Difference between revisions of "Suicide" - New World Encyclopedia

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[[Category:Politics and social sciences]]
 
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[[Category:Psychology]]
  
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'''Suicide''' (from [[Latin]] ''sui caedere,'' to [[kill]] oneself) is the act of willfully ending one's own [[life]]. It can also refer to the individual who has committed or attempted the act. Suicide is not simply an illness nor a condition. Rather, it is a complex set of behaviors that exists on a continuum, from ideas to actions.
  
{{Suicide}}
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Suicide occurs for any number of reasons, often relating to [[clinical depression|depression]], [[substance abuse]], [[shame]], avoiding [[pain]], financial difficulties, or other undesirable situations.
<!--Please do not add disclaimers to this article, as any pro- and anti-suicide information a reader might need is already available in Template:Suicide—>
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'''Suicide''' (from [[Latin]] ''sui caedere'', to [[kill]] oneself) is the act of willfully ending one's own [[life]]. ''Suicide'' can also refer to the individual who has committed or attempted the act.
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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 religion]]s, [[Buddhism]], [[Hinduism]]—consider suicide a dishonorable act; in the West it was regarded as a serious [[crime]] and offense against [[God]] due to religious belief in the sanctity of life. [[Japan]]ese 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 twentieth century suicide in the form of self-immolation has been used as a form of protest, and in the form of ''[[kamikaze]]'' and [[suicide attack]]s as a military or [[terrorism|terrorist]] tactic.
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Medically assisted suicide ([[euthanasia]], or the right to die) is a controversial ethical issue involving people who are terminally ill, in extreme pain, 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.
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{{toc}}
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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|depression]], inescapable [[suffering]] or [[fear]], or other [[mental disorder]]s 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. In this view, the focus of mental health professionals is to prevent the person from succeeding in killing themselves, and then to provide support, in the form of [[psychotherapy]] and/or [[medication]], to assist them in regaining the will and ability to live a meaningful life.
  
 
==Terminology==
 
==Terminology==
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===Suicidal behavior===
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Some people engage in acts intended to bring death or acts unlikely to result in [[death]] but that indicate self-destructive or suicidal thoughts. These acts include overdosing, reckless driving, or excessive drinking. This is called suicidal behavior.
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===Suicidal ideation===
 
===Suicidal ideation===
Suicidal ideation is thinking about taking one’s life. The thoughts may range from a vague and unformed state to detailed and planned.  
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A common [[medical terminology|medical term]] for thoughts about suicide, which may be as detailed as a formulated plan, without the suicidal act itself. Although most people who undergo suicidal ideation do not commit suicide, some go on to make suicide attempts or take their own lives.
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The range of suicidal ideation varies greatly from fleeting to detailed planning, [[role playing]] and unsuccessful attempts, which may be deliberately constructed to fail or be discovered or may be fully intended to succeed but not actually do so.
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===Attempted suicide===
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Attempted suicide generally refers to an act that was intended to cause death but failed.
  
 
===Parasuicide===
 
===Parasuicide===
{{main|parasuicide}}
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Not all seemingly self-destructive behavior is suicidal behavior. Acts that may resemble suicidal behavior but are not intended to lead to death, such as deliberately injuring oneself, are known as [[parasuicide]]. Some people engage in this type of behavior as a way of soothing themselves. People who engage in self-injurious behavior, such as cutting, however, are at higher risk of suicide.
Many suicidal people participate in suicidal activities that do not result in death. These activities fall under the designation ''attempted suicide'' or ''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 activites.<ref>{{cite journal
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| last = Shaffer
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In some cases, people who engage in suicidal behavior or parasuicide kill themselves accidentally—they had not intended the act to progress to a lethal outcome. For instance, they make take an overdose and expect to be discovered in time to be rescued.
| first = D.J.
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| authorlink =  
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===Completed suicide===
| coauthors =  
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Completed suicide means successful taking of one's own life. It is impossible to know absolutely why someone did this, or even if they intended to. In the case of an attempted suicide, the only way to understand one's friend or loved one's intent is to talk about it. That, of course, is not an option after completed suicide, although conversations before the act and notes left behind may provide clues. In fact, the existence of an explanatory "suicide note" is often taken as evidence that the act was one of intentional suicide, rather than accident or [[homicide]].
| year = 1988
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| month = September
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==Questions about the phenomenon==  
| title = The Epidemiology of Teen Suicide: An Examination of Risk Factors
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One, rather classic, definition of the situation leading to suicide reads: "Suicide is not chosen; it happens when pain exceeds resources for coping with pain."
| journal = [[Journal of Clinical Psychiatry]]
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| volume = 49
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That said, it is clear, nevertheless, that suicide is a far more enigmatic and disconcerting phenomenon. Because of others' inability to directly occupy the mental world of the suicidal, suicide appears to elude easy explanation.
| issue = supp.
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| pages = 36&ndash;41
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Among the questions, we have been challenged for millenia, are: What makes a person's behavior suicidal? What motivates such behavior? Is suicide morally permissible, or even morally required in some extraordinary circumstances? Is suicidal behavior rational? How to try to minimize such a behavior? The following text presents some philosophical, behavioral, medical, and sociological notions about these questions.
| id = PMID 3047106
 
| url =
 
| accessdate = 2006-04-12
 
}}</ref>
 
  
===Suicidal gestures and attempts===
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In addition, there are cases resulting in death that are either not suicide in legal terms or in technical terms.
Sometimes, 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 they fail or harm others, or an unanticipated rescue, among other reasons.  This is referred to as a ''suicidal attempt''.
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===Technical obstacles===
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While it is tempting to say that suicide is any self-caused death, this account is vulnerable to obvious counterexamples. An individual who knows the health risks of smoking or of [[Skydiving|skydiving]], but willfully engages in these behaviors and dies as a result, could be said to be causally responsible for her own death but not to have committed suicide.
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Similarly, an individual who takes a drink of [[hydrochloric acid]], believing it to be lemonade, and subsequently dies caused her own death but did not engage in suicidal behavior.
  
Distinguishing between a suicidal 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.  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.
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===Legal obstacles===
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Sometimes, not only are there self-caused deaths that are not suicides, but there are behaviors that result in death and are arguably suicidal in which the agent is not the cause of her own death or is so only at one remove.  
  
In the technical literature the use of the terms ''[[parasuicide]]'', or ''deliberate [[self-harm]] (DSH)'' are preferred &ndash; both of these terms avoid the question of the intent of the actions.
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This can occur when an individual arranges the circumstances for her death. A terminally ill patient who requests that another person inject her with a lethal dose of tranquilizers has, intuitively, committed suicide. Though she is not immediately causally responsible for her death, she appears morally responsible for her death, since she initiates a sequence of events which she intended to culminate in her death, a sequence which cannot be explained without reference to her beliefs and desires. Such a case might also be an example of a voluntary [[euthanasia]].
  
===Self-harm===
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Likewise, those who commit "suicide by cop," where an armed [[crime]] is committed in order to provoke [[police]] into shooting its perpetrator, are responsible for their own deaths despite not being the causes of their deaths. In these kinds of cases, such agents would not die, or would not be at an elevated risk for death, were it not for their initiating such causal sequences. (See Brandt 1975, Tolhurst 1983, Frey 1981, but for a possible objection see Kupfer 1990).
{{main|self-harm}}
 
An important difference to note is that self-harm is not a suicide attempt.  There is a non-causal correlation between self-harm and suicide; individuals who suffer from [[clinical depression|depression]] or other mental health issues are also more likely to choose suicide. Deliberate self-harm (DSH) is far more common than suicide, and the majority of DSH participants are [[female]]s aged under 35. They are usually not physically ill and while [[Psychology|psychological]] factors are highly significant, they are rarely clinically ill and severe depression is uncommon. Social issues are key as DSH is most common among those living in overcrowded conditions, in [[conflict]] with their [[family|families]], with disrupted childhoods and history of [[drinking]], criminal behavior, and [[violence]]. Individuals under these [[Stress (medicine)|stress]]es become anxious and depressed and then, usually in reaction to a single particular crisis, they attempt to harm themselves. The motivation may be a desire for relief from emotional [[Pain and nociception|pain]] or to communicate feelings, although the motivation will often be complex and confused. DSH may also result from an inner conflict between the desire to end life and the desire to continue living.
 
  
===Suicide note===
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==Philosophy of suicide==
{{main|Suicide note}}
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Undoubtedly, the challenge of simply fathoming suicide accounts for the vast array of attitudes toward suicide found in the history of Western civilization: bafflement, dismissal, heroic glorification, sympathy, anger, moral or religious condemnation.  
A written message left by someone who attempts or commits suicide is known as a suicide note.  The practice is fairly common, occurring in approximately one out of three suicides.[http://wonder.cdc.gov/wonder/prevguid/p0000164/p0000164.asp]  Motivations for leaving one range from seeking [[Closure (psychology)|closure]] with loved ones to exacting revenge against others by blaming them for the decision.
 
