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, Germany, killed himself along with his wife and daughter on
April 20,
1945. moments before his videotape suicide
Suicide (Latin
sui caedere, to kill oneself) or
Self-murder, is the act of intentionally terminating one's own life. Suicide occurs for a number of reasons such as depression, substance abuse, shame, avoiding pain, financial difficulties or other undesirable fates.
Views on suicide have been influenced by cultural views on existential themes such as religion, honor, and the meaning of life. Most Western and Asian religions—the
Abrahamic religions,
Buddhism,
Hinduism—consider suicide a dishonorable act; in the West it was regarded as a serious
Legal views of suicide and sin against God due to religious belief in the sanctity of life. Japanese views on honor and religion led to
seppuku being respected as a means to atone for mistakes or failure during the samurai era; Japanese suicides rates remain some of the developed world's highest. In the 20th century suicide in the form of self-immolation has been used as a form of protest, and in the form of kamikaze and suicide bombing as a military tactic or terrorist tactic.
Medically
assisted suicide (
euthanasia, or the right to die) is a controversial ethics issue involving people who are terminal illness, in extreme pain and nociception, and/or have minimal
quality of life through
illness. Self-sacrifice for others is not usually considered suicide, as the goal is not to kill oneself but to save another.
The predominant view of modern medicine is that suicide is a
mental health concern, associated with psychological factors such as the difficulty of coping with
clinical depression, inescapable
suffering or fear, or other mental illnesss and pressures. Suicide is sometimes interpreted in this framework as a "cry for help" and attention, or to express despair and the wish to escape, rather than a genuine intent to die. Most suicides (for various reasons) do not succeed on a first attempt; those who later gain a history of repetitions are significantly more at risk of eventual completion.
Nearly a million people worldwide die by suicide annually. CIS: UN Body Takes On Rising Suicide Rates There are an estimated 10 to 20 million attempted suicides every year. As many as 60,000 people commit suicide in
Russia every year; 60,000 people commit suicide in Russia annually approximately 30,000 people die by suicide each year in the
United States; Suicide, Facts over 30,000 kill themselves in Japan; Suicides in Japan top 30,000 for 9th straight year and about 250,000 commit suicide each year in China. 250,000 Chinese Kill Themselves Annually: Official While rates of commited suicides are higher in men, women have higher rates for
Parasuicides. Elderly males have the highest suicide rate, although rates for young adults have been increasing in recent years. The countries of the former Eastern bloc have the highest
suicide rate in the world. Highest Suicide Rates in the World The region with the lowest suicide rate is
Latin America. More killed by suicide than warUp to at least the 1950s, it was the Republic of Ireland which had the lowest suicide rate in the world, as reported by an Irish TV news report in 2007.In India, suicide rates for women are nearly three times higher than those for men. Higher suicide rates among women have also been reported in China. South India suicide is world high
Suicidal phenomena
Suicidal ideation
Suicidal ideation is defined as considering or fantasizing about taking one’s own life. Ideation may range from vague or unformed urges to meticulously detailed plans and posthumous instructions. According to medical practice, severe suicidal ideation, that is, serious contemplation or planning of suicide, is a medical emergency and the condition requires immediate emergency medical treatment.
Parasuicide
Many suicidal people engage in suicidal activities that do not result in death. These activities fall under the clinical designation of
parasuicide. Those with a history of such attempts are almost 23 times more likely to eventually end their own lives than those who don't participate in such activities.
Suicidal gestures and attempts
:
Suicide, 1877Sometimes, a person will make actions resembling suicide attempts while not being fully committed, or in a deliberate attempt to have others notice. This is called a
suicidal gesture (also known as a "cry for help"). Prototypical methods might be a non-lethal method of
self-harm that leaves obvious signs of the attempt, or simply a lethal action at a time when the person considers it likely that he/she will be rescued or prevented from fully carrying it out.
On the other hand, a person who genuinely wishes to die may fail, due to lack of knowledge about what they are doing, unwillingness to try methods that may end in permanent damage if he fails or harms others, or an unanticipated rescue, among other reasons. This is referred to as a
suicide attempt.
Distinguishing between a suicide attempt and a suicidal gesture may be difficult. Intent and motivation are not always fully discernible since so many people in a suicidal state are genuinely conflicted over whether they wish to end their lives. One approach, assuming that a sufficiently strong intent will ensure success, considers all near-suicides to be suicidal gestures. This, however, does not explain why so many people who fail at suicide end up with severe injuries, often permanent, which are most likely undesirable to those who are making a suicidal gesture. (See:
self-harming.) Another possibility is those wishing merely to make a suicidal gesture may end up accidentally killing themselves, perhaps by underestimating the lethality of the method chosen or by overestimating the possibility of external intervention by others. Suicide-like acts should generally be treated as seriously as possible, because if there is an insufficiently strong reaction from loved ones from a suicidal gesture, this may motivate future and ultimately more committed attempts.
In the technical literature the use of the terms
parasuicide, or
deliberate self-harm (DSH) are preferred – both of these terms avoid the question of the intent of the actions.
Suicide crisis
A suicide being attempted, or a situation in which a person is seriously contemplating suicide or has strong suicidal ideation, is considered by public safety authorities to be a medical emergency requiring
suicide intervention.
Suicide note
A written message left by someone who attempts, or indeed dies by, suicide is known as a suicide note. The practice is fairly common, occurring in approximately one out of three suicides in the United States. Motivations for leaving a note range from seeking
Closure (psychology) with loved ones, to exacting revenge against others by blaming them for the decision. It may also contain a few sentences apologizing to those they may have left. Most suicide notes are hand-written, and also often left with a few personal possessions.
Related phenomena
Para-suicidality
Para-suicidality is a psychiatric term that refers to a suicidal gesture that is a marker for
histrionic behavior, or even overt attention seeking. Para-suicidality is typically associated with Borderline personality disorder, psychotic depression, and/or mania.
Fake suicide
People sometimes fake suicide, usually in order to escape legal, financial, or relationship difficulties and start a new life. In order to explain the absence of a body, it is common to fake suicide by drowning. The term
pseudocide covers not only fake suicide, but other fake deaths too (primarily fake murder). There have been numerous cases of celebrity suicides that have been challenged as possible homicides. Among the most famous were the drug overdose death of
Marilyn Monroe, the 1994 shooting of Kurt Cobain, the 2007 death of
Anna Nicole Smith, as well as the 1949 death of
James Forrestal. Zogby Poll.
Self-harm
Self-harm is not a suicide attempt; however, initially self-injury was classified as a suicide attempt. There is a non-causal correlation between self-harm and suicide; both are most commonly a joint effect of clinical depression. A common misconception is that self-injurers are suicidal. Self-injury is an attempt to cope with life and continue living.
Assisted suicide
, on display at Science Museum (London).
Individuals who wish to end their own life may enlist the assistance of another person to achieve death, e.g. by a deadly poison. The other person, usually a family member or physician, may help carry out the act if the individual lacks the physical capacity to do so even with the supplied means. According to different moral views, this may not be considered a form of suicide. The assistant may think of it as acting in behalf of the individual, perhaps to end suffering, while opponents regard it as akin to
murder. Assisted suicide is a contentious moral and political issue in many countries.
Murder-suicide
The motivation for the murder in murder-suicide can be purely criminal in nature or be perceived by the perpetrator as an act of care for loved ones in the context of severe Clinical depression. The severely depressed person may see the world as a terrible place and can feel that they are helping those they care about by removing them from it. Thoughts like this are generally regarded as a medical emergency requiring suicide intervention.
Since crime just prior to suicide is often perceived as being without consequences, it is not uncommon for suicide to be linked with homicide. Motivations may range from guilt to evading punishment, insanity, part of a
suicide pact, or exacting revenge on those whom they feel are responsible.
Suicide attack
A suicide attack is when an attacker perpetrates an act of violence against others, typically to achieve a military or political goal, that foreseeably results in his or her own death as well. Suicide bombings have been prominent in the news in recent years. Other historical examples include the assassination of
Tsar Alexander II and the kamikaze attacks by Japanese air pilots during the second World War.
Suicide methods
In countries where firearms are readily available, many suicides involve the use of firearms. Over 55% of suicides that occurred in the United States in 2001 were by firearm.
Asphyxiation methods (including
hanging) and toxification (
poisoning and
overdose) are fairly common as well. Each comprised about 20% of suicides in the US during the same time period. Other methods of suicide include
blunt force trauma (jumping from a building or bridge, or stepping in front of a train, for example),
exsanguination or bloodletting (slitting one's wrist or throat), intentional drowning,
self-immolation, electric shock, car collision and intentional
starvation. The
documentary film The Bridge (documentary film) tells the story of 24 people who committed suicide and their families' responses. All the suicides took place at
San Francisco's Golden Gate Bridge.
