Oregon recently released in annual end-of-year report on physician-assisted suicide. The report documents that of 133 patients that received prescriptions for life-ending medication in 2016, only 5 of them were referred for counseling beforehand. The rates are about the same in the most recent report from Washington state. The laws themselves do a dreadfully poor job of prescribing protocol for handing mental health problems in patients with terminal illness, and doctors are under no obligation to request a mental health assessment unless they see fit. I wrote a post for Crisis Magazine discussing the failure of physician-assisted suicide laws to address mental health problems both in the laws themselves and in practice.