group incorporated in Georgia IN 2003. It may not be known to everybody because it does its humanitarian work quietly and with respect. *Neither is it an offshoot of Compassion and Choices.
Visit its website at www.finalexitnetwork.org

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So many viewers of this blog have been asking about the shelf-life
of helium in small tanks. Here’s a compendium of the replies so far
received. The answer seems to be that provided that the taps are kept
tightly shut up until the moment of use, never tampered with, they can
be stored for many years, until rust sets in. – Derek Humphry

Helium shelf-life observations:

1. This is not scientific: I have had an 8.9 cu ft tank for the past
6-7 years which was used for many experiments. There is still some stuff
in it.
On the other hand, the previous tank was empty after six months.
possibly due to valve not shut sufficiently tight.
———Paul Zollmann, Canada

2. Helium is an element: it can’t “break down.” -But of
course it can leak. If one could be sure that the seal
were perfect so that not a single atom could escape it
would last until the tank became rusty and developed a
hole. The atoms of helium are so tiny, though, they
can pass through the microscopic pores of a latex balloon.
— Contributor

3. I will speak only to the “shelf life” of the gas itself. I sought
out and talked, independently, to the technical chief at two different
welding/gas supply companies here in Michigan.
The answer from both was that the gas would not break down or lose
its properties.

—-Bernie Klein, Ann Arbor, Mich.
——————————
Buy ERGO books/DVD/downloads on assisted suicide and self deliverance at
www.finalexit.org/ergo-store

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Shelf life of helium ?

If one purchases a helium pack for future rather than immediate use, I
should think it would be important to know what the shelf life of the
helium in the tanks is. Perhaps one would be advised instead to wait and
buy a pack when the need is more immediate.

However, with increasing awareness by merchants and do-gooder
government and anti-euthanasia enthusiasts, we should be concerned that
there will be a decreaSing market supply of helium in the fairly near
future.

With this thought in mind, it seems important to know the durability of
helium across time. An added factor here, besides possible breakdown of
the gas, is the factor of potential leakage from the cylinder. It isn’t
like pentobarbital that exists in a sealed vacumn. Information would be
appreciated.

———JM, Vernon, CT

Author of ‘Final Exit’ responds: We do not scientifically know the exact
shelf-life of helium within a ‘party balloon kit’. But as it is
obviously a toy, a plaything, likely to be used up pretty quickly, the
tanks are not built to high engineering standards. I would think that
stored for 2-3 years in a cool, dark place, not tampered with, they
would be all right. But perhaps some of the scientists and engineers on
this blog could speak more knowledgeably to this question? Please
do. — Derek Humphry
http:www.finalexit.org/ergo-store

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QUESTION: Following up on the recent post about using panettone bags, I remembered
that some time ago there was discussion about which kind of helium tank
to buy; one was not advised due to a problem in the delivery, whereas
the other was all right.

Would someone kindly remind me how to identify the satisfactory one (I
think the color of the tanks were different…?)
C.H., New York

ANSWER: The tanks NOT advised to use were — and are — colored purple and made
in China. Not big enough and unreliable contents. I will not name the
satisfactory tanks because the manufacturers don’t like that. They are
quite tolerant provided we don’t use their names.

If a person is looking for tanks, it is best to call ahead to the stores
and ask if they have ‘party balloon kits’ in stock. They do not carry
big stocks of this bulky item, and at this time of year they can
be out of inventory for a few days. Two kits will go in one supermarket basket.

Full explanation and illustrations about how to use the helium hood method for
self-deliverance from a terminal or hopeless illness are contained in ‘Final Exit’
paperback, 3rd edition, but not in earlier editions.

—–Derek Humphry, Oregon

ERGO Bookstore: www.finalexit.org/ergo-store

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Shirley Carroll O'Connor, who was the very first person
to join the Hemlock Society when it was formed on
12 August 1980, has just celebrated her 90th birthday.
She is still a volunteer worker for Compassion and Choices.

Last week a prominent Canadian television company showed a program on the Dignitas organization in Switzerland. As this station also reaches many viewers in the USA, it has aroused a lot of interest and inquiries, so we are repeating this informational message about Dignitas.

PHYSICIAN-ASSISTED SUICIDE FOR THE TERMINALLY OR
HOPELESSLY ILL, COMPETENT, ADULT PERSON IN SWITZERLAND


Physician-assisted suicide is legal in the Netherlands, Belgium, Switzerland and Oregon, USA. But, except for Switzerland, the law confines the procedure to
residents only, and under strict conditions. Switzerland alone allows foreigners to come for hastened death, provided it is altruistic, not profit-making or ill-intentioned.
Two right-to-die organizations (both called EXIT) in Switzerland help only their own members to die, but DIGNITAS will help foreign visitors to die in cases which they feel justified because of the suffering. The person must be a competent adult.
The Dignitas clinic is in Forch, near Zürich, Switzerland, and therefore operates under Swiss law, which, since l940, has permitted assisted suicide, with or without a doctor. ‘Assisted suicide’ in this instance means drinking a lethal overdose provided by Dignitas. Euthanasia (direct lethal injection) is illegal and not done. Swiss authorities are informed of all deaths.
There are fees to be paid for documentation, registrations, certificates, etc. A death arranged through Dignitas costs 3,500 Euros (about £2,450 pounds sterling, or 4,240 US dollars), which includes all the administration fees and payment to the collaborators. Traveling expenses to Switzerland are extra, but only a one-way ticket is required. Members also pay a modest annual subscription.

