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The Peaceful Pill Handbook

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The Peaceful Pill Handbook is the controversial, ground-breaking new book from Australian end-of-life physician Dr Philip Nitschke. The Peaceful Pill Handbook for the first time offers a comparative analysis of end of life approaches comparing the peacefulness and reliability of methods such as the purchase of Pentobartibal Sodium (Nembutal) in Mexico, the manufacture of the homemade Peaceful Pill, the use of Helium and Exit bag, the prescription drug Propoxyphene, and the Swiss option offered by the Dignitas service in Zurich. Currently subject to a censorship hearing in Australia and New Zealand, The Peaceful Pill Handbook offers a succinct, scientifically-grounded guide to end-of-life options, voluntary euthanasia and assisted suicide.

211 pages, Paperback

Published July 17, 2016

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About the author

Philip Nitschke

13 books12 followers
Philip Nitschke is an Australian humanist, author, former physician, and founder and director of the pro-euthanasia group Exit International.
https://en.wikipedia.org/wiki/Philip_...

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Displaying 1 - 23 of 23 reviews
Profile Image for KamRun .
398 reviews1,623 followers
April 5, 2019
شامل محتوا با محدودیت سنی

راهنمای گام به گام مرگ آسان (به‌مرگی)

فاز یک
آیا اطلاع دارید که در صورت طی مراحل و رسیدن به مرحله‌ی پایانی و کلیک روی "بله" دوز کشنده‌ی دارو وارد بدن شما می‌شود؟
فاز دو
آیا اطلاع دارید در صورتی که روی گزینه‌ی "بله" کلیک کنید، خواهید مرد؟
فاز نهایی
در طی 15 ثانیه‌ی آینده دارو وارد خون شما خواهد شد

این‌ها سوالاتی‌ست که پیش از آخرین کلیک و تکمیل مراحل نهایی و ورود سم به بدن متقاضی اتانازی فعال توسط "ماشین رهایی" از او پرسیده می‌شود. چون امکان استفاده از این دستگاه برای متقاضیان اتانازی در بسیاری از کشورها وجود ندارد، دکتر فیلیپ نیچک، بنیانگذار موسسه خروج آسان، این راهنمای گام‌به‌گام مرگ آسان را نوشته تا به‌مرگی توسط خود شخص قابل اجرا باشد
کتاب در زمان نشر، جنجال‌های زیادی به پا کرد. قانون حتی در کشورهایی که حق مردن را به رسمیت شناخته‌اند برای دسترسی عموم به این کتاب محدودیت قائل شده است. علاوه بر این، برای دسترسی قانونی به کتاب محدودیت سنی وجود دارد

درباره‌ کتاب

نویسنده در ابتدا با ذکر مثال‌هایی از اتانازی‌های قانونی، مقدمه‌ای کوتاه نوشته و اشاره‌ای به دلایل مبادرت به این امر از سوی افراد گوناگون نموده و پس از آن بر مبنای خروجی تست آر. پی و بدست آوردن "ضریب قابلیت اطمینان و آرامش"، با استفاده از پارامتر‌هایی مانند در دسترس بودن،غیرقابل کشف بودن، سرعت مرگ، حفظ امنیت دیگران و... به پیشنهاد روش‌های گوناگون و توضیحات گام‌به‌گام می‌پردازد. در هر فصل به نکات ایمنی لازم جهت حفظ سلامت اطرافیان و همچنین تکمیل کامل پروسه‌ی به‌مرگی اشاره‌هایی شده. روش‌هایی ارائه شده در کتاب، همان روش‌های شناخته شده‌ی مرسوم از قبیل استفاده از داروها، سموم و گازهاست اما به شیوه‌ای علمی و دقیق. در هر فصل دقیقا توضیح داده می‌شود که شیوه و علت مرگ چگونه است.
فصل پایانی کتاب جمع‌بندی نهایی درباره‌ی تصمیم متقاضی است. ...نویسنده تذکر می‌دهد که تنها ده درصد از کسانی که به زندگی خود پایان می‌دهند دلایل منطقی و تصمیم عقلانی‌ای گرفته‌اند و باقی افراد تحت تاثیر عوامل خارجی یا بحران‌های گذرا دست به این اقدام زنده‌اند. بنابرگفته‌ی نویسنده، این کتاب تنها برای این گروه نخست نوشته شده و باقی افراد باید به درمان‌های کلینیکال روانی یا کمک‌های اجتماعی روی بیاورند و به زندگی ادامه دهند. پس از اتمام حجتی کوتاه، اقدامات تکمیلی مرتبط با مرگ فرد همراه با توضیحاتی اندک نوشته شده؛ مواردی نظیر وصیت‌نامه، نامه‌ی آخر و توضیح به بازماندگان نزدیک و مواردی از این قبیل