  
===Combination of homicide and suicide===
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Suicide is now an object of multidisciplinary scientific study, with [[sociology]], [[anthropology]], [[psychology]], and [[psychiatry]] each providing important insights into suicide. Particularly promising are the significant advances being made in our scientific understanding of the neurological basis of suicidal behavior (Stoff and Mann 1997) and the mental conditions associated with it.
{{main|Murder-suicide}}
 
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, and killing others as part of a [[suicide pact]].
 
  
===Assisted suicide===
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Nonetheless, certain questions about suicide seem to fall at least partially outside the domain of science, and indeed, suicide has been a focus of [[philosophy|philosophical]] examination in the West since at least the time of [[Plato]].
{{main|Euthanasia}}
 
A suicidal individual who lacks the physical capacity to take their own life may enlist someone else to carry out the act on their behalf, frequently a family member or physician.  This may or may not be considered a form of suicide according to different moral views of the practice, with opponents regarding it instead as akin to [[murder]].  Assisted suicide is a contentious  moral and political issue in many countries.
 
  
==Methods==
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Suicide has always aroused deep passions in humanity. Suicide is a threat whether religious, existential, political, or emotional. It has been represented as the ultimate irrationality and [[evil]], pure selfishness, a dangerous precedent, madness, and pathology.  
{{main|Suicide methods}}
 
In countries where [[firearms]] are readily available, many suicides involve the use of firearms. In fact, just over 55% of suicides committed in the United States in 2001 were by firearm<ref>http://www.preventsuicidenow.com/suicide-statistics.html</ref>. [[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), [[self-immolation]], [[electric shock|electrocution]], car collision and intentional [[starvation]].
 
  
==Reasons for suicide==
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Conceptions of suicide clearly are framed within and affected by the [[culture]]s they are born out of. Yet suicide is not merely a matter of navigating cultural norms, or the product of emergent social structures (though of course these play a role). There is a normative element to the question, there is a philosophy and a [[deontology]] of suicide.  
===Causes of suicide===
 
No single factor has gained acceptance as a universal cause of suicide. However, [[Clinical depression|depression]] is a common [[phenomenon]] amongst those who commit 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) <!-- Otherwise this could balloon into an unmanageable mess that could include everything from the guy who killed himself by playing 48 hours of MMORPGs to every guy in the Darwin Awards —> :
 
  
*[[Pain and nociception|Pain]] (e.g. physical or emotional agony that is not correctable)
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Nearly all the great philosophers had positions on suicide. [[Kant]] made suicide a special example in his moral philosophy, and was troubled by the challenges it posed. [[Plato]] laid out specific instances where suicide was or was not deviant. [[Spinoza]] regarded the will to self-preservation as fundamental and key to value, and likewise suicide as true irrationality and wrong.  
*[[Stress (medicine)|Stress]] (e.g. [[Grief]] after a death)
 
*[[Crime]] (e.g. escaping judicial punishment and dehumanisation, boredom of incarceration)
 
*[[Mental illness]] and [[disability]] (e.g. [[clinical depression|depression]], [[bipolar disorder]], [[Psychological trauma|trauma]], and [[schizophrenia]])
 
*Catastrophic Injury (e.g. [[paralysis]], [[disfigurement]], loss of limb)
 
*[[Substance abuse]]
 
*Adverse environment (e.g. [[sexual abuse]], [[poverty]], [[homelessness]], [[discrimination]], [[bullying]], fear of murder and/or torture)
 
*[[Financial]] loss (e.g. [[gambling addiction]], loss of [[employment|job]]/[[assets]], [[stock market]] crash, [[debt]]s)
 
*Unresolved [[human sexuality|sexual issues]] (e.g. [[sexual orientation]]<ref>http://www.med.uio.no/ipsy/ssff/engelsk/menuprevention/Friis.htm</ref>, [[unrequited love]], aftermath of a [[break up]])
 
*To avoid shame or dishonour (e.g. Under the [[Bushido]] ideal, if a [[samurai]] failed to uphold his honour, he could regain it by performing [[seppuku]].)
 
*[[Curiosity]] (e.g. The need to know what comes after life.)
 
*[[Boredom]] (e.g. The dissatisfaction with life has resulted in more calculated and planned suicides)
 
*[[Terrorism]] can also be a motive for suicide, especially when related to the following:
 
**[[Religion]] (e.g., [[suicide bombings]], [[Heaven's Gate (cult)|Heaven's Gate]])
 
**[[Nationalism|Extreme nationalism]] (e.g., the [[Kamikaze]], [[Selbstopfer]], and [[Kaiten]] suicide weapons)
 
  
===Suicide and mental illness===
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Some philosophers have in fact killed themselves. The most famous philosopher suicide though was [[Seneca]]. Seneca had earlier argued for the [[reason]] as well as [[virtue]] of suicide, that is before [[Nero]]’s wrath descended upon him forcing him to take his own life. Yet Seneca turns the question on its head. Yet with clarity Seneca writes “Living is not the good, but living well."
  
===Epidemiology===
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The question of death then should be the question of life. Life is justified not by nature as Spinoza would have it, or reason as Kant would have it, but by the living.
[[Image:Edouard_Manet_059.jpg|thumb|[[Edouard Manet]]: ''Suicide'', 1877]]
 
{{main|Epidemiology and methodology of suicide}}
 
  
According to official statistics, about a million people commit suicide annually, more than those murdered or killed in war.  <ref>{{cite web
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:The dirtiest death is preferable to the daintiest slavery (Seneca).  
| 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
 
}}</ref>.  As of [[2001]] in the USA, suicides outnumber homicides by 3 to 2 and deaths from [[AIDS]] by 2 to 1 <ref>{{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
 
}}</ref>
 
  
'''Gender and suicide''': In the Western world, [[male]]s die much more often than [[female]]s by suicide, while females attempt suicide more often.  Some medical professionals believe this is due to the fact that males are more likely to end their life through violent means ([[gun]]s, knives, hanging, drowning, etc.), while women primarily overdose on medications or use other ineffective methods. Others ascribe the difference to inherent differences in male/female psychology, with men having more of an operational mindset and women being more aware of social nuance. <ref>Cantor CH.  Suicide in the [[Western World]]. In: Hawton K, van Heering K, eds. International handbook of suicide and attempted suicide. Chichester: John Wiley & Sons, 2000: 9-28.</ref>  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.
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To make more sense of the philosophical view of suicide, we present three excerpts:
  
Excess male mortality from suicide is also evident from data from non-western countries. In 1979-81, 74 countries reported one or more cases of suicides. Two of these reported equal rates for the sexes: [[Seychelles]] and [[Kenya]]. Three countries reported female rates exceeding male rates:  [[Papua-New Guinea]], [[Macao]], [[French Guiana]].  The remaining 69 countries had male suicide rates greater than female suicide rates. <ref>Lester, Patterns, Table 3.3, pp. 31-33</ref>
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<blockquote>If the covenant which unites man to society be considered, it will be obvious that every contract is conditional, must be reciprocal; that is to say, supposes mutual advantages between the contracting parties. … The citizen cannot be bound to his country, to his associates, but by the bonds of happiness. … Are these bonds cut asunder? He is restored to liberty. Society, or those who represent it, do they use him with harshness, do they treat him with injustice, do they render his existence painful? Chagrin, remorse, melancholy, despair, have they disfigured to him the spectacle of the universe? In short, for whatever cause it may be, if he is not able to support his evils, let him quit a world which from thenceforth is for him only a frightful desert. (d'Holbach 1970, 136-137).</blockquote>
  
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]]. <ref>Barraclough,B M. Sex ratio of juvenile suicide. Journal of the American Academy of Child & Adolescent Psychiatry, 1987, 26, 434-435.</ref>
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<blockquote>When a man's circumstances contain a preponderance of things in accordance with nature, it is appropriate for him to remain alive; when he possesses or sees in prospect a majority of the contrary things, it is appropriate for him to depart from life. ... Even for the foolish, who are also miserable, it is appropriate for them to remain alive if they possess a predominance of those things which we pronounce to be in accordance with nature. (Cicero, III, 60-61).</blockquote>
  
'''National suicide rates''' sometimes tend to be stable.  For example, the 1975 rates for Australia, Denmark, England, France, Norway, and Switzerland, were within 3.0 per 100,000 of population  from the 1875 rates (Australian Bureau of Statistics, 1983; Lester, Patterns, 1996, p. 21). The rates in 1910-14 and in 1960 differed less than 2.5 per 100,000 of population in Australia, Belgium, Denmark, England & Wales, Ireland, Japan, New Zealand, Norway, Scotland, South Africa, Spain, Sweden, and The Netherlands (Lester, Patterns, 1996, p. 22).
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<blockquote>One may well ask why, aside from the demands of religion, it is more praiseworthy for a man grown old, who feels his powers decrease, to await his slow exhaustion and disintegration, rather than to put a term to his life with complete consciousness? … In this case, suicide is quite natural, obvious, and should by rights awaken respect for the triumph of reason. This it did in those times when the leading Greek philosophers and the doughtiest Roman patriots used to die by suicide. … Conversely, the compulsion to prolong life from day to day, anxiously consulting doctors and accepting the most painful, humiliating conditions, without the strength to come nearer the actual goal of one’s life: that is far less worthy of respect. Religions provide abundant excuses to escape the need to kill oneself: this is how they insinuate themselves into those who are in love with life. Nietzsche (1984, 60).</blockquote>
  
There are considerable differences between national suicide rates.   Findings from two studies showed a range from 0.0 to more than 40 suicides per 100,000 of population. <ref>La Vecchia, C., Lucchini, F., & Levi, F. (1994) Worldwide trends in suicide mortality, 1955-1989. Acta Psychiatrica Scandinavica, 90, 53-64.; Lester, Patterns, 1996, pp. 28-30.</ref>
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===Reasons and causes for suicide===
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*[[Pain and nociception|Pain]] (physical or emotional agony that is not correctable).
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*[[Stress (medicine)|Stress]] ([[grief]] after the [[death]] of someone close).
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*[[Crime]] (escaping judicial punishment and dehumanization, boredom of incarceration).
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*[[Mental illness]] and [[disability]] ([[clinical depression|depression]], [[bipolar disorder]], [[Psychological trauma|trauma]], and [[schizophrenia]]).
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*Catastrophic injury ([[paralysis]], [[disfigurement]], loss of limb).
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*[[Substance abuse]].
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*Adverse environment ([[sexual abuse]], [[poverty]], [[homelessness]], [[discrimination]], [[bullying]], fear of [[murder]] and/or [[torture]]).
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*[[Financial]] loss ([[gambling addiction]], loss of [[employment|job]]/[[assets]], [[stock market]] crash, [[debt]]s).
  
