Assisted suicide legalized in the Netherlands (in 2002), Belgium (in 2002), Luxembourg (in 2008), and Canada (in 2016). Assisted suicide, where the patient has to take the final action themselves (unlike voluntary euthanasia), is legal in Canada, the Netherlands, Luxembourg, Switzerland and parts of the United States. In the United States there are assisted dying laws restricted to terminally ill adults in Oregon, Montana, Washington, Vermont, Hawaii, California, Colorado and Washington D.C. The laws require that the patient's attending physician certify mental competence. Oregon was the first United States state to legalize assisted suicide, which was achieved through popular vote. The Act
Mentally ill people in United States jails and prisons for all men and women, with the largest rate for white men. A related cause of the disproportionate amount of mentally ill people in prisons is criminalization of mental illness itself. In the 1984 study "Criminalizing mental disorder: The comparative arrest rate of the mentally ill", researcher L. A. Teplin notes that in addition to a decline in federal support for mental illness resulting in more people being denied treatment, mentally ill people are often stereotyped as dangerous, making fear a factor in action taken against them. Bureaucratic and legal impediments to initiating mental health referrals means arrest can be