He has an older sister named Tausha and a fraternal twin brother named Michael, who had a heart transplant when the brothers were young children.
Michael also has cerebral palsy and is a spokesperson for the advocacy organization Reaching for the Stars.
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In 2004, Kutcher starred in the lead role of the psychological film The Butterfly Effect and gained public recognition.
I am certain however, that I have never at any time experienced an equal sense of shock.
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Michael's cardiomyopathy caused Kutcher's home life to become increasingly stressful.
He has said that he "didn't want to come home and find more bad news" about his brother, stating, "I kept myself so busy that I didn't allow myself to feel." Kutcher stated that, when he was 13, he contemplated committing suicide to save his brother's life with a heart transplant; when he told his father he was considering jumping from a Cedar Rapids hospital balcony, his father dissuaded him from doing so shortly before doctors announced that a transplant had become available from an accident victim in another state.