National suicide rates, apparently universally, show an upward [[secular trend]]. This trend has been well documented for European countries. <ref>Lester, Patterns, 1996, p. 2.</ref>  The trend for national suicide rates to rise slowly over time might be an indirect result of the gradual reduction in deaths from other causes, i.e. falling death rates from causes other than suicide uncover a previously hidden predisposition towards suicide.  
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Some of the following excerpts attempt to illuminate these reasons:
<ref>Baldessarini, R. J., & Jamison, K. R. (1999) Effects of medical interventions on suicidal behavior. Journal of Clinical Psychiatry, 60 (Suppl. 2), 117-122.</ref> <ref>Khan, A., Warner, H. A., & Brown, W. A. (2000) Symptom reduction and suicide risk in patients treated with placebo in antidepressant clinical trials. Archives of General Psychiatry, 57, 311-317.</ref>      
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<blockquote>But I’m curious to see just how much a man can endure! And if I reach the limit of the endurable, well, then I can just open the door and leave. (Hesse, 1961, 11)</blockquote>  
  
'''Race and suicide'''At least in the USA, [[White American|Caucasians]] commit suicide more often than [[African American]]s 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 [[Hispanic]]s. <ref>[http://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdf] {{PDFlink}}</ref>
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<blockquote>When Durkheim wrote his great treatise on suicide in 1911 (Durkheim, 1911) and identified anomic suicide, he emphasized that poverty and deprivation are less likely to cause self-murder than a debilitating dissatisfaction with what is. … A constant devaluing of the given in the present and a yearning for an ever more glowing future is a profoundly destabilizing force in individual lives. (Rakoff, 1998)</blockquote>
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Lastly, largely thanks to the work of sociologists, such as Durkheim (1987) and Laplace, suicide was increasingly viewed as a social ill reflecting widespread [[alienation]] and other attitudinal byproducts of modernity. In many European nations, the rise in suicide rates was thought to signal a cultural decline. The next two causes are typical:  
  
'''Age and suicide'''  At least in the USA, males over 70 commit 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. Caucasian men in their 20s, conversely, kill themselves only slightly more often than African American or Hispanic men in the same age group.
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*[[Curiosity]] (The need to know what comes after life.)
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*[[Boredom]] (The dissatisfaction with life has resulted in more calculated and planned suicides.)
  
'''Season and suicide'''  People commit 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.<ref name="christmas">{{cite news
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In fact, in some cases, suicide may be honorable. Suicides that are clearly other-regarding, aiming at protecting the lives or well-being of others, or at political protest, may fall into this category (Kupfer 1990, 73-74). Examples of this might include the grenade-jumping soldier or the spy who takes his life in order not to be subjected to torture that will lead to his revealing vital military secrets.  
|url=http://www.suicideinfo.ca/csp/go.aspx?tabid=30
 
|publisher=Centre For Suicide Prevention
 
|title=Questions About Suicide
 
|date=2006
 
}}</ref>
 
  
===Other reasons===
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*To avoid shame or dishonor (Under the ''[[Bushido]]'' ideal, if a [[samurai]] failed to uphold his honor, he could regain it by performing ''[[seppuku]].'')
====Suicide as a form of defiance and protest====
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*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 [[Hindu]]s and [[Muslim]]s, 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]] [[monk]]s, most notably [[Thích Quảng Đức]], in [[South Vietnam|South]] [[Vietnam]] drew [[Western world|Western]] attention to their protests against President [[Ngô Đình Diệm]] by [[self-immolation|burning themselves to death]]. Similar events were reported during the [[Cold War]] in [[eastern Europe]], such as the death of [[Jan Palach]] following the [[Soviet Union|Soviet]] invasion of [[Czechoslovakia]], or [[Romas Kalanta]]'s self-immolation in the main street of [[Kaunas]], [[Lithuania]] in [[1972]]. More recently, ([[November]] [[2006]]) an American anti-war activist, [[Malachi Ritscher]] committed suicide by self-immolation as a protest against the [[2003 Invasion of Iraq|Iraq war]]. 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.  Suicide or attempted suicide as a means of effecting social or political change is related to [[martyrdom]].
 
  
====Military suicide====
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Heroic suicide, for the greater good of others, is often celebrated. For instance, [[Mahatma Gandhi]] went on a [[hunger strike]] to prevent fighting between [[Hindu]]s and [[Muslim]]s, 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 desperate final days of [[World War II]], many [[Japan]]ese 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|American]] [[B-17 Flying Fortress|B-17]]s 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 outcomeThe 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 [[submarine]]s.
 
  
However, suicide has been fairly common in warfare throughout history. Soldiers and civilians committed 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. Behaviour that could be seen as suicidal occurred often in battle. For instance, soldiers under [[cannon]] fire at the [[Battle of Waterloo]] took fatal hits rather than duck and place their comrades [[Dutiful suicide|in harm's way]]{{verify source}}. The [[Charge of the Light Brigade]] in the [[Crimean War]], [[Pickett's Charge]] at [[Gettysburg]] in the [[American Civil War]] <!-- What does this mean? (Unlikely they could see with that much smoke on the field and they were trained to stay in line). Ditto Charge of the Light Brigade, which was not especially fatal for the troops involved. —>, 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 [[infantry]]men usually fought to the last man, launched [[Banzai charge|"banzai" suicide charges]], and committed suicide during the [[Pacific island]] battles in World War II. In [[Saipan]], [[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. Also, it could be argued that it is an action of military suicide to [[falling on a grenade|fall on a grenade]], the action of throwing oneself onto a grenade, hoping to shield one's platoon from the shrapnel and/or explosion but most certainly losing one's own life in the process.
+
During the [[Cold War]] in [[Eastern Europe]], the death of [[Jan Palach]] by self-immolation, following the [[Soviet Union|Soviet]] invasion of [[Czechoslovakia]], brought international attention to the illegal act against a state.  
  
This particular reference to suicide is also what leads to the everyday usage of the term when indicating a hopeless situation, often in business, such as "it would be suicide for us to go to market without a viable product."
+
And finally, there are the religiously, nationalistic, and/or politically motivated suicides:
  
==Impact of suicide==
+
*[[Terrorism]] can also be a motive for suicide
 +
*[[Religion]] ([[suicide bombings]], [[Heaven's Gate (cult)|Heaven's Gate]])
 +
*[[Nationalism|Extreme nationalism]] (the [[Kamikaze]], [[Selbstopfer]], and [[Kaiten]] suicide weapons.)
  
It is estimated that an average of six people are suicide "survivors" for each suicide that occurs in the United States<ref>http://www.suicidology.org/displaycommon.cfm?an=6</ref>. It is important to note that 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.
+
=== Risk factors of suicide===
 +
Regardless of what specifically motivates someone to attempt suicide or complete suicide, a number of medical, biological, psychological and social [[risk]] factors are often involved. Those factors can vary based on age, [[gender]], and [[ethnic group]], and they can change over time. Some factors consistently increase a person's risk of suicide and attempted suicide. The factors that put people at higher risk include:
  
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 [[guilt|guilty]], [[anger|angry]], [[remorse|remorseful]], helpless, and [[confusion|confused]]. 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. <ref>http://www.faqs.org/faqs/suicide/info/</ref>.
+
*Prior suicide attempt(s).
 +
*Having a psychiatric disorder, such as [[clinical depression|depression]], [[bipolar disorder]], [[schizophrenia]], or [[personality disorder]]s.
 +
*Alcohol or [[substance abuse]].
 +
*A family history of mental disorders or substance abuse.  
 +
*A family history of suicide.
 +
*[[Domestic violence|Family violence]], including physical or [[sexual abuse]].
 +
*Firearms in the home.  
 +
*A significant medical illness, such as [[cancer]] or chronic pain.
  
