Both are strictly opt-in: the choice is made before you die (which can be very close to death, but then most deaths are related to not seeing the death coming,

Both are strictly opt-in: the choice is made before you die (which can be very close to death, but then most deaths are related to not seeing the death coming, so that doesn't necessarily help), and disqualification from high scores (and/or community acknowledgement) occurs immediately upon making the decision, regardless of whether you subsequently die. The default is assumption, however, is permadeath.