Reasons for suicide
Causes of suicide
, a legendary rape victimSuicide poses a conundrum to sociobiologists: Why would one
choose to eliminate oneself from the gene pool? Sociobiologists debate the ultimate
Suicide and evolution, while at a proximate level of animal behaviour, no single factor has gained acceptance as a universal cause of suicide.
Clinical depression, however, is a common phenomenon amongst those who die by suicide.
Other factors that may be related are as follows (note that this is not meant as a comprehensive list, but rather as a summary of notable causes):
- Suffering (e.g. physical or emotional agony that is not correctable)
- Stress (medicine) (e.g. grief after the death of a loved one)
- Crime (e.g. escaping judicial punishment and the dehumanisation and boredom of incarceration; self-punishment due to guilt)
- Mental illness (e.g. clinical depression, bipolar disorder, schizophrenia, anxiety disorders, anorexia nervosa, bulimia nervosa or post traumatic stress disorder)
- Catastrophic injury (e.g. paralysis, disfigurement, loss of limb)
- Adverse environment (e.g. sexual abuse, domestic abuse, poverty, homelessness, bullying, social isolation, discrimination)
- Financial loss (e.g. loss of job/assets, debts)
- Sacrificial#Self_sacrifice reasons (e.g. a soldier throwing his body on a grenade) (this is not considered suicide by some because the individual does not have the goal of ending his or her life per se, but rather shielding others from harm at the possible risk of losing their own life)
- Accidental suicide (e.g. while playing Russian roulette)
- Unresolved or unresolvable human sexuality (e.g. sexism, sexual orientation, gender dysphoria, unrequited love, aftermath of a break up, involuntary celibacy, acquiring an incurable sexually transmitted infection (HIV, herpes, HPV))
- To avoid shame or dishonour (e.g. the Bushido ideal, under which a disgraced samurai could regain his honor by performing seppuku)
- Terrorism can also be a motive for suicide, especially when related to religion (e.g. suicide bombings)
- Nationalism (e.g. the Kamikaze, Selbstopfer, and Kaiten suicide weapons)
- Philosophical belief that life has no inherent value (e.g. absurdism, pessimism, nihilism)
- Religious cults (e.g. Heaven's Gate (religious group) and Peoples Temple)
- loneliness especially when prolonged.
Suicide and mental illness
Studies show a high incidence of
psychiatric disorders in suicide victims at the time of their death with the total figure ranging from 98%Bertolote JM, Fleischmann A, De Leo D, Wasserman D.(2004) Psychiatric diagnoses and suicide: revisiting the evidence.
Crisis., 25(4):147-55. PMID 15580849to 87.3% Arsenault-Lapierre G, Kim C, Turecki G. (2004) Psychiatric diagnoses in 3275 suicides: a meta-analysis.
BMC Psychiatry, Nov 4;4:37. PMID 15527502 with mood disorders and
substance abuse being the two most common. In
schizophrenia suicide can be triggered by either the depression that is common with this disorder, or in response to command
hallucination. Suicide among people suffering from bipolar disorder is often an impulse, which is due to the sufferer's extreme mood swings (one of the main symptoms of bipolar disorder). Severe clinical depression is considered a terminal illness due to the likelihood of suicide when left untreated. Shuster, JL.(2000) Can depression be a terminal illness? Journal of Palliative Medicine. Winter;3(4):493-5.
Epidemiology
per 100,000. in the U.S. by gender and ethnic group
According to official statistics, about a million people die by suicide annually, more than those murdered or killed in war.{{cite web| title=Suicide prevention
| publisher=World Health Organization
| year=February 16, 2006
| work=WHO Sites: Mental Health
| url=http://www.who.int/mental_health/prevention/suicide/suicideprevent/en/
| accessdate=2006-04-11
--> As of 2001 in the USA, suicides outnumber homicides by 3 to 2 and deaths from AIDS by 2 to 1.{{cite web| title=Teen Suicide Statistics
| publisher=FamilyFirstAid.org
| year=2001
| work=Adolescent Teenage Suicide Prevention
| url=http://www.familyfirstaid.org/suicide.html
| accessdate=2006-04-11
-->
Gender and suicide: In the Western world,
males die much more often than females by suicide, while females attempt suicide more often; this has been true for at least a century.1920 World Book, Volume 9, page 5618 Some medical professionals believe this is due to the fact that males are more likely to end their life through violent means (guns, knives, hanging, etc.), while women primarily overdose on medications or use other methods which may be less likely to result in death; again, this has been the case for at least a century.1920 World Book, Volume 9, page 5618
Others ascribe the difference to inherent differences in male/female psychology. Greater social stigma against male depression and a lack of social networks of support and help with depression is often identified as a key reason for men's disproportionately higher level of suicides, since suicide as a "cry for help" is not seen as an equally viable option by men. Typically males die from suicide 3 to 4 times as often as females, and not unusually 5 or more times as often.
Excess male mortality from suicide is also evident from data from non-western countries. In 1979–81, 74 territories reported one or more cases of suicides. Two of these reported equal rates for both sexes:
Seychelles and Kenya. Three territories reported female rates exceeding male rates:
Papua New Guinea, Macau,
French Guiana. The remaining 69 territories had male suicide rates greater than female suicide rates.Lester, Patterns, Table 3.3, pp. 31-33
Barraclough found that the female rates of those aged 5–14 equaled or exceeded the male rates only in 14 countries, mainly in
South America and Asia.Barraclough,B M. Sex ratio of juvenile suicide. Journal of the American Academy of Child & Adolescent Psychiatry, 1987, 26, 434-435.
{]||2005||68.1||12.9||38.6|-|2. ||Belarus||2004||61.6||10.7||34.3|-|4. ||[Kazakhstan||2003||45.0||12.0||28.1|-|6. ||[Hungary||2004||42.9||8.5||24.3|-|8. ||[Japan||2004||43.0||7.3||23.8|-|10. ||[Sri Lanka die by suicide more often than [African Americans do. This is true for both genders. Non-Hispanic Caucasians are nearly 2.5 times more likely to kill themselves than are African Americans or Hispanics.
Age and suicide: At least in the USA, males over 70 die by suicide more often than younger males. There is no such trend for females. Older non-Hispanic Caucasian men are much more likely to kill themselves than older men or women of any other group, which contributes to the relatively high suicide rate among Caucasians.
Season and suicide: People die by suicide more often during spring and summer. The idea that suicide is more common during the winter holidays (including Christmas in the northern hemisphere) is a common misconception. Moving from a warmer climate to a much cooler climate can be depressing.{{cite news].
Other reasons
Suicide as a form of defiance and protest
.Heroic suicide, for the greater good of others, is often celebrated. For instance,
Mahatma Gandhi went on a
hunger strike to prevent fighting between
Hindus and
Muslims, and, although he was stopped before dying, it appeared he would have willingly succumbed to starvation. This attracted attention to Gandhi's cause, and generated a great deal of respect for him as a spiritual leader. In the 1960s, Buddhist
monks, most notably Thích Quảng Đức, in South Vietnam Vietnam drew
Western world attention to their protests against President
Ngô Đình Diệm by
self-immolation. Also in the 1960s, Quaker Norman Morrison committed suicide by self-immolation to protest the United States involvement in the Vietnam War.Similar events were reported during the Cold War in eastern Europe, such as the deaths of Ryszard Siwiec and later of
Jan Palach and Jan Zajíc following the Soviet Union invasion of
Czechoslovakia, or Romas Kalanta's self-immolation in the main street of
Kaunas,
Lithuania in 1972. More recently, in 2006, an American anti-war activist,
Malachi Ritscher, died by suicide by self-immolation as a protest against the 2003 Invasion of Iraq. In Ireland there exists a long tradition of hunger strike to the death against British rule, predominantly in Northern Ireland during the infamous 1981 hunger strikes, led by Bobby Sands, which resulted in 10 deaths. The period caused international outrage as shown, for example, by the Indian parliament standing for two minutes of silence or, more bemusingly, the Iranian government renaming the street in Tehran on which the British Embassy stands to "Bobby Sands Street", named after the first hunger-striker to die in 1981.Before the Republic of Ireland got its independence there were also examples of hunger striking, such as Terence McSwiney in Cork. Critics may see such suicides as counter-productive, arguing that these people would probably achieve a comparable or greater result by spending the rest of their lives in active struggle. This is a contentious issue, especially when one considers that the Northern Ireland hunger strikers who died trying to obtain certain prisoners rights (e.g. POW status, right to wear own clothes, right not to have to work, etc.) actually had nearly all their requests eventually granted in the years after the spate of 1981 hunger strikes happened.