"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).
+
==Medical views of suicide==
 +
Modern [[medicine]] treats suicide as a [[mental health]] issue. Treatment, often including [[medication]] and [[psychotherapy]], is directed at the underlying causes of suicidal thinking.  
  
As well as providing counseling for the grief-stricken, survivor groups have also attempted to change the language used to describe suicide. Believing that the term "commit" attaches criminal implications to suicide, they have pushed for alternative terms that remove this meaning including "attempting" suicide, or "died by" suicide{{fact}}.
+
[[Clinical depression]] is the most common treatable cause, with alcohol or [[drug abuse]] being the next major categories. Other psychiatric disorders associated with suicidal thinking include [[bipolar disorder]], [[schizophrenia]], [[Borderline personality disorder]], [[Gender identity disorder]], and [[eating disorder]]s.  
  
==Views of suicide==
+
Suicidal thoughts provoked by crises will generally settle with time and [[counseling]]. Severe depression can continue throughout life even with treatment and repetitive suicide attempts or suicidal ideation can be the result.
===Medical===
 
{{main|Medical views of suicide}}
 
Modern medicine treats suicide as a [[mental health]] issue. Overwhelming 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 important if the means (weapons, drugs, or other methods) are available, or if the patient has crafted a detailed plan for executing the suicide. Special consideration is given to trained personnel to look for suicidal signs in patients. Depressive people 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 (threats of institutionalization, simply increasing dosages of medication, the stigmatization of suicide as a topic of discussion, etc), often causes them to keep their suicidal thoughts to themselves.
 
  
===Cultural===
+
Overwhelmingly, 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 important if the means (weapons, drugs, or other methods) are available, or if the patient has crafted a detailed plan for executing the suicide.  
{{main|Cultural views of suicide}}
 
In the Warring States Period and the Edo period of [[Japan]], [[samurai]] who disgraced their honor chose to end their own lives by [[harakiri]] (hara = stomach, kiri = cut) or [[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 obviously 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 [[decapitation]]—sometimes as soon as the first tiny incision into the abdomen was made.
 
  
===Religious===
+
Special consideration is given to trained personnel to look for suicidal signs in patients. Depressive people are considered a high-risk group for suicidal behavior. Suicide hotlines are widely available for people seeking help.
{{main|Religious views of suicide}}
 
  
===Debate over suicide===
+
However, the negative and often too clinical reception that many suicidal people receive after relating their feelings to health professionals (threats of institutionalization, simply increasing dosages of medication, the stigmatization of suicide as a topic of discussion, and so forth) often causes them to keep their suicidal thoughts to themselves.
{{main|Philosophical views of suicide}}
 
[[Image:Euthanasia machine (Australia).JPG|thumb|A euthanasia machine.]]
 
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, albeit drastic, last resort for those enduring major pain or trauma.  This perspective is most popular in Continental Europe[http://www.time.com/time/europe/magazine/article/0,13005,901050404-1042414,00.html], 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 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]][http://comp.uark.edu/~mpianal/schopenhauer.htm].  Adherents of this view often advocate the abrogation of statutes that restrict the liberties of people known to be suicidal, e.g. laws permitting their involuntary commitment to mental hospitals. Critics may argue that suicidal impulses are inherently products of mental illness and therefore not a valid exercise of 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 protect suicidal individuals from themselves.
+
===Potential warning signs of suicide===
 +
There are several possible indications that a friend or loved one is thinking about suicide. Here are some typical warning signs:
  
== Suicide as a crime ==
+
*Talking about suicide, including making such statements as "I'm going to kill myself," "I wish I were dead," or "I wish I hadn't been born."
In some jurisdictions, an act or failed act of suicide is considered to be a crime. Some places consider failure to be attempted murder, with the victim being oneself, and will prosecute such offenders for attempted murder.{{fact}}
+
*Withdrawing from social contact and having an increased desire to be left alone.  
 +
*Wide mood swings, such as being emotionally high one day but deeply discouraged the next.
 +
*Preoccupation with death and dying or violence.
 +
*Changes in routine, including eating or sleeping patterns.
 +
*Personality changes, such as becoming very outgoing after being shy.
 +
*Risky or self-destructive behavior, such as drug use or unsafe driving.
 +
*Giving away belongings or getting affairs in order.
 +
*Saying goodbye to people as if they will not be seen again.  
  
More commonly, a surviving party member who assisted in the suicide attempt will face criminal charges.
+
==Religious views of suicide==
 +
===Buddhism===
 +
For [[Buddhism|Buddhist]]s, since the first precept is to refrain from the destruction of life, including oneself, suicide should be clearly considered a negative form of action. Despite this view, an ancient Asian ideology similar to ''[[seppuku]]'' called ''(hara-kiri)'' continues to influence oppressed Buddhists to choose the act of [[honor suicide]].  
  
In [[Brazil]], suicide is not a crime, but willfully instigating or assisting in its completion is. If the help is directed to a minor, the crime is viewed as a homicide.
+
Many questions arise from the ambiguity in defining suicide. From a Buddhist perspective these include questions such as whether ''[[nirvana]]'' is a kind of suicide. Thus, suicide is justified in the persons of the ''Noble Ones'' who have already cut off desire and by so doing neutralized their actions by making them incapable of producing further fruit. From the point of view of early Buddhism, suicide is a normal matter in the case of the Noble Ones who, having completed their work, sever their last link with the world and voluntarily pass into Nirvana, thus definitively escaping from the world of rebirths (Lamotte, 1965:106f).The significant distinction then, is that the ''[[Arhat]]'' (Noble One) acts without desire whereas the unenlightened person does not.
 +
 +
===Judaism===
 +
[[Judaism]] has traditionally, in light of its great emphasis on the sanctity of [[life]], viewed suicide as one of the most serious of [[sin]]s. Suicide has always been forbidden by [[Jewish law]] in all cases. It is not seen as an acceptable alternative even if one is being forced to commit certain cardinal sins for which one must give up one's life rather than sin. The views on suicide have shifted lately, however.
  
In [[Italy]] and [[Canada]], instigating another to commit suicide is also a criminal offence.
+
In the past, the bodies of Jewish people who committed suicide traditionally were buried on the outskirts of a Jewish [[cemetery]], but that is no longer necessarily the case either. Raymond Perlman of Sinai Mortuary in Phoenix says that suicide deaths today usually are dealt with the same as others. "To put (those bodies) in a corner or on the side is really additional punishment for the survivors." Perlman says, "So we would just classify (the suicide) as another death. Unfortunately, a suicide death in most cases punishes the living."
  
== References ==
+
Jewish teachings suggest that those who commit suicide would not face God's [[punishment]], Sherwin says. "Our teachings tell us that when we are in pain, God cries with us," Sherwin says, "If God doesn't judge and condemn, then how can we?"
<div class="references-small">
 
<references/>
 
</div>
 
<!--If you're thinking of putting a film name here, you're in the wrong place. Try the next section up.—>
 
  
 +
===Christianity===
 +
Early [[Christianity]] emerged at a time of heavy Roman persecution. Beginning with the death of Steven, there was an attraction to death as [[martyr]]dom and there was an understanding that death at the hands of evil could benefit the cause of salvation. Even the death of [[Jesus]] can be interpreted as a kind of suicide, (self-sacrifice) by some, such as [[Tertullian]].
 +
 +
Of the seven or so suicides reported in Scripture, most familiar are [[Saul]], [[Samson]], and [[Judas Iscariot|Judas]]. Saul apparently committed suicide to avoid dishonor and suffering at the hands of the [[Philistines]]. He is rewarded by the [[Israelite]]s with a war hero's burial, there being no apparent disapproval of his suicide (1 Samuel 31:1-6). And while there is no hero's burial for Judas Iscariot (Matthew 27:5-7), Scripture is once more silent on the morality of this suicide of remorse.
  
== Further reading ==
+
The suicide of [[Samson]] has posed a greater problem for Christian theologians. Both [[Saint Augustine]] and Saint [[Thomas Aquinas]] wrestled with the case and concluded that Samson's suicide was justified as an act of obedience to a direct command of God.
===Documents and periodicals===
 
* Frederick, C. J. <cite>Trends in Mental Health: Self-destructive Behavior Among Younger Age Groups.</cite> 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&ndash;82.
 
* Ray, L. Y. "Adolescent Suicide." Personnel and Guidance Journal 62 (1983): 131&ndash;35.
 
* Rosenkrantz, A. L. "A Note on Adolescent Suicide: Incidence, Dynamics and Some Suggestions for Treatment." ADOLESCENCE 13 (l978): 209&ndash;14.
 
* <cite>Suicide Among School Age Youth</cite>. 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===
+
Objections to suicide have a long history in the church. But the idea that suicide is an unforgivable sin is less easily traced. Among the [[Church Fathers]], [[Saint Augustine]] was the most prominent and influential opponent of suicide.
* Bongar, B. <cite>The Suicidal Patient: Clinical and Legal Standards of Care</cite>. Washington, D.C.: APA. 2002. ISBN 1-55798-761-0
 
*{{cite book | author=[[Kay Redfield Jamison|Jamison, Kay Redfield]] | title=Night Falls Fast: Understanding Suicide | publisher=Vintage  | year=2000 | id=ISBN 0-375-70147-8}}
 
* Stone, Geo. ''Suicide and Attempted Suicide: Methods and Consequences''. New York: Carroll & Graf, 2001. ISBN 0-7867-0940-5
 
* [[Derek Humphry|Humphry, Derek]]. ''[[Final Exit|Final Exit: The Practicalities of Self-Deliverance and Assisted Suicide for the Dying]]''. Dell. 1997.
 