جایگزین آزمایشی اتانازی

هرچند فلسفه‌ی اتانازی در پرتوی به رسمیت شناختن حق مرگ، انتخاب زمان مردن و شیوه‌ی مرگ و شرافت انسان رو به موت است، اما شیوه‌های دیگری می‌تواند جایگزین مرگ زودرس شود. یکی از این شیوه‌ها که هنوز در مرحله‌ی آزمایش است و علاوه بر بیماری‌های پردرد، پاسخگوی افسردگی‌های ماژور مقاوم به درمان هم هست، تجویز کنترل شده‌ی سیلوسایبین همراه با مانیتورینگ دقیق بیمار است. مطالعات نشان‌دهنده‌ی این موضوع است که سیلوسایبین در آینده‌ای نه چندان دور نقش مهمی در کنترل و حتی درمان افسردگی و بهبود کیفیت زندگی بیماران رو به مرگ مقاله‌ای عمومی در این مورد را می‌توانید از اینجا بخوانید. مقاله‌ی تخصصی محقق برجسته، دکتر گراب را اینجا بخوانید


زنگ خطر

نکته‌ی قابل توجه که باعث شد این کتاب را بخوانم، جستجوی بالای فارسی زبان‌ها از عنوان فارسی کتابی که به فارسی ترجمه نشده در گوگل بود، طوری که با تایپ یک کلمه از عنوان کتاب، نام کتاب توسط سیستم هوشمند گوگل به فرد پیشنهاد می‌شود، در صورتی که فلسفه‌ی اتانازی و چرایی نگارش این کتاب چیز دیگری‌ست و مخاطبین این کتاب هم عموما افراد دیگری هستند. این زنگ خطری‌ برای جامعه، بخصوص برای افراد و نهادهای مسئول در این حوزه‌ست، ناقوسی که آمار رو به افزایش هم آن‌ را تایید می‌کند

کتاب‌های مرتبط
خروج نهایی: راهنمای به‌مرگی
اتانازی: به‌مرگی و چالش‌های آن
Profile Image for Bayandur.
61 reviews40 followers
Currently reading
May 13, 2012
I started reading "The Peaceful Pill Handbook" by Philip Nitschke and Fiona Stewart. And had issues right from the introduction.
Not only I'm against physician-assisted suicide (in terms of medical oaths and the impact on the doctor's psychology such a practice would have, and his ability to carry out his normal duties afterwards), I didn't like the idea of restricting the option of dying with dignity only to terminal ill people.
I believe the right to live and the right to die are inseparable and given to all the people.
Profile Image for Mehrdad Mb.
61 reviews11 followers
November 8, 2018
بعضی از آدما تو زندگیشون به جایی میرسن که راه چاره رو تو خودکشی و مردن میدونن
یه عده افکارشو دارن ، عده دیگه تجربه ناموفقشو و یه عده هم موفق میشن
برای خود من این قضیه با مسائل خیلی پیچیده ای گره خورده
کتاب یه راهنمای خوبه واسه کسایی که به هر دلیلی میخوان به زندگیشون خاتمه بدن
هر چند بیشتر مخاطبش بیمارای صعب العلاجیه که به دلیل بیماریشون از زندگی بریدن
کتاب با مقایسه روشهای خودکشی و بررسی اونا از تمامی زوایا سعی میکنه نسخه ای رو ارایه بده که واسه هر شخصی بهترین روشه
اطلاعات کتاب بیشتر روشهای علمی میشه و سعی داره کمترین درصد خطا رو در روشهاش به بیمارارایه بده