In certain cases, after considerable investigation, DIGNITAS will help an adult with long-time, severe, incurable mental illness to die.

How to contact Dignitas in Switzerland: they must be fully informed in advance of a person’s wishes, circumstances, medical condition, see the medical records, and agree to help. It is not a ‘walk-in’ clinic.

Email: dignitas@dignitas.ch Web: www.dignitas.ch
Mailing address:-
Postfach 9 – CH 8127 Forch, Switzerland
Telefon: +41-44-980 44 59
Contact person is : Ludwig A Minelli, attorney. (Speaks English)
This is an informational message (November 25, 2007) from ERGO at www.finalexit.org


It might be wise, if a person is contemplating using the ‘helium hood method’ for self-deliverance from an unbearable terminal illness one day in the future, to purchase two tanks now.

Helium is becoming in short supply, partly because of increased worldwide demand, and its more frequent use by industry. For example, I am told that with the spread of medical MRI machines, the electromagnets need to be super-cooled in order to increase the conductivity of the wires in the magnets, so that huge magnetic fields can be developed. The way they do this is to deliver liquid helium (extremely cold) to the magnets, and as it ‘boils off’ it provides cooling, but the helium is lost. (Grateful to Jerry Metz for this explanation,)

As with anything that is in short supply, the cost goes up. Same with the price of helium. Stock up.

Do not ask the sales assistant for ‘helium, please.’ Advisable to ask for a ‘children’s party balloon kit’. Stores do not carry huge supplies, so it might be out of stock at the moment you inquire. Try again.

Best to get two tanks of helium from your local toy store, or party store, now. Store them in a secure place where they cannot be tampered with. Such tanks — being children’s toys — are not built to high engineering standards, but they should last 2-3 years.

Helium is extracted from wells in the earth, and there are plans to greatly increase production, so this shortage problem may go away in a few years.

Stay well! — Derek Humphry, Oregon, USA 11/20/07 E R G O
_______________________________________________

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Karen Stern’s Final Exit
October 29, 2007, Kingman, Arizona

By Richard N. Côté / dickcote at earthlink.net

Karen Stern, a vivacious 53-year-old,
guitar-playing singer and writer of loopy,
infectiously funny songs, died on the morning of
October 29, 2007, in a motel in Kingman, Arizona.

She had informed the front desk clerk about 7:00
a.m. that she would be checking out that day.
When she had not done so by 11:00 a.m., a motel
staff member went to her room.  Karen was found
in her bed, neatly dressed, with an empty tank of
helium gas nearby. She had committed suicide in a
gentle, painless way by breathing pure helium,
which rendered her unconscious within a minute or
two and dead within five or ten minutes. The
hotel immediately called 911, but the paramedics could do nothing to help her.

A native of the Northeast, she had chosen
Kingman, Arizona, as one of her temporary
sanctuaries in the last several years. Its dry
climate offered some relief from the severe
effects of the two baffling and exhausting
afflictions from which she had suffered for many
years: Morgellons Syndrome and Chronic Fatigue
and Immune Dysfunction Syndrome (CFIDS).

According to the CFIDS Association
(www.cfids.org), “Chronic fatigue and immune
dysfunction syndrome, also known as chronic
fatigue syndrome (CFS), myalgic encephalomyelitis
(ME) and by other names, is a complex and
debilitating chronic illness that affects the brain and multiple body systems.”

Morgellons Syndrome is equally baffling to
science. The Morgellons Research Foundation
(www.morgellons.org) found that although some
patients did find physicians willing to help
them, “many patients reported feeling abandoned
by physicians unwilling to investigate their
illness. These patients tried valiantly to find a
modicum of relief in the face of an otherwise
ineffective medical system.” Karen, who spent
years intensively researching her ailments,  was one of those patients.

Numerous doctors could not alleviate the
increasingly tortured existence she had lived for
the past several years. As her conditions
worsened, and life became progressively more
unbearable, Karen consulted numerous experts on
the subject of suicide, and had received
extensive advice on how to find the strength to
live, as well as how to put an end to her pain
peacefully, should she choose to do so. She spent
an enormous amount of time conducting research on
how to achieve a rapid, painless death.
Ultimately, she chose the helium method because
it was recommended in the world’s best-selling
suicide how-to book, Final Exit, by Derek
Humphry, and because the supplies could all be
obtained locally, legally, and without having to involve anyone else.

It has always been tacitly assumed in the Netherlands that old people and/or severely ill people could only expedite their own death with the assistance of a physician. (In 2002 the Dutch passed laws permitted voluntary euthanasia and physician-assisted suicide.)

Recently, however, psychiatrist Boudewijn Chabot defended his Ph.D. thesis “Auto-Euthanasia “ in which he calculates that in the Netherlands over 4,000 people take matters in their own hands in order to die.

And die at home, peacefully, with dignity, interacting with trusted individuals but without active involvement of a physician.The methods used are desisting of food and fluids or taking an overdose of medicine. For comparison: in 2006 less than 2000 instances of doctor-assisted euthanasia were reported.

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