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Doctors should take the patients desire to kill themselves into account.  Doctors consider a patients health, age, habits (smoking), and many other factors when they decide who gets a organ and make a list of who has priority.  Trying to kill yourself should really drop you on the organ list.

You dont want to waste a lung on a chain smoker when someone else needs it just as much and wont do any harm to their new lung, I see no difference between this and a person who is suicidal.