A report published Monday in The New England Journal of Medicine warns that the nation's obesity epidemic has reached a new level of crisis, with many overweight Americans' increased girth rendering them physically unable to end their own, fat lives.

We've known for some time that obesity can cause heart disease, diabetes, strokes, and other potentially life-threatening illnesses," said report author Dr. Marjorie Reese, director of UCLA's Obesity Pathology Clinic. "But the fact that obesity impedes suicide is truly troubling. It appears that the more reason people have to die, the less capable they are of doing so. They are literally trapped in their grotesque, blubbery bodies."

Example.

Hanging oneself is most often out of the question. The report notes that a disturbing percentage of the obese are too large to ascend a footstool, too inflexible to kick it out from under them, and even if they could, are too heavy to remain atop it long enough to put their giant, flabby necks through a noose before the footstool shatters into splinters under their massive girth. Plus, as Reese writes, "even if all other variables were eliminated, the weight of these enormous individuals would probably break any indoor light fixtures or attic roof supports to which they might tie a rope."