Judicial suicide
Sometimes a person who has committed a crime will commit suicide to avoid prosecution and disgrace:
- Colonel Alfred Redl was presented with the evidence of his espionage and shot himself to avoid a trial.
- In The Unpleasantness at the Bellona Club, Lord Peter Wimsey presents Dr. Penberthy with evidence proving that he is a murderer, then leaves him in a room with a loaded gun. A shot rings out, and the club members rush in to find the dead doctor, along with a signed confession.
Military suicide
In the desperate final days of
World War II, many Japanese pilots volunteered for
kamikaze missions in an attempt to forestall defeat for the Empire. In Nazi Germany,
Luftwaffe squadrons were formed to smash into
United States B-17 Flying Fortresss during daylight bombing missions, in order to delay the highly-probable
Allied victory, although in this case, inspiration was primarily the Soviet and Polish
taran ramming attacks, and death of the pilot was not a desired outcome. The degree to which such a pilot was engaging in a heroic, selfless action or whether they faced immense social pressure is a matter of historical debate. The Japanese also built one-man "
human torpedo" suicide submarines.However, suicide has been fairly common in warfare throughout history. Soldiers and civilians commited suicide to avoid capture and slavery (including the wave of German and Japanese suicides in the last days of World War II). Commanders committed suicide rather than accept defeat. Spies and officers have often comitted suicide to avoid revealing secrets under interrogation and/or
torture. Behaviour that could be seen as suicidal occurred often in battle, for instance a soldier falling on a grenade to save his comrades. Other examples include soldiers under cannon fire at the Battle of Waterloo took fatal hits rather than duck and place their comrades in harm's way. The
Charge of the Light Brigade in the
Crimean War,
Pickett's Charge at Gettysburg in the American Civil War , and the charge of the French cavalry at the
Battle of Sedan in the
Franco-Prussian War were assaults that continued even after it was obvious to participants that the attacks were unlikely to succeed and would probably be fatal to most of the attackers. Japanese infantrymen usually fought to the last man, launched Banzai charge, and suicided during the Pacific island battles in World War II. In Saipan and Okinawa, civilians joined in the suicides. Suicidal attacks by pilots were common in the 20th century: the attack by U.S.
torpedo planes at the
Battle of Midway was very similar to a kamikaze attack.
Ritual suicide
Ritual suicide is the act of suicide motivated by a religious, spiritual, or traditional ritual.
An extreme interpretation of Hindu custom historically practiced, mostly in the 2nd millennium, was self-immolation by a widow as an assurance that she will be with her husband for the next life. Other rituals of self-immolation or self-starvation were used by Hinduism,
Jainism and Buddhism monks for religious or philosophical purposes, or as a form of extreme non-violent protest. In China, some groups would practice suicide for similar reasons. In Japan, rituals of suicide like
seppuku were practiced.
Dutiful suicide
Dutiful suicide is an act, or attempted act, of fatal self-violence at one's own hands done in the belief that it will secure a greater good, rather than to escape harsh or impossible conditions. It can be voluntary, to relieve some dishonor or punishment, or imposed by threats of death or reprisals on one's family or reputation (a kind of murder by remote control). It can be culturally traditional or generally abhorred; it can be heavily ritualized or purely functional. Dutiful suicide can be distinguished from a kamikaze or suicide bomb attack, in which a fighter consumes his own life in delivering a weapon to the enemy. Perhaps the most famous example of dutiful suicide is a soldier in a foxhole throwing his body on a live grenade to save the lives of his comrades.
Examples
- Disgraced Roman patricians were sometimes allowed to commit suicide to spare themselves a trial and penalties against their families.
- Nazi SA commander Ernst Röhm was ordered to kill himself by Adolf Hitler. Röhm refused and was executed in prison.
- Erwin Rommel, found to have foreknowledge of the German attempt on Hitler's life, was threatened with public trial, execution and reprisals on his family unless he killed himself; he did.
- According to the Bible, King Saul committed suicide at a losing battle against the Philistines.
Impact of suicide
It is estimated that an average of six people are suicide "survivors" for each suicide that occurs in the United States.http://www.suicidology.org/displaycommon.cfm?an=6 In the context of suicide, the word
survivors refers to the family and friends of the person who has died by suicide; this figure therefore does not represent the total number of people who may be affected. For example, the suicide of a child may leave the school and their entire community left to make sense of the act.
As with any death, family and friends of a suicide victim feel
grief associated with loss. These suicide survivors are often overwhelmed with
psychological trauma as well, depending on many factors associated with the event. This trauma can leave survivors feeling
guilty, anger,
remorseful, helpless, and confusion. It can be especially difficult for survivors because many of their questions as to why the victim felt the need to take his or her own life are left unanswered. Moreover, survivors often feel that they have failed or that they should have intervened in some way. Given these complex sets of emotions associated with a loved one's suicide, survivors usually find it difficult to discuss the death with others, causing them to feel isolated from their own network of family and friends and often making them reluctant to form new relationships as well.http://www.faqs.org/faqs/suicide/info/
"Survivor groups" can offer counseling and help bring many of the issues associated with suicide out into the open. They can also help survivors reach out to their own friends and family who may be feeling similarly and thus begin the healing process. In addition, counseling services and therapy can provide invaluable support to the bereaved. Some such groups can be found online, providing a forum for discussion amongst survivors of suicide (see Support Groups for Survivors section below).
Economic impact
Deaths and injuries from suicidal behavior represent $25 billion each year in direct costs, including health care services, funeral services, autopsies and investigations, and indirect costs like lost productivity.
These costs may be counterbalanced by economic gains. Expenditure on those who would have continued living is reduced, including pensions, social security, health care services for the mentally illYang B, Lester D. Recalculating the economic cost of suicide. Death studies, 2007 Apr;31(4):351-61 as well as other normal budgetary expenditure per head of living population.
Views on suicide
Medical
Modern medicine treats suicide as a
mental health issue. Overwhelming or persistent suicidal thoughts are considered a
medical emergency. Medical professionals advise that people who have expressed plans to kill themselves be encouraged to seek medical attention immediately. This is especially relevant if the means (weapons, drugs, or other methods) are available, or if the patient has crafted a detailed plan for executing the suicide. Medical personnel frequently receive special training to look for suicidal signs in patients. Individuals suffering from depression are considered a high-risk group for suicidal behavior. Suicide hotlines are widely available for people seeking help. However, the negative and often too clinical reception that many suicidal people receive after relating their feelings to health professionals (e.g. threats of institutionalization, increased dosages of medication, the social stigma) may cause patients to remain more guarded about their mental health history or suicidal urges and ideation.
In the
United States, individuals who express the intent to harm themselves are automatically determined to lack the
present mental capacity to refuse treatment, and can be transported to the emergency room against their will. An emergency physician will determine whether inpatient care at a psychiatric hospital is warranted. This is sometimes referred to as being "involuntary commitment". A court hearing may be held to determine the patient's
competence (law).
Criminal
In some jurisdictions, an act or failed act of suicide is considered to be a crime. More commonly, a surviving party member who assisted in the suicide attempt will face criminal charges.
In
Brazil, if the help is directed to a minor, the penalty is applied in its double and not considered as homicide. In
Italy and Canada, instigating another to suicide is also a criminal offense. In
Singapore, assisting in the suicide of a mentally handicapped person is a capital offense. In
India, abetting suicide of a minor or a mentally challenged person can result in a possible death penalty, otherwise a maximum 10 years prison term.
knife prepared for
seppuku
Cultural
In the Warring States Period and the Edo period of
Japan,
samurai who disgraced their honor chose to end their own lives by
seppuku, a method in which the samurai takes a sword and slices into his abdomen, causing a fatal injury. The cut is usually performed diagonally from the top corner of the samurai's writing hand, and has long been considered an honorable form of death (even when done to punish dishonor). Though such a wound would be fatal, seppuku was not always technically suicide, as the samurai's assistant (the kaishaku) would stand by to cut short any suffering by quickly administering a fatal cut to the back of the neck (just short of decapitation), sometimes as soon as the first tiny incision into the abdomen was made.
Religious
In most forms of Christianity, suicide is considered a sin, based mainly on the writings of influential Christian thinkers of the Middle Ages, such as
St. Augustine of Hippo and
St. Thomas Aquinas. Their arguments center around the ten commandments "Thou shalt not kill" (made applicable under the New Covenant by
Jesus in Gospel of Matthew), as well as the idea that life is a gift given by God which should not be spurned, and that suicide is against the "natural order" and thus interferes with God's master plan for the world. However, it is believed that mental illness or grave fear of suffering diminishes the responsibility of the one completing suicide. Suicide was not considered a sin under the Byzantine Christian code of Justinian, for instance. There is no verse in the Bible speaking against killing one’s self. Counter-arguments include the following: that the sixth commandment is more accurately translated as "thou shalt not murder", not necessarily applying to the self; that taking one's own life no more violates God's plan than does curing a disease; and that a number of suicides by followers of God are recorded in the Bible with no dire condemnation.
