''Final Exit: The Practicalities of Self-Deliverance and Assisted Suicide for the Dying,'' often shortened to just ''Final Exit'', is a 1991 book written by
Derek Humphry
Derek Humphry (born 29 April 1930) is a British-born American journalist and author notable as a proponent of legal assisted suicide and the right to die. In 1980, he co-founded the Hemlock Society and, in 2004, after that organization disso ...
, a
British
British may refer to:
Peoples, culture, and language
* British people, nationals or natives of the United Kingdom, British Overseas Territories, and Crown Dependencies.
** Britishness, the British identity and common culture
* British English ...
-born
American
American(s) may refer to:
* American, something of, from, or related to the United States of America, commonly known as the " United States" or "America"
** Americans, citizens and nationals of the United States of America
** American ancestry, ...
journalist
A journalist is an individual that collects/gathers information in form of text, audio, or pictures, processes them into a news-worthy form, and disseminates it to the public. The act or process mainly done by the journalist is called journalism ...
,
author
An author is the writer of a book, article, play, mostly written work. A broader definition of the word "author" states:
"''An author is "the person who originated or gave existence to anything" and whose authorship determines responsibility f ...
, and
assisted suicide
Assisted suicide is suicide undertaken with the aid of another person. The term usually refers to physician-assisted suicide (PAS), which is suicide that is assisted by a physician or other healthcare provider. Once it is determined that the p ...
advocate who co-founded the now-defunct
Hemlock Society
The Hemlock Society (sometimes called Hemlock Society USA) was an American right-to-die and assisted suicide advocacy organization which existed from 1980 to 2003. It was co-founded in Santa Monica, California by British author and activist ...
in 1980 and co-founded the
Final Exit Network
Final Exit Network, Inc. (FEN) is an American 501(c)(3) nonprofit right to die advocacy group incorporated under Florida law. It holds that mentally competent adults who suffer from terminal illnesses, intractable pain, or irreversible physi ...
in 2004. The book was first published in 1991 by the Hemlock Society US in hardback. The following year, its 2nd edition was published by Dell in trade paperback. The current updated edition was published in 2010.
The book, often described as a "
suicide
Suicide is the act of intentionally causing one's own death. Mental disorders (including depression, bipolar disorder, schizophrenia, personality disorders, anxiety disorders), physical disorders (such as chronic fatigue syndrome), and ...
manual", describes the means that the
terminally ill
Terminal illness or end-stage disease is a disease that cannot be cured or adequately treated and is expected to result in the death of the patient. This term is more commonly used for progressive diseases such as cancer, dementia or advanced he ...
may use to end their lives. The book further outlines relevant
laws
Law is a set of rules that are created and are enforceable by social or governmental institutions to regulate behavior,Robertson, ''Crimes against humanity'', 90. with its precise definition a matter of longstanding debate. It has been vario ...
, techniques, and
living wills
An advance healthcare directive, also known as living will, personal directive, advance directive, medical directive or advance decision, is a legal document in which a person specifies what actions should be taken for their health if they are no ...
. ''Final Exit'' was perceived as controversial, and the book drove debate regarding the
right to die
The right to die is a concept based on the opinion that human beings are entitled to end their life or undergo voluntary euthanasia. Possession of this right is often understood that a person with a terminal illness, incurable pain, or without ...
. Another concern was that people who were
mentally ill
A mental disorder, also referred to as a mental illness or psychiatric disorder, is a behavioral or mental pattern that causes significant distress or impairment of personal functioning. Such features may be persistent, relapsing and remitt ...
could use the information found in the book to end their lives. Despite the controversy, ''Final Exit'' reached #1 on
''The New York Times'' Best Seller list in August 1991.
Final Exit Network
Final Exit Network, Inc. (FEN) is an American 501(c)(3) nonprofit right to die advocacy group incorporated under Florida law. It holds that mentally competent adults who suffer from terminal illnesses, intractable pain, or irreversible physi ...
claims that approximately 750,000 copies have been sold in the United States and Canada and approximately 500,000 elsewhere. The book is banned in
France
France (), officially the French Republic ( ), is a country primarily located in Western Europe. It also comprises of overseas regions and territories in the Americas and the Atlantic, Pacific and Indian Oceans. Its metropolitan ar ...
. ''Final Exit'' is Derek Humphry's third book on the subject of self-euthanasia; it was preceded by ''
Jean's Way
''Jean's Way'' (originally subtitled ''A Love Story''), a book by Derek Humphry, is an account of Humphry's terminally ill wife's planned suicide from suffering. The book is his first on the issue of voluntary euthanasia and assisted suicide.
Ov ...
'' (1978) and ''The Right to Die: Understanding Euthanasia'' (1986).
Success of the book
In 1991, ''Final Exit'' spent 18 weeks on ''
The New York Times
''The New York Times'' (''the Times'', ''NYT'', or the Gray Lady) is a daily newspaper based in New York City with a worldwide readership reported in 2020 to comprise a declining 840,000 paid print subscribers, and a growing 6 million paid ...