* Maguire, Maureen, ''Uncomfortably Numb. A Prison Requiem''. Luath Press 2001. ISBN 1-84282-001-X  (A factual documentation of suicide in prison)
 
  
== External links ==
+
====Modern Catholicism====
 +
Suicide is always as morally objectionable as [[murder]], and the Catholic Church has always rejected it as an [[evil]] choice.
 +
<blockquote>Even though a certain psychological, cultural and social conditioning may induce a person to carry out an action which so radically contradicts the innate inclination to life, thus lessening or removing subjective responsibility, suicide, when viewed objectively, is a gravely immoral act. … In fact, it involves the rejection of love of self and the renunciation of the obligation of justice and charity towards one's neighbor, towards the communities to which one belongs, and towards society as a whole. In its deepest reality, suicide represents a rejection of God's absolute sovereignty over life and death, as proclaimed in the prayer of the ancient sage of Israel: 'You have power over life and death; you lead men down to the gates of Hades and back again' (Wis 16:13; cf. Tob 13:2) (John Paul II, 1995).</blockquote>
  
 +
====Anglicans====
 +
The 1996 Statement by the House of Bishops of the [[Anglican Church]] in America says:
 +
<blockquote>(1) The Episcopal Diocese of Newark has entered a growing national debate by proposing quite irresponsibly. … (2) That self-killing (suicide) is a "moral choice" for the terminally ill, and for those living in persistent and/or progressive pain (i.e., with severely reduced "quality of life"); … (3) because "nowhere in the Bible does it say that there is a value to suffering simply for the sake of suffering; … and that therefore we need to "redefine" what we mean by "life" (assumedly to provide a rationale for destroying what now should be held to have no value).</blockquote>
  
=== Support groups ===
+
===Islam===
* [http://www.samaritans.org.uk/ Samaritans (UK)] - 24-hour support help, United Kingdom
+
[[Islam]], like other [[Abrahamic faith|Abrahamic]] religions, views suicide as sinful and highly detrimental to one's spiritual journey. For those who formerly believed, but ultimately rejected belief in [[God]], the result seems unambiguously negative. A verse in the fourth chapter of the Qur'an, An-Nisaa (The Women) instructs; "And do not kill yourselves, surely Allah is most Merciful to you." (4:29)
* [http://www.befrienders.org/ Befrienders Worldwide] Worldwide Suicide Prevention help
 
* [http://www.takethislife.com/ TakeThisLife.com] - a community offering support and hope to people with depression or suicidal thoughts
 
* [http://ashbusstop.org #alt.suicide.bus.stop (ASBS)] - a support group for the suicidal, by the suicidal
 
* [http://www.befrienders.org/ Befrienders Worldwide] - information about suicide for most countries
 
* [http://www.suicideforum.com/ The Suicide Forum] - a support forum for people in crisis
 
* {{dmoz|Health/Mental_Health/Disorders/Suicide/Support_Groups/|Support Groups}}
 
  
=== Support groups for survivors ===
+
The prohibition of suicide has also been recorded in authentic statements of [[Hadith]]. For example; "He who commits suicide by throttling shall keep on throttling himself in the Hell-fire, and he who commits suicide by stabbing himself, he shall keep stabbing himself in the Hell-fire."
* [http://www.suicidology.org/displaycommon.cfm?an=6 American Association of Suicidology] - Referrals to local self help groups for survivors of suicide across the United States
 
* [http://www.heartbeatsurvivorsaftersuicide.org Heartbeat] - Mutual support for those who have lost loved ones to suicide
 
* [http://www.tearsofacop.com SOLES] - Survivors of Law Enforcement Suicide
 
* [http://www.friendsandfamiliesofsuicide.com International Friends and Families of Suicide] - Online support for survivors internationally
 
* [http://www.parentsofsuicide.com Parents of Suicide] - Support via chatrooms and email for those who have lost sons or daughters to suicide
 
  
=== Suicide prevention ===  
+
====Suicidal accommodation in Islam====
* [http://www.hopeline.com/  Kristin Brooks Hope Center]
+
In his 1996 [[Fatwa]] declaring war on the United States, [[Osama bin Laden]] quoted a ''Hadith'' passage that has the Prophet Mohammed describing heaven for the martyrs fallen in a holy war. The first moment blood gushes, they are guaranteed Islamic heaven. They receive crowns, jewels, and 72 dark-eyed ''houris'' or beautiful maidens, for each martyr. Similar ''Fatwa'' came later from Iranian Islamic leader Khomenei.
* [http://www.youthline.us/  Youth America Hotline]
 
* [http://www.preventsuicide.net/  Preventing Suicide The National Journal]
 
* [http://www.gradhelp.org/  resources for graduate students who are depressed and or suicidal]
 
* [http://www.afsp.org/ American Foundation for Suicide Prevention]
 
* [http://www.metanoia.org/suicide/ metanoia.org/suicide] - suicide prevention page 
 
*[http://www.helpguide.org/mental/suicide_prevention.htm "Understanding and Helping the Suicidal Person"] - information on suicide prevention 
 
* [http://www.thefredfund.org  The Fred Fund] : suicide support, resources, online stories, memorials and interaction
 
* [http://www.teensuicide.us/ TeenSuicide.us] - teenage suicide prevention information 
 
* [http://www.chooselife.net Choose Life] - suicide prevention in Scotland 
 
* [http://ashbusstop.org/std.html The Debate: a pro-choice FAQ] 
 
* [http://www.ericdigests.org/pre-923/teenage.htm Teenage Suicide: Identification, Intervention and Prevention] - discussion of teenage suicide prevention 
 
* [http://www.ericdigests.org/1992-4/child.htm Suicide and the Exceptional Child] - discussion of suicide prevention in children 
 
* [http://www.ericdigests.org/pre-9214/loss.htm Suicide and Sudden Loss: Crisis Management in the Schools] - discussion of suicide prevention in schools
 
  
=== Other links ===
+
This Hadith source that bin Laden cited puts together different Qur'anic passages describing Islamic heaven, complete with beautiful virgins (Suras 44: 51-56; 52: 17-29; 55: 46-78), with those describing the immediate reward of heaven for [[jihad]]ist martyrs (Suras 61: 10-12; 4: 74; 9: 111).  
* [http://www.framingbusiness.net/suicidemoralalt.htm "Suicide as a Moral Alternative"] - discussion on the morality of suicide, including arguments for and against
 
* [http://plato.stanford.edu/entries/suicide "Suicide"] in the [[Stanford Encyclopedia of Philosophy]]
 
* [http://www.cbel.com/suicide/ cbel.com/suicide/] - directory of information on suicide
 
* [http://www.suicidology.org/index.cfm American Association of Suicidology] - statistics and general information
 
* [http://www.acu-cell.com/suicide.html Suicide & Euthanasia - a Biblical Perspective] - discussion of suicide from a biblical perspective
 
* [http://samvak.tripod.com/suicide.html "The Murder of Oneself"] - ethical and legal considerations in suicide and its prevention
 
* [http://www.insightnewstv.com/d74 "Lithuania's Suicide Epidemic"] - article on the high suicide rates of Lithuania
 
* [http://www.who.int/mental_health/prevention/suicide_rates/en/index.html "Suicide rates per 100 000 by country, year and sex"] by the [[World Health Organization]]
 
* [http://www.aneki.com/suicide.html Highest suicide rates in the world] - list of the ten countries with the most suicides per 100,000 inhabitants per year
 
* [http://www.grief-and-bereavement.com  Grief and Bereavement Resources]
 
* [http://www.theyworkforyou.com/debates/?id=2005-01-25.276.0 Suicide Promotion (Internet) - United Kingdom Parliamentary debate] - debate by politicians on suicide, 25 January 2005
 
* [http://endingsuicide.com  Online Education on Suicide Prevention for Professionals] - list of courses for medical professionals
 
  
 +
===Hinduism===
 +
Suicide is in [[Hindu]] scripture called ''Pranatyaga'' ("Abandoning life force") and generally means intentionally ending one's own life through poisoning, drowning, burning, jumping, shooting, and the like.
  