Judaism focuses on the importance of valuing this life, and as such, suicide is tantamount to denying God's goodness in the world. Despite this, under extreme circumstances when there has seemed no choice but to either be killed or forced to betray their religion, Jews have comitted individual suicide or mass suicide (see Masada, History of the Jews in France#First Persecution of the Jews, and York Castle for examples) and as a grim reminder there is even a prayer in the Jewish liturgy for "when the knife is at the throat", for those dying "to sanctify God's Name". (See:
Martyrdom). These acts have received mixed responses by Jewish authorities, regarded both as examples of heroic martyrdom, whilst others state that it was wrong for them to take their own lives in anticipation of martyrdom.http://www.religionfacts.com/euthanasia/judaism.htm
Suicide is not allowed in the religion of Islam; however, martyring oneself for Allah (during combat) is not the same as completing suicide. Suicide by Muslim standards is traditionally seen as a sign of disbelief in God. The use of suicide bombing is therefore a controversial one in Islam. Groups like
Hamas consider it necessary—for instance, in the struggle against occupation.
Debate over suicide
Some see suicide as a legitimate matter of personal choice and a human right (colloquially known as the
right to die movement), and maintain that no one should be forced to suffer against their will, particularly from conditions such as incurable disease, mental illness, and old age that have no possibility of improvement. Proponents of this view reject the belief that suicide is always irrational, arguing instead that it can be a valid last resort for those enduring major pain or trauma. This perspective is most popular in continental Europe, where euthanasia and other such topics are commonly discussed in parliament, although it has a good deal of support in the United States as well.
A narrower segment of this group considers suicide something between a grave but condonable choice in some circumstances and a sacrosanct right for anyone (even a young and healthy person) who believes they have rationally and conscientiously come to the decision to end their own lives. Notable supporters of this school of thought include German pessimist philosopher
Arthur Schopenhauer, and Scottish empiricist
David Hume. Adherents of this view often advocate the abrogation of statutes that restrict the liberties of people known to be suicidal, such as laws permitting their involuntary commitment to mental hospitals. Critics may argue that suicidal impulses are often products of mental illness rather than rational self-interest, and that because of the gravity and irreversibility of the decision to take one's life it is more prudent for society to err on the side of caution and at least delay the suicidal act.
See also
Lists
References
Further reading
Documents and periodicals
- Butler, Sara M. "Cultures of Suicide?: Suicide Verdicts ad the 'Community' in Thirteenth- and Fourteenth-Century England," The Historian 69.3 (Fall, 2007): 427-449.
- Frederick, C. J. Trends in Mental Health: Self-destructive Behavior Among Younger Age Groups. Rockville, MD: National Institute on Drug Abuse. 1976. ED 132 782.
- Lipsitz, J. S., Making It the Hard Way: Adolescents in the 1980s. Testimony presented to the Crisis Intervention Task Force of the House Select Committee on Children, Youth, and Families. 1983. ED 248 002.
- McBrien, R. J. "Are You Thinking of Killing Yourself? Confronting Suicidal Thoughts." SCHOOL COUNSELOR 31 (1983): 75–82.
- Ray, L. Y. "Adolescent Suicide." Personnel and Guidance Journal 62 (1983): 131-35.
- Rosenkrantz, A. L. "A Note on Adolescent Suicide: Incidence, Dynamics and Some Suggestions for Treatment." Adolescence 13 (l978): 209–14.
- Suicide Among School Age Youth. Albany, NY: The State Education Department of the University of the State of New York, 1984. ED 253 819.
- Suicide and Attempted Suicide in Young People. Report on a Conference. Geneva, Switzerland: World Health Organization, 1974. ED 162 204.
- Teenagers in Crisis: Issues and Programs. Hearing Before the Select Committee on Children, Youth, and Families. House of Representatives Ninety-eighth Congress, First Session. Washington, DC: Congress of the U. S., October, 1983. ED 248 445.
- Smith, R. M. Adolescent Suicide and Intervention in Perspective. Paper presented at the annual meeting of the National Council on Family Relations, Boston, MA, August, 1979. ED 184 017.
Nonfiction books
- Bongar, B. The Suicidal Patient: Clinical and Legal Standards of Care. Washington, D.C.: APA. 2002. ISBN 1-55798-761-0
- Émile Durkheim. Suicide (book), (1897), The Free Press reprint 1997, ISBN 0684836327
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- Keogh, Abel Room for Two Cedar Fort, 2007 ISBN 1-599-55062-8
- Derek Humphry. Final Exit. Dell. 1997.
- Maguire, Maureen, Uncomfortably Numb. A Prison Requiem. Luath Press 2001. ISBN 1-84282-001-X (A factual documentation of suicide in prison)
- O'Connor, R., & Sheehy, N.P. Understanding Suicidal Behaviour. BPS Blackwell. 2000. ISBN 1854332902
- Paterson, Craig. Assisted Suicide and Euthanasia. Ashgate, 2008. ISBN 0 7546 5746 9
- Paul, Sam. Why I Committed Suicide. New York: iUniverse, Inc., 2004. ISBN 0-59532-695-1
- Stillion, Judith M. and McDowell, Eugene E. Suicide Across the LifeSpan: Premature Exits. New York: Routledge, 1996. ISBN 1-56032-304-3
- Stone, Geo. Suicide and Attempted Suicide: Methods and Consequences. New York: Carroll & Graf, 2001. ISBN 0-7867-0940-5
External links
General information
- Medline Plus - suicide and suicidal behavior
- cbel.com/suicide/ - directory of information on suicide
- American Association of Suicidology - statistics and general information
- Online Education on Suicide Prevention for Professionals - list of courses for medical professionals
Suicide prevention
- ChooseLife,Choose Life is a 10 year plan aimed at reducing suicides in Scotland by 20% by 2013, Looking at ways of preventing Suicide using ASIST,SafeTALK and SuicideTALK
- ReachOut! Website for young people going through tough times
- Kristin Brooks Hope Center
- Youth America Hotline
- Preventing Suicide The National Journal
- resources for graduate students who are depressed and or suicidal
- American Foundation for Suicide Prevention
- metanoia.org/suicide - suicide prevention page
- "Understanding and Helping the Suicidal Person" - information on suicide prevention
- The Fred Fund : suicide support, resources, online stories, memorials and interaction
- TeenSuicide.us - teenage suicide prevention information
- Suicide Prevention Help - A Friendship Letter and Web directory of helpful suicide prevention resources from around the world.
- suicide.com self-help website for suicidal persons written by a recovered suicidal person
Views on suicide
- The Eclipse: A Memoir of Suicide - a detailed examination of suicide's underlying philosophical beliefs and its impact on survivors
- "The Murder of Oneself" - ethical and legal considerations in suicide and its prevention
- The Debate: a pro-choice FAQ
- "Suicide as a Moral Alternative" - discussion on the morality of suicide, including arguments for and against
- "Suicide" in the Stanford Encyclopedia of Philosophy
- Suicide & Euthanasia - a Biblical Perspective - discussion of suicide from a biblical perspective
- * Suicide Promotion (Internet) - United Kingdom Parliamentary debate - debate by politicians on suicide, 25 January 2005
Support groups
-
- Samaritans (UK & Ireland) - 24-hour support help, United Kingdom & Ireland
- Befrienders Worldwide Worldwide Suicide Prevention help
- #alt.suicide.bus.stop (ASBS) - a support group for the suicidal, by the suicidal
- Maytree Respite Centre - A refuge for people in a suicidal crisis. They welcome referrals or self-referrals
Support groups for survivors
- American Association of Suicidology - Referrals to local self help groups for survivors of suicide across the United States
- Heartbeat - Mutual support for those who have lost loved ones to suicide
- SOLES - Survivors of Law Enforcement Suicide
- International Friends and Families of Suicide - Online su
, Germany, killed himself along with his wife and daughter on April 20, 1945. moments before his videotape suicideSuicide (Latin sui caedere, to kill oneself) or Self-murder, is the act of intentionally terminating one's own life. Suicide occurs for a number of reasons such as depression, substance abuse, shame, avoiding pain, financial difficulties or other undesirable fates.
