Justice is treating individuals fairly. This principle impacts the clinical response to all suicidal individuals. It calls for respect, dignity, and choice. The last often takes precedence. This duty sanctifies choice.
Suicide is the outcome of psychological debilitation.
Extending autonomy to those so afflicted facilitates suicide. Respect for the individual is better served by recognizing their vulnerability. Clinicians with strong views about suicide should disclose them or refer the client elsewhere. This presents many dilemmas. Suicidality and secrecy are a fatal combination.