 +
Suicide has traditionally been condemned in Hindu scripture because, being an abrupt escape from life, it creates unseemly ''karma'' to face in the future. However, in cases of terminal disease or great disability, religious self-willed death through fasting - ''prayopavesa'' - is permitted. The person making such a decision declares it publicly, which allows for community regulation and distinguishes the act from suicide performed privately in traumatic emotional states of anguish and despair. Ancient lawgivers cite various stipulations: 1) inability to perform normal bodily purification; 2) death appears imminent or the condition is so bad that life's pleasures are nil; 3) the action must be done under community regulation (Subramuniyaswami, 1992)
  
 +
==References==
 +
* Bongar, B. ''The Suicidal Patient: Clinical and Legal Standards of Care.'' Washington, DC: APA. 2002. ISBN 1557987610
 +
* Brandt, R., "The Morality and Rationality of Suicide," in: ''A Handbook for the Study of Suicide.'' S. Perlin (ed.), Oxford University Press Oxford, 1975
 +
* Cicero, c. 2nd century B.C.E., ''De Finibus.'' trans. H. Rackham.
 +
* Coser, L. ''Masters of Sociological Thought,'' Waveland Press, 2003, 132-136 and 143-144. ISBN 978-1577663072
 +
* d'Holbach, Baron. ''The System of Nature, or Laws of the Moral and Physical World.'' v. 1 (Robinson, trans.) New York, NY: Burt Franklin, 1970
 +
* Durkheim, Emile. ''Suicide.'' [1897], The Free Press reprint 1997, ISBN 0684836327
 +
* Frey, R.G., "Suicide and Self-Inflicted Death." ''Philosophy'' 56 (1981): 193-202
 +
*Hesse, Hermann. ''Der Steppenwolf.'' Frankfurt am Main: Suhrkamp Verlag, 2002, 11. ISBN 978-3518398722
 +
* Humphry, Derek. ''Final Exit: The Practicalities of Self-Deliverance and Assisted Suicide for the Dying.'' Dell, 1996. ISBN 978-0756765682
 +
* Jamison, Kay Redfield. ''Night Falls Fast: Understanding Suicide.'' New York: Vintage, 2000. ISBN 0375701478
 +
* Joines, Robert A. ''Emile Durkheim: An Introduction to Four Major Works.'' Beverly Hills, CA: Sage Publications, Inc. 1986, 82-114
 +
* John Paul II. ''Encyclical letter,'' 1995
 +
* Keogh, Abel. ''Room for Two.'' Cedar Fort, 2007. ISBN 1599550628
 +
* Kupfer, Joseph.  "Suicide: Its Nature and Moral Evaluation," ''Journal of Value Inquiry'' 24 ( 1990): 67-68
 +
* Lamotte, E., "Religious Suicide in Early Buddhism," ''Buddhist Studies Review'' 4(1987): 105-126 (first published in French in 1965)
 +
* Maguire, Maureen. ''Uncomfortably Numb. A Prison Requiem.'' Luath Press 2001. ISBN 184282001X
 +
* Nietzsche, Friedrich. ''Human, All Too Human.'' section  80, Vogt Press, 2007, 60 ISBN 978-1406710540
 +
* Paterson, Craig. ''Assisted Suicide and Euthanasia.'' Ashgate, 2008. ISBN 0754657469
 +
* Paul, Sam. ''Why I Committed Suicide.'' New York, NY: iUniverse, Inc., 2004. ISBN 0595326951
 +
* O'Connor, R. and N.P. Sheehy.  ''Understanding Suicidal Behaviour.'' BPS Blackwell. 2000. ISBN 1854332902
 +
* Rakoff, Vivian M., “Nietzsche and the romantic construction of adolescence,” ''Adolescent Psychiatry'' (1998)
 +
* Stillion, Judith M. and Eugene E. McDowell. ''Suicide Across the LifeSpan: Premature Exits.'' London: Routledge, 1996. ISBN 1560323043
 +
* Stoff, D.M. and J.J. Mann, (Eds.) "The Neurobiology of Suicide,"  ''Annals of NY Academy of Sciences'' 836 (1997)New York, NY,
 +
* Stone, Geo. ''Suicide and Attempted Suicide: Methods and Consequences.'' New York, NY: Carroll & Graf, 2001. ISBN 0786709405
 +
* Subramuniyaswami, Sivaya. ''Let's Talk About Suicide.'' Himalayan Academy, December 1992
 +
* Tolhurst, W.E., "Suicide, Self-sacrifice, and Coercion," ''Southern Journal of Philosophy''  21 (1983): 109-121
 +
* Wiltshire, Martin G. "The 'Suicide' Problem in the Paali Canon," ''Journal of the International Association of Buddhist Studies'' 6 (1983): 124-140
  
 +
== External links ==
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All links retrieved February 26, 2023.
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* [http://plato.stanford.edu/entries/suicide "Suicide"] in the ''Stanford Encyclopedia of Philosophy''
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* [http://www.who.int/mental_health/prevention/suicide/suicideprevent/en/ Suicide data] by the [[World Health Organization]]
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* [http://www.aneki.com/suicide.html Highest suicide rates in the world] - list of the ten countries with the most suicides per 100,000 inhabitants per year
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* [http://www.theyworkforyou.com/debates/?id=2005-01-25.276.0 Suicide Promotion (Internet) - United Kingdom Parliamentary debate] - debate by politicians on suicide, 25 January 2005
  
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Latest revision as of 21:40, 26 February 2023


Suicide (from Latin sui caedere, to kill oneself) is the act of willfully ending one's own life. It can also refer to the individual who has committed or attempted the act. Suicide is not simply an illness nor a condition. Rather, it is a complex set of behaviors that exists on a continuum, from ideas to actions.

Suicide occurs for any number of reasons, often relating to depression, substance abuse, shame, avoiding pain, financial difficulties, or other undesirable situations.

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 crime and offense 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 twentieth century suicide in the form of self-immolation has been used as a form of protest, and in the form of kamikaze and suicide attacks as a military or terrorist tactic.

Medically assisted suicide (euthanasia, or the right to die) is a controversial ethical issue involving people who are terminally ill, in extreme pain, 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 depression, inescapable suffering or fear, or other mental disorders 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. In this view, the focus of mental health professionals is to prevent the person from succeeding in killing themselves, and then to provide support, in the form of psychotherapy and/or medication, to assist them in regaining the will and ability to live a meaningful life.

Terminology

Suicidal behavior

Some people engage in acts intended to bring death or acts unlikely to result in death but that indicate self-destructive or suicidal thoughts. These acts include overdosing, reckless driving, or excessive drinking. This is called suicidal behavior.

Suicidal ideation

A common medical term for thoughts about suicide, which may be as detailed as a formulated plan, without the suicidal act itself. Although most people who undergo suicidal ideation do not commit suicide, some go on to make suicide attempts or take their own lives.

The range of suicidal ideation varies greatly from fleeting to detailed planning, role playing and unsuccessful attempts, which may be deliberately constructed to fail or be discovered or may be fully intended to succeed but not actually do so.

Attempted suicide

Attempted suicide generally refers to an act that was intended to cause death but failed.

Parasuicide

Not all seemingly self-destructive behavior is suicidal behavior. Acts that may resemble suicidal behavior but are not intended to lead to death, such as deliberately injuring oneself, are known as parasuicide. Some people engage in this type of behavior as a way of soothing themselves. People who engage in self-injurious behavior, such as cutting, however, are at higher risk of suicide.

In some cases, people who engage in suicidal behavior or parasuicide kill themselves accidentally—they had not intended the act to progress to a lethal outcome. For instance, they make take an overdose and expect to be discovered in time to be rescued.

Completed suicide

Completed suicide means successful taking of one's own life. It is impossible to know absolutely why someone did this, or even if they intended to. In the case of an attempted suicide, the only way to understand one's friend or loved one's intent is to talk about it. That, of course, is not an option after completed suicide, although conversations before the act and notes left behind may provide clues. In fact, the existence of an explanatory "suicide note" is often taken as evidence that the act was one of intentional suicide, rather than accident or homicide.

Questions about the phenomenon

One, rather classic, definition of the situation leading to suicide reads: "Suicide is not chosen; it happens when pain exceeds resources for coping with pain."

That said, it is clear, nevertheless, that suicide is a far more enigmatic and disconcerting phenomenon. Because of others' inability to directly occupy the mental world of the suicidal, suicide appears to elude easy explanation.

Among the questions, we have been challenged for millenia, are: What makes a person's behavior suicidal? What motivates such behavior? Is suicide morally permissible, or even morally required in some extraordinary circumstances? Is suicidal behavior rational? How to try to minimize such a behavior? The following text presents some philosophical, behavioral, medical, and sociological notions about these questions.

In addition, there are cases resulting in death that are either not suicide in legal terms or in technical terms.

Technical obstacles

While it is tempting to say that suicide is any self-caused death, this account is vulnerable to obvious counterexamples. An individual who knows the health risks of smoking or of skydiving, but willfully engages in these behaviors and dies as a result, could be said to be causally responsible for her own death but not to have committed suicide.

Similarly, an individual who takes a drink of hydrochloric acid, believing it to be lemonade, and subsequently dies caused her own death but did not engage in suicidal behavior.

Legal obstacles

Sometimes, not only are there self-caused deaths that are not suicides, but there are behaviors that result in death and are arguably suicidal in which the agent is not the cause of her own death or is so only at one remove.

This can occur when an individual arranges the circumstances for her death. A terminally ill patient who requests that another person inject her with a lethal dose of tranquilizers has, intuitively, committed suicide. Though she is not immediately causally responsible for her death, she appears morally responsible for her death, since she initiates a sequence of events which she intended to culminate in her death, a sequence which cannot be explained without reference to her beliefs and desires. Such a case might also be an example of a voluntary euthanasia.