Views on suicide have been influenced by cultural views on existential themes such as religion, honor, and the meaning of life. Most Western and Asian religions—the Abrahamic religions, Buddhism, Hinduism—consider suicide a dishonorable act; in the West it was regarded as a serious Legal views of suicide and sin against God due to religious belief in the sanctity of life. Japanese views on honor and religion led to seppuku being respected as a means to atone for mistakes or failure during the samurai era; Japanese suicides rates remain some of the developed world's highest. In the 20th century suicide in the form of self-immolation has been used as a form of protest, and in the form of kamikaze and suicide bombing as a military tactic or terrorist tactic.
Medically assisted suicide (euthanasia, or the right to die) is a controversial ethics issue involving people who are terminal illness, in extreme pain and nociception, and/or have minimal quality of life through illness. Self-sacrifice for others is not usually considered suicide, as the goal is not to kill oneself but to save another.
The predominant view of modern medicine is that suicide is a mental health concern, associated with psychological factors such as the difficulty of coping with clinical depression, inescapable suffering or fear, or other mental illnesss and pressures. Suicide is sometimes interpreted in this framework as a "cry for help" and attention, or to express despair and the wish to escape, rather than a genuine intent to die. Most suicides (for various reasons) do not succeed on a first attempt; those who later gain a history of repetitions are significantly more at risk of eventual completion.
Nearly a million people worldwide die by suicide annually. CIS: UN Body Takes On Rising Suicide Rates There are an estimated 10 to 20 million attempted suicides every year. As many as 60,000 people commit suicide in Russia every year; 60,000 people commit suicide in Russia annually approximately 30,000 people die by suicide each year in the United States; Suicide, Facts over 30,000 kill themselves in Japan; Suicides in Japan top 30,000 for 9th straight year and about 250,000 commit suicide each year in China. 250,000 Chinese Kill Themselves Annually: Official While rates of commited suicides are higher in men, women have higher rates for Parasuicides. Elderly males have the highest suicide rate, although rates for young adults have been increasing in recent years. The countries of the former Eastern bloc have the highest suicide rate in the world. Highest Suicide Rates in the World The region with the lowest suicide rate is Latin America. More killed by suicide than warUp to at least the 1950s, it was the Republic of Ireland which had the lowest suicide rate in the world, as reported by an Irish TV news report in 2007.In India, suicide rates for women are nearly three times higher than those for men. Higher suicide rates among women have also been reported in China. South India suicide is world high
Suicidal phenomena
Suicidal ideation
Suicidal ideation is defined as considering or fantasizing about taking one’s own life. Ideation may range from vague or unformed urges to meticulously detailed plans and posthumous instructions. According to medical practice, severe suicidal ideation, that is, serious contemplation or planning of suicide, is a medical emergency and the condition requires immediate emergency medical treatment.
Parasuicide
Many suicidal people engage in suicidal activities that do not result in death. These activities fall under the clinical designation of parasuicide. Those with a history of such attempts are almost 23 times more likely to eventually end their own lives than those who don't participate in such activities.
Suicidal gestures and attempts
: Suicide, 1877Sometimes, a person will make actions resembling suicide attempts while not being fully committed, or in a deliberate attempt to have others notice. This is called a suicidal gesture (also known as a "cry for help"). Prototypical methods might be a non-lethal method of self-harm that leaves obvious signs of the attempt, or simply a lethal action at a time when the person considers it likely that he/she will be rescued or prevented from fully carrying it out.
On the other hand, a person who genuinely wishes to die may fail, due to lack of knowledge about what they are doing, unwillingness to try methods that may end in permanent damage if he fails or harms others, or an unanticipated rescue, among other reasons. This is referred to as a suicide attempt.
Distinguishing between a suicide attempt and a suicidal gesture may be difficult. Intent and motivation are not always fully discernible since so many people in a suicidal state are genuinely conflicted over whether they wish to end their lives. One approach, assuming that a sufficiently strong intent will ensure success, considers all near-suicides to be suicidal gestures. This, however, does not explain why so many people who fail at suicide end up with severe injuries, often permanent, which are most likely undesirable to those who are making a suicidal gesture. (See: self-harming.) Another possibility is those wishing merely to make a suicidal gesture may end up accidentally killing themselves, perhaps by underestimating the lethality of the method chosen or by overestimating the possibility of external intervention by others. Suicide-like acts should generally be treated as seriously as possible, because if there is an insufficiently strong reaction from loved ones from a suicidal gesture, this may motivate future and ultimately more committed attempts.
In the technical literature the use of the terms parasuicide, or deliberate self-harm (DSH) are preferred – both of these terms avoid the question of the intent of the actions.
Suicide crisis
A suicide being attempted, or a situation in which a person is seriously contemplating suicide or has strong suicidal ideation, is considered by public safety authorities to be a medical emergency requiring suicide intervention.
Suicide note
A written message left by someone who attempts, or indeed dies by, suicide is known as a suicide note. The practice is fairly common, occurring in approximately one out of three suicides in the United States. Motivations for leaving a note range from seeking Closure (psychology) with loved ones, to exacting revenge against others by blaming them for the decision. It may also contain a few sentences apologizing to those they may have left. Most suicide notes are hand-written, and also often left with a few personal possessions.
Related phenomena
Para-suicidality
Para-suicidality is a psychiatric term that refers to a suicidal gesture that is a marker for histrionic behavior, or even overt attention seeking. Para-suicidality is typically associated with Borderline personality disorder, psychotic depression, and/or mania.
Fake suicide
People sometimes fake suicide, usually in order to escape legal, financial, or relationship difficulties and start a new life. In order to explain the absence of a body, it is common to fake suicide by drowning. The term pseudocide covers not only fake suicide, but other fake deaths too (primarily fake murder). There have been numerous cases of celebrity suicides that have been challenged as possible homicides. Among the most famous were the drug overdose death of Marilyn Monroe, the 1994 shooting of Kurt Cobain, the 2007 death of Anna Nicole Smith, as well as the 1949 death of James Forrestal. Zogby Poll.
Self-harm
Self-harm is not a suicide attempt; however, initially self-injury was classified as a suicide attempt. There is a non-causal correlation between self-harm and suicide; both are most commonly a joint effect of clinical depression. A common misconception is that self-injurers are suicidal. Self-injury is an attempt to cope with life and continue living.
Assisted suicide
, on display at Science Museum (London).
Individuals who wish to end their own life may enlist the assistance of another person to achieve death, e.g. by a deadly poison. The other person, usually a family member or physician, may help carry out the act if the individual lacks the physical capacity to do so even with the supplied means. According to different moral views, this may not be considered a form of suicide. The assistant may think of it as acting in behalf of the individual, perhaps to end suffering, while opponents regard it as akin to murder. Assisted suicide is a contentious moral and political issue in many countries.
Murder-suicide
The motivation for the murder in murder-suicide can be purely criminal in nature or be perceived by the perpetrator as an act of care for loved ones in the context of severe Clinical depression. The severely depressed person may see the world as a terrible place and can feel that they are helping those they care about by removing them from it. Thoughts like this are generally regarded as a medical emergency requiring suicide intervention.
Since crime just prior to suicide is often perceived as being without consequences, it is not uncommon for suicide to be linked with homicide. Motivations may range from guilt to evading punishment, insanity, part of a suicide pact, or exacting revenge on those whom they feel are responsible.
Suicide attack
A suicide attack is when an attacker perpetrates an act of violence against others, typically to achieve a military or political goal, that foreseeably results in his or her own death as well. Suicide bombings have been prominent in the news in recent years. Other historical examples include the assassination of Tsar Alexander II and the kamikaze attacks by Japanese air pilots during the second World War.
Suicide methods
In countries where firearms are readily available, many suicides involve the use of firearms. Over 55% of suicides that occurred in the United States in 2001 were by firearm. Asphyxiation methods (including hanging) and toxification (poisoning and overdose) are fairly common as well. Each comprised about 20% of suicides in the US during the same time period. Other methods of suicide include blunt force trauma (jumping from a building or bridge, or stepping in front of a train, for example), exsanguination or bloodletting (slitting one's wrist or throat), intentional drowning, self-immolation, electric shock, car collision and intentional starvation. The documentary film The Bridge (documentary film) tells the story of 24 people who committed suicide and their families' responses. All the suicides took place at San Francisco's Golden Gate Bridge.
Reasons for suicide
Causes of suicide
, a legendary rape victimSuicide poses a conundrum to sociobiologists: Why would one choose to eliminate oneself from the gene pool? Sociobiologists debate the ultimate Suicide and evolution, while at a proximate level of animal behaviour, no single factor has gained acceptance as a universal cause of suicide. Clinical depression, however, is a common phenomenon amongst those who die by suicide.
