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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Patrick McGorry is a director of the board of headspace. Debra Rickwood is the Chief Scientific Advisor, Evidence and Knowledge Transfer, headspace. Ian Hickie played a part in the design and implementation of headspace and was a member of its board until 2012.