Likewise, those who commit "suicide by cop," where an armed crime is committed in order to provoke police into shooting its perpetrator, are responsible for their own deaths despite not being the causes of their deaths. In these kinds of cases, such agents would not die, or would not be at an elevated risk for death, were it not for their initiating such causal sequences. (See Brandt 1975, Tolhurst 1983, Frey 1981, but for a possible objection see Kupfer 1990).

Philosophy of suicide

Undoubtedly, the challenge of simply fathoming suicide accounts for the vast array of attitudes toward suicide found in the history of Western civilization: bafflement, dismissal, heroic glorification, sympathy, anger, moral or religious condemnation.

Suicide is now an object of multidisciplinary scientific study, with sociology, anthropology, psychology, and psychiatry each providing important insights into suicide. Particularly promising are the significant advances being made in our scientific understanding of the neurological basis of suicidal behavior (Stoff and Mann 1997) and the mental conditions associated with it.

Nonetheless, certain questions about suicide seem to fall at least partially outside the domain of science, and indeed, suicide has been a focus of philosophical examination in the West since at least the time of Plato.

Suicide has always aroused deep passions in humanity. Suicide is a threat whether religious, existential, political, or emotional. It has been represented as the ultimate irrationality and evil, pure selfishness, a dangerous precedent, madness, and pathology.

Conceptions of suicide clearly are framed within and affected by the cultures they are born out of. Yet suicide is not merely a matter of navigating cultural norms, or the product of emergent social structures (though of course these play a role). There is a normative element to the question, there is a philosophy and a deontology of suicide.

Nearly all the great philosophers had positions on suicide. Kant made suicide a special example in his moral philosophy, and was troubled by the challenges it posed. Plato laid out specific instances where suicide was or was not deviant. Spinoza regarded the will to self-preservation as fundamental and key to value, and likewise suicide as true irrationality and wrong.

Some philosophers have in fact killed themselves. The most famous philosopher suicide though was Seneca. Seneca had earlier argued for the reason as well as virtue of suicide, that is before Nero’s wrath descended upon him forcing him to take his own life. Yet Seneca turns the question on its head. Yet with clarity Seneca writes “Living is not the good, but living well."

The question of death then should be the question of life. Life is justified not by nature as Spinoza would have it, or reason as Kant would have it, but by the living.

The dirtiest death is preferable to the daintiest slavery (Seneca).

To make more sense of the philosophical view of suicide, we present three excerpts:

If the covenant which unites man to society be considered, it will be obvious that every contract is conditional, must be reciprocal; that is to say, supposes mutual advantages between the contracting parties. … The citizen cannot be bound to his country, to his associates, but by the bonds of happiness. … Are these bonds cut asunder? He is restored to liberty. Society, or those who represent it, do they use him with harshness, do they treat him with injustice, do they render his existence painful? Chagrin, remorse, melancholy, despair, have they disfigured to him the spectacle of the universe? In short, for whatever cause it may be, if he is not able to support his evils, let him quit a world which from thenceforth is for him only a frightful desert. (d'Holbach 1970, 136-137).

When a man's circumstances contain a preponderance of things in accordance with nature, it is appropriate for him to remain alive; when he possesses or sees in prospect a majority of the contrary things, it is appropriate for him to depart from life. ... Even for the foolish, who are also miserable, it is appropriate for them to remain alive if they possess a predominance of those things which we pronounce to be in accordance with nature. (Cicero, III, 60-61).

One may well ask why, aside from the demands of religion, it is more praiseworthy for a man grown old, who feels his powers decrease, to await his slow exhaustion and disintegration, rather than to put a term to his life with complete consciousness? … In this case, suicide is quite natural, obvious, and should by rights awaken respect for the triumph of reason. This it did in those times when the leading Greek philosophers and the doughtiest Roman patriots used to die by suicide. … Conversely, the compulsion to prolong life from day to day, anxiously consulting doctors and accepting the most painful, humiliating conditions, without the strength to come nearer the actual goal of one’s life: that is far less worthy of respect. Religions provide abundant excuses to escape the need to kill oneself: this is how they insinuate themselves into those who are in love with life. Nietzsche (1984, 60).

Reasons and causes for suicide

Some of the following excerpts attempt to illuminate these reasons:

But I’m curious to see just how much a man can endure! And if I reach the limit of the endurable, well, then I can just open the door and leave. (Hesse, 1961, 11)

When Durkheim wrote his great treatise on suicide in 1911 (Durkheim, 1911) and identified anomic suicide, he emphasized that poverty and deprivation are less likely to cause self-murder than a debilitating dissatisfaction with what is. … A constant devaluing of the given in the present and a yearning for an ever more glowing future is a profoundly destabilizing force in individual lives. (Rakoff, 1998)

Lastly, largely thanks to the work of sociologists, such as Durkheim (1987) and Laplace, suicide was increasingly viewed as a social ill reflecting widespread alienation and other attitudinal byproducts of modernity. In many European nations, the rise in suicide rates was thought to signal a cultural decline. The next two causes are typical:

  • Curiosity (The need to know what comes after life.)
  • Boredom (The dissatisfaction with life has resulted in more calculated and planned suicides.)

In fact, in some cases, suicide may be honorable. Suicides that are clearly other-regarding, aiming at protecting the lives or well-being of others, or at political protest, may fall into this category (Kupfer 1990, 73-74). Examples of this might include the grenade-jumping soldier or the spy who takes his life in order not to be subjected to torture that will lead to his revealing vital military secrets.

  • To avoid shame or dishonor (Under the Bushido ideal, if a samurai failed to uphold his honor, he could regain it by performing seppuku.)
  • 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.

During the Cold War in Eastern Europe, the death of Jan Palach by self-immolation, following the Soviet invasion of Czechoslovakia, brought international attention to the illegal act against a state.

And finally, there are the religiously, nationalistic, and/or politically motivated suicides:

Risk factors of suicide

Regardless of what specifically motivates someone to attempt suicide or complete suicide, a number of medical, biological, psychological and social risk factors are often involved. Those factors can vary based on age, gender, and ethnic group, and they can change over time. Some factors consistently increase a person's risk of suicide and attempted suicide. The factors that put people at higher risk include:

  • Prior suicide attempt(s).
  • Having a psychiatric disorder, such as depression, bipolar disorder, schizophrenia, or personality disorders.
  • Alcohol or substance abuse.
  • A family history of mental disorders or substance abuse.
  • A family history of suicide.
  • Family violence, including physical or sexual abuse.
  • Firearms in the home.
  • A significant medical illness, such as cancer or chronic pain.

Medical views of suicide

Modern medicine treats suicide as a mental health issue. Treatment, often including medication and psychotherapy, is directed at the underlying causes of suicidal thinking.

Clinical depression is the most common treatable cause, with alcohol or drug abuse being the next major categories. Other psychiatric disorders associated with suicidal thinking include bipolar disorder, schizophrenia, Borderline personality disorder, Gender identity disorder, and eating disorders.

Suicidal thoughts provoked by crises will generally settle with time and counseling. Severe depression can continue throughout life even with treatment and repetitive suicide attempts or suicidal ideation can be the result.

Overwhelmingly, 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 important if the means (weapons, drugs, or other methods) are available, or if the patient has crafted a detailed plan for executing the suicide.

Special consideration is given to trained personnel to look for suicidal signs in patients. Depressive people 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 (threats of institutionalization, simply increasing dosages of medication, the stigmatization of suicide as a topic of discussion, and so forth) often causes them to keep their suicidal thoughts to themselves.

Potential warning signs of suicide

There are several possible indications that a friend or loved one is thinking about suicide. Here are some typical warning signs:

  • Talking about suicide, including making such statements as "I'm going to kill myself," "I wish I were dead," or "I wish I hadn't been born."
  • Withdrawing from social contact and having an increased desire to be left alone.
  • Wide mood swings, such as being emotionally high one day but deeply discouraged the next.
  • Preoccupation with death and dying or violence.
  • Changes in routine, including eating or sleeping patterns.
  • Personality changes, such as becoming very outgoing after being shy.
  • Risky or self-destructive behavior, such as drug use or unsafe driving.
  • Giving away belongings or getting affairs in order.
  • Saying goodbye to people as if they will not be seen again.

Religious views of suicide

Buddhism

For Buddhists, since the first precept is to refrain from the destruction of life, including oneself, suicide should be clearly considered a negative form of action. Despite this view, an ancient Asian ideology similar to seppuku called (hara-kiri) continues to influence oppressed Buddhists to choose the act of honor suicide.

Many questions arise from the ambiguity in defining suicide. From a Buddhist perspective these include questions such as whether nirvana is a kind of suicide. Thus, suicide is justified in the persons of the Noble Ones who have already cut off desire and by so doing neutralized their actions by making them incapable of producing further fruit. From the point of view of early Buddhism, suicide is a normal matter in the case of the Noble Ones who, having completed their work, sever their last link with the world and voluntarily pass into Nirvana, thus definitively escaping from the world of rebirths (Lamotte, 1965:106f).The significant distinction then, is that the Arhat (Noble One) acts without desire whereas the unenlightened person does not.