کتاب میتونه واسه بعضی از افراد خطرناک باشه مخصوصا اینکه نسخه انگلیسیش به راحتی تو سطح وب موجوده
ولی با این اوصاف به نظرم اصلا تحریک کننده نیست
ولی کلا امیدوارم نخونینش
4 reviews1 follower
January 1, 2014
An informative book aimed almost exclusively at the terminally ill although does include the elderly wishing to end their lives with dignity. My only gripe was that it only really covers medicine which is out of reach for most people. It should have included heroin overdose which is far easier to get hold of. Another book which covers a wider range of methods would be final exit.
Profile Image for Edgar.
83 reviews
Read
August 15, 2022
I have certainly no objections in principle to a book like this being available. I believe that old people, whether in pain or not, have a right to end their life at their choosing. It’s amazing, thanks to improved medical care and a healthier diet and lifestyle, that longevity is now what it is. The corollary is that the quality of life deteriorates as one gets older and one needs more care and medical attention. I know of some elderly people who have become a small industry because of all the assistance they require. The care industry will continue to grow and woe betide any politician who says enough is enough for that sector. For me, I hope never to see the inside of an old person’s care home – a fate worse than death, which is why I would choose the latter.
This book, revised yearly, offers alternative ways to end one’s life. But as some reviewers have noted, the drug of choice to achieve this, Nembutal, is very difficult to obtain. The authors claim that it is not available online, and that all the online ads are scams. Maybe amidst the scams there are a couple that are legitimate suppliers. And I notice that, even amongst the Goodread reviews for this book there is a scammer – David Reese. He even tries to connect Philip Nitschke with the scam. (Nitschke himself in his book says this is happening). There is a link in this scam to an online pharmacy – which even has favourable reviews from returning customers !!! I flagged this ‘review’ by David Reese as spam. But since it is dated very recently, it’s likely that has been removed before and keeps reappearing. Anyway flag it if you see it!
Nembutal is produced in its powder form in China and I’m sure this product is available somewhere online, and certainly within some SE Asia countries. The book mentions Thailand where Nembutal is sometimes available. Chinese suppliers would have no scruples marketing this product to wherever they think there is demand.
I was interested to read in the book about the Swiss euthanasia option, which is linked to Nitschke's organisation, Exit International. You can go to a euthanasia clinic in Switzerland and for EUR10,000 have the job done. All perfectly legal. In Switzerland - have money will travel !
Finally. as another reviewer mentions, ‘ Final Exit’ by Derek Humphry is another book worth looking at.
Profile Image for Allyn Nichols.
374 reviews7 followers
April 14, 2018
Highly informative about end of life choices for the elderly and those who are seriously ill. This isn't a book for sufferers of depression and as the book explains Help is out there. This is a guide to empowerment and knowledge for it and when it is strictly necessary. If you feel or suffer from depression or mental health issues PLEASE seek help rather than an exit strategy. I have found this book extremely helpful in more ways than one. Knowledge is power, hoping or trying for a way out blindly is destined to fail and most likely lead to more illness, pain, suffering and most of all failure. I personally do not advise taking any measures toward ending your life. Help is out there. Just ask for it.
Profile Image for Melissa McCraw-Hummer.
48 reviews4 followers
November 11, 2017
5 stars for being super thorough and informative. -2 stars because of how dangerous this book is, especially in the hands of someone who, like myself, isn't old or terminally ill.
Profile Image for K.
85 reviews247 followers
June 18, 2022
it really shows the state of my mental health. don’t read this unless u wanna know how to d word. v informative. not good. questioning life.
Profile Image for Jodell .
1,579 reviews
August 20, 2016
I believe in this right to die with dignity and how you want. The book did not tell me any thing I didn't already know.
2 reviews
August 14, 2021
Most of information are old
The book also gives high rate to morphine way while morphine not peaceful anyway because I used a lethal dose by mistake before and it was not easy
Profile Image for Sophie Chan.
6 reviews
November 19, 2025
Content is mostly useful, but could improve on the structure and consistency.

The book does not really have a consistent rating system for preparation or time. Even though some methods were ranked low, I still think most people who are considering suicide will go for them as the safer methods involve medicine or equipment out of reach for most people. (Really, who can have the resources to create their own cyanide?)

It would also be helpful to have a consistent warning about when (only mentioned in the exit bag chapter) an intervention from a helper would become illegal.

I do not see why this book should be banned, it does not necessarily give practical advice for a peaceful exit. I am also of the opinion that introducing and becoming transparent with these issues wouldn't lead to an increase in suicide but safer methods for people who will go for them anyway.
17 reviews
December 31, 2025
Some people are suffering from major depression.It will definitely motivate them to successfully commit suicide..So i am against this book.Because many depressed and devastated people serch various option to die without pain.
Fortunately, very few people know about this book
But on the otherhand, some people who are fighting from stage 4 cancer and who are about to die with in a couple of months along with severe pain, to them it can be helpful as their loved ones can see them dying peacefully.