'' non-fiction
Best Seller list, it reached #1 in August and was selected by ''
USA Today
''USA Today'' (stylized in all uppercase) is an American daily middle-market newspaper and news broadcasting company. Founded by Al Neuharth on September 15, 1982, the newspaper operates from Gannett's corporate headquarters in Tysons, Virg ...
'' in 2007 as one of the 25 most influential books of the quarter century.
It has been translated into 12 languages. The original
English language
English is a West Germanic language of the Indo-European language family, with its earliest forms spoken by the inhabitants of early medieval England. It is named after the Angles, one of the ancient Germanic peoples that migrated to t ...
version is in its third edition.
In 2000, Derek Humphry recorded a
VHS video version of the information in the book; a
DVD
The DVD (common abbreviation for Digital Video Disc or Digital Versatile Disc) is a digital optical disc data storage format. It was invented and developed in 1995 and first released on November 1, 1996, in Japan. The medium can store any kin ...
version and a
Kindle
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* Amazon Kindle, an e-reader line by Amazon.com
** Kindle Direct Publishing, an e-book publishing platform by Amazon
** Kindle Store, an online e-book e-commerce store by Amazon
* Kindle Banking Systems, ...
version were released in 2006 and 2011, respectively. A 4th edition, 'Final Exit 2020' has been released as an Ebook.
The ethicist
Peter Singer
Peter Albert David Singer (born 6 July 1946) is an Australian moral philosopher, currently the Ira W. DeCamp Professor of Bioethics at Princeton University. He specialises in applied ethics and approaches ethical issues from a secular, ...
included it on a list of his top ten books in ''
The Guardian
''The Guardian'' is a British daily newspaper
A newspaper is a periodical publication containing written information about current events and is often typed in black ink with a white or gray background.
Newspapers can cover a wide ...
''.
Reception
''Final Exit'' has been a frequent target of censors; the novel appears on the
American Library Association
The American Library Association (ALA) is a nonprofit organization based in the United States that promotes libraries and library education internationally. It is the oldest and largest library association in the world, with 49,727 members ...
list of the 100 Most
Frequently Challenged Books of 1990–1999 at number 29.
See also
*
Euthanasia device
A euthanasia device is a machine engineered to allow an individual to die quickly with minimal pain. The most common devices are those designed to help terminally ill people die by voluntary euthanasia or assisted suicide without prolonged pain. ...
*
Final Exit Network
Final Exit Network, Inc. (FEN) is an American 501(c)(3) nonprofit right to die advocacy group incorporated under Florida law. It holds that mentally competent adults who suffer from terminal illnesses, intractable pain, or irreversible physi ...
*
Suicide
Suicide is the act of intentionally causing one's own death. Mental disorders (including depression, bipolar disorder, schizophrenia, personality disorders, anxiety disorders), physical disorders (such as chronic fatigue syndrome), and ...
*
Suicide methods
* ''
The Complete Manual of Suicide
is a Japanese book written by Wataru Tsurumi. He is the writer on the problem of "hardness of living" in Japanese society.
It was first published on July 4, 1993, and sold more than one million copies. In the postscript the author says: ”To t ...
'' by Wataru Tsurumi
* ''
The Peaceful Pill Handbook
''The Peaceful Pill Handbook'' is a book setting out information on assisted suicide and voluntary euthanasia. Written by the Australian doctor Philip Nitschke and lawyer Fiona Stewart, it was originally published in the U.S. in 2006. A Ger ...
'' by
Philip Nitschke
Philip Haig Nitschke (; born 8 August 1947) is an Australian humanist, author, former physician, and founder and director of the pro-euthanasia group Exit International. He campaigned successfully to have a legal euthanasia law passed in Austr ...
References
* The archives of the Hemlock Society and Derek Humphry are at the Allen Library, University of Washington, Seattle, WA
Bibliography
* Docker, Chris "Five Last Acts II and The Exit Path"
* Humphry, Derek (1991). ''Final Exit: The Practicalities of Self-Deliverance and Assisted Suicide for the Dying''. .
* Humphry, Derek (2000). ''Supplement to Final Exit''.
* Humphry, Derek (2002). ''Final Exit: The Practicalities of Self-Deliverance and Assisted Suicide for the Dying'', 3rd edition. . Delta Trade Paperback. Revised and updated.
* Humphry, Derek (2002). ''Let Me Die Before I Wake & Supplement to Final Exit''.
* Humphry, Derek (2008) ''Good Life, Good Death: Memoir of an investigative reporter and pro-choice advocate''. Hardcopy and eBook.
*
* Sutherland, John (2008) ''Curiosities of Literature''
External links
* {{Official website, http://www.finalexit.org/
1992 non-fiction books
Books about suicide
Euthanasia