Judaism

Judaism has traditionally, in light of its great emphasis on the sanctity of life, viewed suicide as one of the most serious of sins. Suicide has always been forbidden by Jewish law in all cases. It is not seen as an acceptable alternative even if one is being forced to commit certain cardinal sins for which one must give up one's life rather than sin. The views on suicide have shifted lately, however.

In the past, the bodies of Jewish people who committed suicide traditionally were buried on the outskirts of a Jewish cemetery, but that is no longer necessarily the case either. Raymond Perlman of Sinai Mortuary in Phoenix says that suicide deaths today usually are dealt with the same as others. "To put (those bodies) in a corner or on the side is really additional punishment for the survivors." Perlman says, "So we would just classify (the suicide) as another death. Unfortunately, a suicide death in most cases punishes the living."

Jewish teachings suggest that those who commit suicide would not face God's punishment, Sherwin says. "Our teachings tell us that when we are in pain, God cries with us," Sherwin says, "If God doesn't judge and condemn, then how can we?"

Christianity

Early Christianity emerged at a time of heavy Roman persecution. Beginning with the death of Steven, there was an attraction to death as martyrdom and there was an understanding that death at the hands of evil could benefit the cause of salvation. Even the death of Jesus can be interpreted as a kind of suicide, (self-sacrifice) by some, such as Tertullian.

Of the seven or so suicides reported in Scripture, most familiar are Saul, Samson, and Judas. Saul apparently committed suicide to avoid dishonor and suffering at the hands of the Philistines. He is rewarded by the Israelites with a war hero's burial, there being no apparent disapproval of his suicide (1 Samuel 31:1-6). And while there is no hero's burial for Judas Iscariot (Matthew 27:5-7), Scripture is once more silent on the morality of this suicide of remorse.

The suicide of Samson has posed a greater problem for Christian theologians. Both Saint Augustine and Saint Thomas Aquinas wrestled with the case and concluded that Samson's suicide was justified as an act of obedience to a direct command of God.

Objections to suicide have a long history in the church. But the idea that suicide is an unforgivable sin is less easily traced. Among the Church Fathers, Saint Augustine was the most prominent and influential opponent of suicide.

Modern Catholicism

Suicide is always as morally objectionable as murder, and the Catholic Church has always rejected it as an evil choice.

Even though a certain psychological, cultural and social conditioning may induce a person to carry out an action which so radically contradicts the innate inclination to life, thus lessening or removing subjective responsibility, suicide, when viewed objectively, is a gravely immoral act. … In fact, it involves the rejection of love of self and the renunciation of the obligation of justice and charity towards one's neighbor, towards the communities to which one belongs, and towards society as a whole. In its deepest reality, suicide represents a rejection of God's absolute sovereignty over life and death, as proclaimed in the prayer of the ancient sage of Israel: 'You have power over life and death; you lead men down to the gates of Hades and back again' (Wis 16:13; cf. Tob 13:2) (John Paul II, 1995).

Anglicans

The 1996 Statement by the House of Bishops of the Anglican Church in America says:

(1) The Episcopal Diocese of Newark has entered a growing national debate by proposing quite irresponsibly. … (2) That self-killing (suicide) is a "moral choice" for the terminally ill, and for those living in persistent and/or progressive pain (i.e., with severely reduced "quality of life"); … (3) because "nowhere in the Bible does it say that there is a value to suffering simply for the sake of suffering; … and that therefore we need to "redefine" what we mean by "life" (assumedly to provide a rationale for destroying what now should be held to have no value).

Islam

Islam, like other Abrahamic religions, views suicide as sinful and highly detrimental to one's spiritual journey. For those who formerly believed, but ultimately rejected belief in God, the result seems unambiguously negative. A verse in the fourth chapter of the Qur'an, An-Nisaa (The Women) instructs; "And do not kill yourselves, surely Allah is most Merciful to you." (4:29)

The prohibition of suicide has also been recorded in authentic statements of Hadith. For example; "He who commits suicide by throttling shall keep on throttling himself in the Hell-fire, and he who commits suicide by stabbing himself, he shall keep stabbing himself in the Hell-fire."

Suicidal accommodation in Islam

In his 1996 Fatwa declaring war on the United States, Osama bin Laden quoted a Hadith passage that has the Prophet Mohammed describing heaven for the martyrs fallen in a holy war. The first moment blood gushes, they are guaranteed Islamic heaven. They receive crowns, jewels, and 72 dark-eyed houris or beautiful maidens, for each martyr. Similar Fatwa came later from Iranian Islamic leader Khomenei.

This Hadith source that bin Laden cited puts together different Qur'anic passages describing Islamic heaven, complete with beautiful virgins (Suras 44: 51-56; 52: 17-29; 55: 46-78), with those describing the immediate reward of heaven for jihadist martyrs (Suras 61: 10-12; 4: 74; 9: 111).

Hinduism

Suicide is in Hindu scripture called Pranatyaga ("Abandoning life force") and generally means intentionally ending one's own life through poisoning, drowning, burning, jumping, shooting, and the like.

Suicide has traditionally been condemned in Hindu scripture because, being an abrupt escape from life, it creates unseemly karma to face in the future. However, in cases of terminal disease or great disability, religious self-willed death through fasting - prayopavesa - is permitted. The person making such a decision declares it publicly, which allows for community regulation and distinguishes the act from suicide performed privately in traumatic emotional states of anguish and despair. Ancient lawgivers cite various stipulations: 1) inability to perform normal bodily purification; 2) death appears imminent or the condition is so bad that life's pleasures are nil; 3) the action must be done under community regulation (Subramuniyaswami, 1992)

References
ISBN links support NWE through referral fees

  • Bongar, B. The Suicidal Patient: Clinical and Legal Standards of Care. Washington, DC: APA. 2002. ISBN 1557987610
  • Brandt, R., "The Morality and Rationality of Suicide," in: A Handbook for the Study of Suicide. S. Perlin (ed.), Oxford University Press Oxford, 1975
  • Cicero, c. 2nd century B.C.E., De Finibus. trans. H. Rackham.
  • Coser, L. Masters of Sociological Thought, Waveland Press, 2003, 132-136 and 143-144. ISBN 978-1577663072
  • d'Holbach, Baron. The System of Nature, or Laws of the Moral and Physical World. v. 1 (Robinson, trans.) New York, NY: Burt Franklin, 1970
  • Durkheim, Emile. Suicide. [1897], The Free Press reprint 1997, ISBN 0684836327
  • Frey, R.G., "Suicide and Self-Inflicted Death." Philosophy 56 (1981): 193-202
  • Hesse, Hermann. Der Steppenwolf. Frankfurt am Main: Suhrkamp Verlag, 2002, 11. ISBN 978-3518398722
  • Humphry, Derek. Final Exit: The Practicalities of Self-Deliverance and Assisted Suicide for the Dying. Dell, 1996. ISBN 978-0756765682
  • Jamison, Kay Redfield. Night Falls Fast: Understanding Suicide. New York: Vintage, 2000. ISBN 0375701478
  • Joines, Robert A. Emile Durkheim: An Introduction to Four Major Works. Beverly Hills, CA: Sage Publications, Inc. 1986, 82-114
  • John Paul II. Encyclical letter, 1995
  • Keogh, Abel. Room for Two. Cedar Fort, 2007. ISBN 1599550628
  • Kupfer, Joseph. "Suicide: Its Nature and Moral Evaluation," Journal of Value Inquiry 24 ( 1990): 67-68
  • Lamotte, E., "Religious Suicide in Early Buddhism," Buddhist Studies Review 4(1987): 105-126 (first published in French in 1965)
  • Maguire, Maureen. Uncomfortably Numb. A Prison Requiem. Luath Press 2001. ISBN 184282001X
  • Nietzsche, Friedrich. Human, All Too Human. section 80, Vogt Press, 2007, 60 ISBN 978-1406710540
  • Paterson, Craig. Assisted Suicide and Euthanasia. Ashgate, 2008. ISBN 0754657469
  • Paul, Sam. Why I Committed Suicide. New York, NY: iUniverse, Inc., 2004. ISBN 0595326951
  • O'Connor, R. and N.P. Sheehy. Understanding Suicidal Behaviour. BPS Blackwell. 2000. ISBN 1854332902
  • Rakoff, Vivian M., “Nietzsche and the romantic construction of adolescence,” Adolescent Psychiatry (1998)
  • Stillion, Judith M. and Eugene E. McDowell. Suicide Across the LifeSpan: Premature Exits. London: Routledge, 1996. ISBN 1560323043
  • Stoff, D.M. and J.J. Mann, (Eds.) "The Neurobiology of Suicide," Annals of NY Academy of Sciences 836 (1997)New York, NY,
  • Stone, Geo. Suicide and Attempted Suicide: Methods and Consequences. New York, NY: Carroll & Graf, 2001. ISBN 0786709405
  • Subramuniyaswami, Sivaya. Let's Talk About Suicide. Himalayan Academy, December 1992
  • Tolhurst, W.E., "Suicide, Self-sacrifice, and Coercion," Southern Journal of Philosophy 21 (1983): 109-121
  • Wiltshire, Martin G. "The 'Suicide' Problem in the Paali Canon," Journal of the International Association of Buddhist Studies 6 (1983): 124-140

External links

All links retrieved February 26, 2023.

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