Recent data reveals a significant increase in assisted deaths among individuals with mental health conditions in the Netherlands. This trend has sparked debate, particularly among psychiatrists, with some expressing concern about potential implications for Canada, where similar laws are in place. While some Dutch psychiatrists view the rise as a worrying signal, others argue it doesn’t necessarily indicate a problematic pattern. The increase raises questions about the criteria for eligibility and the safeguards surrounding assisted dying for mental illness. The Netherlands legalized euthanasia in 2002 for individuals with unbearable suffering and no hope of improvement, which was later extended to include those with severe psychiatric conditions. The differing perspectives highlight the complexities and ethical considerations surrounding assisted dying and mental health. Further analysis is needed to understand the underlying factors driving this increase and ensure appropriate oversight.