The Korean method can also be used in conjunction with nitrogen gas and the Exit bag. In this case, carotid pressure is applied, and then the Exit bag pulled down. Short of interference by paramedics or ambulance officers, survival is impossible.
The Korean Method draws together a number of known physiological responses in order to reduce cerebral blood perfusion and brain oxygen supply to a lethal level. By simultaneously initiating low cardiac output (by impairing venous blood return and neural control paths), restricting carotid blood supply to the brain, and initiating a simultaneous blood alkalosis, a perfect storm results in a peaceful, reliable elective death.
While Black Venus claimed to be able to kill himself with a fingers-only strategy, the ability to use only one’s fingers to activate the baroreceptor response and bring about cardiac arrest is no mean feat.
Nevertheless, with simple devices that maintain pressure, causing carotid occlusion, neural activation and cardiac restriction, the ability to end one’s life when confined or under close institutionalised surveillance does becomes possible.
Exit receives many emails and letter from people in precisely such situations. Some are serving life prison sentences with no hope of parole. Others such as ‘Gladys’ (94 years) are trapped in nursing homes, experiencing something the equivalent - in her eyes - of life without parole.
For those in such a closely monitored and restricted environment the Korean Method offers a reliable and peaceful release.