More than 50,000 Americans died by suicide in 2023 — more than any year on record. Savage examines the rise of suicides amongst young people and the growing acceptance of euthanasia. He discusses the case of a 28-year-old Dutch woman slated to be euthanized next month because of her struggles with mental illness after her psychiatrist said her condition will never improve. Why do people feel empty? What can we do to resist hopelessness and despair? Why does man need God? Why do leftwing ideologies result in nihilism?

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