Other factors that may be related are as follows (note that this is not meant as a comprehensive list, but rather as a summary of notable causes):
- Suffering (e.g. physical or emotional agony that is not correctable)
- Stress (medicine) (e.g. grief after the death of a loved one)
- Crime (e.g. escaping judicial punishment and the dehumanisation and boredom of incarceration; self-punishment due to guilt)
- Mental illness (e.g. clinical depression, bipolar disorder, schizophrenia, anxiety disorders, anorexia nervosa, bulimia nervosa or post traumatic stress disorder)
- Catastrophic injury (e.g. paralysis, disfigurement, loss of limb)
- Adverse environment (e.g. sexual abuse, domestic abuse, poverty, homelessness, bullying, social isolation, discrimination)
- Financial loss (e.g. loss of job/assets, debts)
- Sacrificial#Self_sacrifice reasons (e.g. a soldier throwing his body on a grenade) (this is not considered suicide by some because the individual does not have the goal of ending his or her life per se, but rather shielding others from harm at the possible risk of losing their own life)
- Accidental suicide (e.g. while playing Russian roulette)
- Unresolved or unresolvable human sexuality (e.g. sexism, sexual orientation, gender dysphoria, unrequited love, aftermath of a break up, involuntary celibacy, acquiring an incurable sexually transmitted infection (HIV, herpes, HPV))
- To avoid shame or dishonour (e.g. the Bushido ideal, under which a disgraced samurai could regain his honor by performing seppuku)
- Terrorism can also be a motive for suicide, especially when related to religion (e.g. suicide bombings)
- Nationalism (e.g. the Kamikaze, Selbstopfer, and Kaiten suicide weapons)
- Philosophical belief that life has no inherent value (e.g. absurdism, pessimism, nihilism)
- Religious cults (e.g. Heaven's Gate (religious group) and Peoples Temple)
- loneliness especially when prolonged.
Suicide and mental illness
Studies show a high incidence of psychiatric disorders in suicide victims at the time of their death with the total figure ranging from 98%Bertolote JM, Fleischmann A, De Leo D, Wasserman D.(2004) Psychiatric diagnoses and suicide: revisiting the evidence. Crisis., 25(4):147-55. PMID 15580849to 87.3% Arsenault-Lapierre G, Kim C, Turecki G. (2004) Psychiatric diagnoses in 3275 suicides: a meta-analysis. BMC Psychiatry, Nov 4;4:37. PMID 15527502 with mood disorders and substance abuse being the two most common. In schizophrenia suicide can be triggered by either the depression that is common with this disorder, or in response to command hallucination. Suicide among people suffering from bipolar disorder is often an impulse, which is due to the sufferer's extreme mood swings (one of the main symptoms of bipolar disorder). Severe clinical depression is considered a terminal illness due to the likelihood of suicide when left untreated. Shuster, JL.(2000) Can depression be a terminal illness? Journal of Palliative Medicine. Winter;3(4):493-5.
Epidemiology
per 100,000. in the U.S. by gender and ethnic group
According to official statistics, about a million people die by suicide annually, more than those murdered or killed in war.{{cite web| title=Suicide prevention
| publisher=World Health Organization
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| work=WHO Sites: Mental Health
| url=http://www.who.int/mental_health/prevention/suicide/suicideprevent/en/
| accessdate=2006-04-11
--> As of 2001 in the USA, suicides outnumber homicides by 3 to 2 and deaths from AIDS by 2 to 1.{{cite web| title=Teen Suicide Statistics
| publisher=FamilyFirstAid.org
| year=2001
| work=Adolescent Teenage Suicide Prevention
| url=http://www.familyfirstaid.org/suicide.html
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Gender and suicide: In the Western world, males die much more often than females by suicide, while females attempt suicide more often; this has been true for at least a century.1920 World Book, Volume 9, page 5618 Some medical professionals believe this is due to the fact that males are more likely to end their life through violent means (guns, knives, hanging, etc.), while women primarily overdose on medications or use other methods which may be less likely to result in death; again, this has been the case for at least a century.1920 World Book, Volume 9, page 5618
Others ascribe the difference to inherent differences in male/female psychology. Greater social stigma against male depression and a lack of social networks of support and help with depression is often identified as a key reason for men's disproportionately higher level of suicides, since suicide as a "cry for help" is not seen as an equally viable option by men. Typically males die from suicide 3 to 4 times as often as females, and not unusually 5 or more times as often.
Excess male mortality from suicide is also evident from data from non-western countries. In 1979–81, 74 territories reported one or more cases of suicides. Two of these reported equal rates for both sexes: Seychelles and Kenya. Three territories reported female rates exceeding male rates: Papua New Guinea, Macau, French Guiana. The remaining 69 territories had male suicide rates greater than female suicide rates.Lester, Patterns, Table 3.3, pp. 31-33
Barraclough found that the female rates of those aged 5–14 equaled or exceeded the male rates only in 14 countries, mainly in South America and Asia.Barraclough,B M. Sex ratio of juvenile suicide. Journal of the American Academy of Child & Adolescent Psychiatry, 1987, 26, 434-435.
{]||2005||68.1||12.9||38.6|-|2. ||Belarus||2004||61.6||10.7||34.3|-|4. ||[Kazakhstan||2003||45.0||12.0||28.1|-|6. ||[Hungary||2004||42.9||8.5||24.3|-|8. ||[Japan||2004||43.0||7.3||23.8|-|10. ||[Sri Lanka die by suicide more often than [African Americans do. This is true for both genders. Non-Hispanic Caucasians are nearly 2.5 times more likely to kill themselves than are African Americans or Hispanics.
Age and suicide: At least in the USA, males over 70 die by suicide more often than younger males. There is no such trend for females. Older non-Hispanic Caucasian men are much more likely to kill themselves than older men or women of any other group, which contributes to the relatively high suicide rate among Caucasians.
Season and suicide: People die by suicide more often during spring and summer. The idea that suicide is more common during the winter holidays (including Christmas in the northern hemisphere) is a common misconception. Moving from a warmer climate to a much cooler climate can be depressing.{{cite news].
Other reasons
Suicide as a form of defiance and protest
.Heroic suicide, for the greater good of others, is often celebrated. For instance, Mahatma Gandhi went on a hunger strike to prevent fighting between Hindus and Muslims, and, although he was stopped before dying, it appeared he would have willingly succumbed to starvation. This attracted attention to Gandhi's cause, and generated a great deal of respect for him as a spiritual leader. In the 1960s, Buddhist monks, most notably Thích Quảng Đức, in South Vietnam Vietnam drew Western world attention to their protests against President Ngô Đình Diệm by self-immolation. Also in the 1960s, Quaker Norman Morrison committed suicide by self-immolation to protest the United States involvement in the Vietnam War.Similar events were reported during the Cold War in eastern Europe, such as the deaths of Ryszard Siwiec and later of Jan Palach and Jan Zajíc following the Soviet Union invasion of Czechoslovakia, or Romas Kalanta's self-immolation in the main street of Kaunas, Lithuania in 1972. More recently, in 2006, an American anti-war activist, Malachi Ritscher, died by suicide by self-immolation as a protest against the 2003 Invasion of Iraq. In Ireland there exists a long tradition of hunger strike to the death against British rule, predominantly in Northern Ireland during the infamous 1981 hunger strikes, led by Bobby Sands, which resulted in 10 deaths. The period caused international outrage as shown, for example, by the Indian parliament standing for two minutes of silence or, more bemusingly, the Iranian government renaming the street in Tehran on which the British Embassy stands to "Bobby Sands Street", named after the first hunger-striker to die in 1981.Before the Republic of Ireland got its independence there were also examples of hunger striking, such as Terence McSwiney in Cork. Critics may see such suicides as counter-productive, arguing that these people would probably achieve a comparable or greater result by spending the rest of their lives in active struggle. This is a contentious issue, especially when one considers that the Northern Ireland hunger strikers who died trying to obtain certain prisoners rights (e.g. POW status, right to wear own clothes, right not to have to work, etc.) actually had nearly all their requests eventually granted in the years after the spate of 1981 hunger strikes happened.
Judicial suicide
Sometimes a person who has committed a crime will commit suicide to avoid prosecution and disgrace:
- Colonel Alfred Redl was presented with the evidence of his espionage and shot himself to avoid a trial.
- In The Unpleasantness at the Bellona Club, Lord Peter Wimsey presents Dr. Penberthy with evidence proving that he is a murderer, then leaves him in a room with a loaded gun. A shot rings out, and the club members rush in to find the dead doctor, along with a signed confession.
