Although the criteria are specifically established for patients requesting PAD, they can serve as inspiration for examining psychiatric irremediability in general. Psychiatry is beginning to understand how to rationally deploy sequential treatment modalities, but when to stop treatment is rarely discussed. This is problematic, because continuing to treat patients if no effect is to be expected could be harmful, especially when coercion and burdensome procedures are used. By reliably establishing that suffering is irremediable, we may recognize further curative treatment as futile and shift to palliative approaches. (Trachsel et al., 2016; Levitt and Buchman, 2020) With their permission, we want to acknowledge all participants: In alphabetical order: T. van Balkom, A. Batalla, A. Been, A. ten Berg, T. Birkenhäger, D. Bloemkolk, M. van den Bergh, A. Bosmans, L. van Bouwel, G. de Cuypere, L. Dil, A. Dols, R. van Duursen, J. Garcia Barnet, G. Glas, K. Goethals, D. van Grootheest, R. Harbers, O. van den Heuvel, M. de Hert, C. Hoff, J. Hovens, C. Huyser, R. Keet, I. Klijn, F. van Koningsveld, P. Kölling, J. Lenssen, J. Luykx, T. Ingenhoven, P. Naarding, H. van Nuffel, P. Neuteleers, D. Peeters, Y. Roke, R. Rotteveel, L. Tak, E. Thys, P. Schulte, G. Smid, R. Snoeij, E. Spuijbroek, M. Soons, P. Stärcke, G. Steegen, J. Steenmeijer, B. Vandekerkhove, C. Vanmechelen, R. de Veen, I. van der Velden, N. Vulink, J. van Waarde & D. de Wachter. 112 | PART III - CHAPTER 6 6