And some people can also use the compounds to kill someone.

So no one can ensure that book will be used only for euthnasia.
Profile Image for Manisha Kaura.
8 reviews
December 8, 2025
This is a highly informative book that details the least painful ways to end your life. I'm surprised, though, that Dr. Nitschke didn't include suicidal asphyxiation with a scuba diving mask and a nitrogen/helium/inert gas tank. It works better and more securely than a plastic bag with a nitrogen/helium/inert gas tank, though it is much more expensive and you generally need to become PADI certified to pull it off.
2 reviews1 follower
October 12, 2023
I cannot express how thankful I am for this book. I uplaud the bravery of the authors and organisation for publishing it and continuing to update it with new information and sources, despite all the criticism.
Profile Image for Kristin Eisner.
11 reviews
September 15, 2025
Informative but not greatly helpful, as the most effective methods it details are not attainable by most people. Also seems to have some medical inaccuracies. Better read for curiosity on the subject than practical use.
Profile Image for NA.
92 reviews
August 1, 2022
A note for friends: I’m reading this for professional reasons, not personal, there is no need to get worried!
2 reviews
July 2, 2025
I don't like the idea of this book , literally they give people book to die, many lethal drugs options
Profile Image for Yupa.
778 reviews129 followers
May 18, 2014
Manuale che illustra con gran dettaglio i metodi di sucidio più pratici, indolore e sicuri per sé e per gli altri, che sono soprattutto di tipo medico: sostanze varie, allo stato solido, liquido o gassoso.
Nei primi capitoli e in conclusione, alcune rapide considerazioni "etiche", nonché politiche e legislative.

Uno dei due autori, australiano, medico, ha avuto i suoi problemi con la legge. E solo per le sue idee.
Per dire, nel 2009 è stato tenuto agli arresti per diverse ore al suo ingresso in Gran Bretagna, dove s'era recato per una conferenza sull'eutanasia.
In patria le sue campagne sono state sottoposte a censura. In Australia almeno dal 2006 anche il mero dibattito sulla legalizzazione dell'eutanasia è sottoposto a restrizioni legali.
In Italia ci si lamenta tanto delle intrusioni della morale nella politica, ma ci si dimentica che in quanto a stato etico i paesi anglosassoni si battono più che bene.
E in generale in Europa le resistenze all'eutanasia dei governi, anche quelli laicissimi, rimangono assai forti.

(forse un giorno psicologia e antropologia dovranno mobilitarsi per spiegare scientificamente le ragioni di tanta ostinazione da parte del potere pubblico nell'impedire alle persone di essere arbitri ultimi del proprio dolore)

Se non posso che approvare pienamente l'intento umanitario del volume, conservo alcuni dubbî sulle considerazioni iniziali, che distinguono tra individui "degni" di accedere a una morte compassionevole (malati terminali, anziani) e altri, invece, le cui scelte possono essere messe in dubbio perché sarebbero viziate dalle circostanze (giovani, individui "depressi").
Il diritto alla morte (così come quello alla vita, l'uno specchio dell'altro) deve essere incondizionato se si vuole finalmente sottrarlo all'arbitrio del collettivo (più precisamente: di chi detiene il potere in un dato momento) sull'individuale; e soprattutto se si vuole evitare che possa assumere una qualche rilevanza l'accusa, spesso levata da chi contrasta l'eutanasia, cioè quella di creare cittadini di serie B da eliminare e di serie A da conservare. O tutti o nessuno.
Profile Image for Mohammad Teimori Pabandi.
19 reviews13 followers
Read
November 3, 2017
زمانی که توی ۱۸سالگی به خودکشی فکر می‌کردم یه دور این کتاب رو خوندم چون جرأتش رو نداشتم که با درد بمیرم!
رفتم شهرِ بغلی‌مون که سولفوریک‌اسید و فرمیک‌اسید بخرم ولی بهم نفروختن.
و حالا وقتی مجبورید وراجی‌هام رو تحمل بکنید باید از دستِ اون فروشنده‌ها ناراحت باشید!
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