Military suicide
In the desperate final days of World War II, many Japanese pilots volunteered for kamikaze missions in an attempt to forestall defeat for the Empire. In Nazi Germany, Luftwaffe squadrons were formed to smash into United States B-17 Flying Fortresss during daylight bombing missions, in order to delay the highly-probable Allied victory, although in this case, inspiration was primarily the Soviet and Polish taran ramming attacks, and death of the pilot was not a desired outcome. The degree to which such a pilot was engaging in a heroic, selfless action or whether they faced immense social pressure is a matter of historical debate. The Japanese also built one-man "human torpedo" suicide submarines.However, suicide has been fairly common in warfare throughout history. Soldiers and civilians commited suicide to avoid capture and slavery (including the wave of German and Japanese suicides in the last days of World War II). Commanders committed suicide rather than accept defeat. Spies and officers have often comitted suicide to avoid revealing secrets under interrogation and/or torture. Behaviour that could be seen as suicidal occurred often in battle, for instance a soldier falling on a grenade to save his comrades. Other examples include soldiers under cannon fire at the Battle of Waterloo took fatal hits rather than duck and place their comrades in harm's way. The Charge of the Light Brigade in the Crimean War, Pickett's Charge at Gettysburg in the American Civil War , and the charge of the French cavalry at the Battle of Sedan in the Franco-Prussian War were assaults that continued even after it was obvious to participants that the attacks were unlikely to succeed and would probably be fatal to most of the attackers. Japanese infantrymen usually fought to the last man, launched Banzai charge, and suicided during the Pacific island battles in World War II. In Saipan and Okinawa, civilians joined in the suicides. Suicidal attacks by pilots were common in the 20th century: the attack by U.S. torpedo planes at the Battle of Midway was very similar to a kamikaze attack.
Ritual suicide
Ritual suicide is the act of suicide motivated by a religious, spiritual, or traditional ritual.
An extreme interpretation of Hindu custom historically practiced, mostly in the 2nd millennium, was self-immolation by a widow as an assurance that she will be with her husband for the next life. Other rituals of self-immolation or self-starvation were used by Hinduism, Jainism and Buddhism monks for religious or philosophical purposes, or as a form of extreme non-violent protest. In China, some groups would practice suicide for similar reasons. In Japan, rituals of suicide like seppuku were practiced.
Dutiful suicide
Dutiful suicide is an act, or attempted act, of fatal self-violence at one's own hands done in the belief that it will secure a greater good, rather than to escape harsh or impossible conditions. It can be voluntary, to relieve some dishonor or punishment, or imposed by threats of death or reprisals on one's family or reputation (a kind of murder by remote control). It can be culturally traditional or generally abhorred; it can be heavily ritualized or purely functional. Dutiful suicide can be distinguished from a kamikaze or suicide bomb attack, in which a fighter consumes his own life in delivering a weapon to the enemy. Perhaps the most famous example of dutiful suicide is a soldier in a foxhole throwing his body on a live grenade to save the lives of his comrades.
Examples
- Disgraced Roman patricians were sometimes allowed to commit suicide to spare themselves a trial and penalties against their families.
- Nazi SA commander Ernst Röhm was ordered to kill himself by Adolf Hitler. Röhm refused and was executed in prison.
- Erwin Rommel, found to have foreknowledge of the German attempt on Hitler's life, was threatened with public trial, execution and reprisals on his family unless he killed himself; he did.
- According to the Bible, King Saul committed suicide at a losing battle against the Philistines.
Impact of suicide
It is estimated that an average of six people are suicide "survivors" for each suicide that occurs in the United States.http://www.suicidology.org/displaycommon.cfm?an=6 In the context of suicide, the word survivors refers to the family and friends of the person who has died by suicide; this figure therefore does not represent the total number of people who may be affected. For example, the suicide of a child may leave the school and their entire community left to make sense of the act.
As with any death, family and friends of a suicide victim feel grief associated with loss. These suicide survivors are often overwhelmed with psychological trauma as well, depending on many factors associated with the event. This trauma can leave survivors feeling guilty, anger, remorseful, helpless, and confusion. It can be especially difficult for survivors because many of their questions as to why the victim felt the need to take his or her own life are left unanswered. Moreover, survivors often feel that they have failed or that they should have intervened in some way. Given these complex sets of emotions associated with a loved one's suicide, survivors usually find it difficult to discuss the death with others, causing them to feel isolated from their own network of family and friends and often making them reluctant to form new relationships as well.http://www.faqs.org/faqs/suicide/info/
"Survivor groups" can offer counseling and help bring many of the issues associated with suicide out into the open. They can also help survivors reach out to their own friends and family who may be feeling similarly and thus begin the healing process. In addition, counseling services and therapy can provide invaluable support to the bereaved. Some such groups can be found online, providing a forum for discussion amongst survivors of suicide (see Support Groups for Survivors section below).
Economic impact
Deaths and injuries from suicidal behavior represent $25 billion each year in direct costs, including health care services, funeral services, autopsies and investigations, and indirect costs like lost productivity.
These costs may be counterbalanced by economic gains. Expenditure on those who would have continued living is reduced, including pensions, social security, health care services for the mentally illYang B, Lester D. Recalculating the economic cost of suicide. Death studies, 2007 Apr;31(4):351-61 as well as other normal budgetary expenditure per head of living population.
Views on suicide
Medical
Modern medicine treats suicide as a mental health issue. Overwhelming or persistent suicidal thoughts are considered a medical emergency. Medical professionals advise that people who have expressed plans to kill themselves be encouraged to seek medical attention immediately. This is especially relevant if the means (weapons, drugs, or other methods) are available, or if the patient has crafted a detailed plan for executing the suicide. Medical personnel frequently receive special training to look for suicidal signs in patients. Individuals suffering from depression are considered a high-risk group for suicidal behavior. Suicide hotlines are widely available for people seeking help. However, the negative and often too clinical reception that many suicidal people receive after relating their feelings to health professionals (e.g. threats of institutionalization, increased dosages of medication, the social stigma) may cause patients to remain more guarded about their mental health history or suicidal urges and ideation.
In the United States, individuals who express the intent to harm themselves are automatically determined to lack the present mental capacity to refuse treatment, and can be transported to the emergency room against their will. An emergency physician will determine whether inpatient care at a psychiatric hospital is warranted. This is sometimes referred to as being "involuntary commitment". A court hearing may be held to determine the patient's competence (law).
Criminal
In some jurisdictions, an act or failed act of suicide is considered to be a crime. More commonly, a surviving party member who assisted in the suicide attempt will face criminal charges.
In Brazil, if the help is directed to a minor, the penalty is applied in its double and not considered as homicide. In Italy and Canada, instigating another to suicide is also a criminal offense. In Singapore, assisting in the suicide of a mentally handicapped person is a capital offense. In India, abetting suicide of a minor or a mentally challenged person can result in a possible death penalty, otherwise a maximum 10 years prison term.
knife prepared for seppuku
Cultural
In the Warring States Period and the Edo period of Japan, samurai who disgraced their honor chose to end their own lives by seppuku, a method in which the samurai takes a sword and slices into his abdomen, causing a fatal injury. The cut is usually performed diagonally from the top corner of the samurai's writing hand, and has long been considered an honorable form of death (even when done to punish dishonor). Though such a wound would be fatal, seppuku was not always technically suicide, as the samurai's assistant (the kaishaku) would stand by to cut short any suffering by quickly administering a fatal cut to the back of the neck (just short of decapitation), sometimes as soon as the first tiny incision into the abdomen was made.
Religious
In most forms of Christianity, suicide is considered a sin, based mainly on the writings of influential Christian thinkers of the Middle Ages, such as St. Augustine of Hippo and St. Thomas Aquinas. Their arguments center around the ten commandments "Thou shalt not kill" (made applicable under the New Covenant by Jesus in Gospel of Matthew), as well as the idea that life is a gift given by God which should not be spurned, and that suicide is against the "natural order" and thus interferes with God's master plan for the world. However, it is believed that mental illness or grave fear of suffering diminishes the responsibility of the one completing suicide. Suicide was not considered a sin under the Byzantine Christian code of Justinian, for instance. There is no verse in the Bible speaking against killing one’s self. Counter-arguments include the following: that the sixth commandment is more accurately translated as "thou shalt not murder", not necessarily applying to the self; that taking one's own life no more violates God's plan than does curing a disease; and that a number of suicides by followers of God are recorded in the Bible with no dire condemnation.
Judaism focuses on the importance of valuing this life, and as such, suicide is tantamount to denying God's goodness in the world. Despite this, under extreme circumstances when there has seemed no choice but to either be killed or forced to betray their religion, Jews have comitted individual suicide or mass suicide (see Masada, History of the Jews in France#First Persecution of the Jews, and York Castle for examples) and as a grim reminder there is even a prayer in the Jewish liturgy for "when the knife is at the throat", for those dying "to sanctify God's Name". (See: Martyrdom). These acts have received mixed responses by Jewish authorities, regarded both as examples of heroic martyrdom, whilst others state that it was wrong for them to take their own lives in anticipation of martyrdom.http://www.religionfacts.com/euthanasia/judaism.htm
Suicide is not allowed in the religion of Islam; however, martyring oneself for Allah (during combat) is not the same as completing suicide. Suicide by Muslim standards is traditionally seen as a sign of disbelief in God. The use of suicide bombing is therefore a controversial one in Islam. Groups like Hamas consider it necessary—for instance, in the struggle against occupation.
