German twins Alice and Ellen Kessler have died by assisted suicide. They were 89.

“They had been considering this option for some time. They had been members of the organization for over a year. A lawyer and a doctor conducted preliminary discussions with them,” the German Society for Human Dying (DGHS) said in an English-language statement to NBC on Tuesday, November 18, one day after Alice and Ellen died.

The message continued, “People who choose this option in Germany must be absolutely clear-headed, meaning free and responsible. The decision must be thoughtful and consistent, meaning made over a long period of time and not impulsive.”

The organization told CNN on Tuesday that Alice and Ellen contacted DGHS more than a year ago and became members.

General Hospital’s John Capodice De

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