To the Editor: We believe that Jureidini1 challenges one of the fundamental ethical principles of medicine; namely, a doctor's duty to relieve suffering whenever possible. While we willingly accept this principle when dealing with physical pain, why should it be called into question when dealing with mental suffering? For young people and families directly affected by suicidal behaviour, social isolation, exclusion from education and employment, and worsening mental and physical health, a staged approach to intervention is entirely appropriate.2
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