Debate over suicide
Some see suicide as a legitimate matter of personal choice and a human right (colloquially known as the right to die movement), and maintain that no one should be forced to suffer against their will, particularly from conditions such as incurable disease, mental illness, and old age that have no possibility of improvement. Proponents of this view reject the belief that suicide is always irrational, arguing instead that it can be a valid last resort for those enduring major pain or trauma. This perspective is most popular in continental Europe, where euthanasia and other such topics are commonly discussed in parliament, although it has a good deal of support in the United States as well.
A narrower segment of this group considers suicide something between a grave but condonable choice in some circumstances and a sacrosanct right for anyone (even a young and healthy person) who believes they have rationally and conscientiously come to the decision to end their own lives. Notable supporters of this school of thought include German pessimist philosopher Arthur Schopenhauer, and Scottish empiricist David Hume. Adherents of this view often advocate the abrogation of statutes that restrict the liberties of people known to be suicidal, such as laws permitting their involuntary commitment to mental hospitals. Critics may argue that suicidal impulses are often products of mental illness rather than rational self-interest, and that because of the gravity and irreversibility of the decision to take one's life it is more prudent for society to err on the side of caution and at least delay the suicidal act.
See also
Lists
References
Further reading
Documents and periodicals
- Butler, Sara M. "Cultures of Suicide?: Suicide Verdicts ad the 'Community' in Thirteenth- and Fourteenth-Century England," The Historian 69.3 (Fall, 2007): 427-449.
- Frederick, C. J. Trends in Mental Health: Self-destructive Behavior Among Younger Age Groups. Rockville, MD: National Institute on Drug Abuse. 1976. ED 132 782.
- Lipsitz, J. S., Making It the Hard Way: Adolescents in the 1980s. Testimony presented to the Crisis Intervention Task Force of the House Select Committee on Children, Youth, and Families. 1983. ED 248 002.
- McBrien, R. J. "Are You Thinking of Killing Yourself? Confronting Suicidal Thoughts." SCHOOL COUNSELOR 31 (1983): 75–82.
- Ray, L. Y. "Adolescent Suicide." Personnel and Guidance Journal 62 (1983): 131-35.
- Rosenkrantz, A. L. "A Note on Adolescent Suicide: Incidence, Dynamics and Some Suggestions for Treatment." Adolescence 13 (l978): 209–14.
- Suicide Among School Age Youth. Albany, NY: The State Education Department of the University of the State of New York, 1984. ED 253 819.
- Suicide and Attempted Suicide in Young People. Report on a Conference. Geneva, Switzerland: World Health Organization, 1974. ED 162 204.
- Teenagers in Crisis: Issues and Programs. Hearing Before the Select Committee on Children, Youth, and Families. House of Representatives Ninety-eighth Congress, First Session. Washington, DC: Congress of the U. S., October, 1983. ED 248 445.
- Smith, R. M. Adolescent Suicide and Intervention in Perspective. Paper presented at the annual meeting of the National Council on Family Relations, Boston, MA, August, 1979. ED 184 017.
Nonfiction books
- Bongar, B. The Suicidal Patient: Clinical and Legal Standards of Care. Washington, D.C.: APA. 2002. ISBN 1-55798-761-0
- Émile Durkheim. Suicide (book), (1897), The Free Press reprint 1997, ISBN 0684836327
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- Keogh, Abel Room for Two Cedar Fort, 2007 ISBN 1-599-55062-8
- Derek Humphry. Final Exit. Dell. 1997.
- Maguire, Maureen, Uncomfortably Numb. A Prison Requiem. Luath Press 2001. ISBN 1-84282-001-X (A factual documentation of suicide in prison)
- O'Connor, R., & Sheehy, N.P. Understanding Suicidal Behaviour. BPS Blackwell. 2000. ISBN 1854332902
- Paterson, Craig. Assisted Suicide and Euthanasia. Ashgate, 2008. ISBN 0 7546 5746 9
- Paul, Sam. Why I Committed Suicide. New York: iUniverse, Inc., 2004. ISBN 0-59532-695-1
- Stillion, Judith M. and McDowell, Eugene E. Suicide Across the LifeSpan: Premature Exits. New York: Routledge, 1996. ISBN 1-56032-304-3
- Stone, Geo. Suicide and Attempted Suicide: Methods and Consequences. New York: Carroll & Graf, 2001. ISBN 0-7867-0940-5
External links
General information
- Medline Plus - suicide and suicidal behavior
- cbel.com/suicide/ - directory of information on suicide
- American Association of Suicidology - statistics and general information
- Online Education on Suicide Prevention for Professionals - list of courses for medical professionals
Suicide prevention
- ChooseLife,Choose Life is a 10 year plan aimed at reducing suicides in Scotland by 20% by 2013, Looking at ways of preventing Suicide using ASIST,SafeTALK and SuicideTALK
- ReachOut! Website for young people going through tough times
- Kristin Brooks Hope Center
- Youth America Hotline
- Preventing Suicide The National Journal
- resources for graduate students who are depressed and or suicidal
- American Foundation for Suicide Prevention
- metanoia.org/suicide - suicide prevention page
- "Understanding and Helping the Suicidal Person" - information on suicide prevention
- The Fred Fund : suicide support, resources, online stories, memorials and interaction
- TeenSuicide.us - teenage suicide prevention information
- Suicide Prevention Help - A Friendship Letter and Web directory of helpful suicide prevention resources from around the world.
- suicide.com self-help website for suicidal persons written by a recovered suicidal person
Views on suicide
- The Eclipse: A Memoir of Suicide - a detailed examination of suicide's underlying philosophical beliefs and its impact on survivors
- "The Murder of Oneself" - ethical and legal considerations in suicide and its prevention
- The Debate: a pro-choice FAQ
- "Suicide as a Moral Alternative" - discussion on the morality of suicide, including arguments for and against
- "Suicide" in the Stanford Encyclopedia of Philosophy
- Suicide & Euthanasia - a Biblical Perspective - discussion of suicide from a biblical perspective
- * Suicide Promotion (Internet) - United Kingdom Parliamentary debate - debate by politicians on suicide, 25 January 2005
Support groups
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- Samaritans (UK & Ireland) - 24-hour support help, United Kingdom & Ireland
- Befrienders Worldwide Worldwide Suicide Prevention help
- #alt.suicide.bus.stop (ASBS) - a support group for the suicidal, by the suicidal
- Maytree Respite Centre - A refuge for people in a suicidal crisis. They welcome referrals or self-referrals
Support groups for survivors
- American Association of Suicidology - Referrals to local self help groups for survivors of suicide across the United States
- Heartbeat - Mutual support for those who have lost loved ones to suicide
- SOLES - Survivors of Law Enforcement Suicide
- International Friends and Families of Suicide - Online su
Suicide
If you are feeling suicidal, there are people who can help. ... If you are feeling suicidal, there are people who can help. Speak to those around you about why you feel like this.
BBC - Health - Conditions - Suicide
Causes, statistics and treatment of suicide ... Suicide. Dr Rob Hicks. Some people who attempt suicide want to die; others wish to draw attention to a problem they have.
BBC - Health - Conditions - Suicidal feelings
Advice on what to do if someone discusses their feelings of suicide with you or if you're feeling suicidal yourself
Mind > Information > Factsheets and booklets by subject > Suicide ...
This factsheet looks at suicide rates in different groups, methods used, attitudes towards suicide, prediction of suicide risk, effect of suicide on others, suicide prevention and ...
Suicide - Wikipedia, the free encyclopedia
Suicide (Latin suicidium, from sui caedere, to kill oneself) is the act of terminating one's own life. Many dictionaries also note the metaphorical sense of "willful destruction of ...
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Suicide is an American rock music group intermittently active since 1971 and composed of Alan Vega (vocals) and Martin Rev (synthesizers and drum machines).
Definition: suicide from Online Medical Dictionary
The Online Medical Dictionary is a searchable dictionary of definitions from medicine, science and technology. ... suicide. The act of killing oneself. (12 Dec 1998)
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Suicide.com - A decision-making site for those contemplating suicide
Suicide.com: Will you live, or will you die ?, Assistance for those facing the ultimate decision, The right to commit suicide, and other contemplations. Suicide prevention if ...
MedlinePlus: Suicide
Suicide ... Suicide is the eleventh most common cause of death in the United States.