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Suicide is a puzzling phenomenon. Not only is its demarcation problematic but it also eludes simple explanation. The cultures in which suicide mortality is high do not necessarily have much else in common, and neither is a single mental illness such as depression sufficient to lead a person to suicide. In a word, despite its statistical regularity, suicide is unpredictable on the individual level. The main argument emerging from this collection is that suicide should not be understood as a separate realm of pathological behavior but as a form of human action. As such it is always dependent on the decision that the individual makes in a cultural, ethical and socio-economic context, but the context never completely determines the decision. This book also argues that cultural narratives concerning suicide have a problematic double function: in addition to enabling the community to make sense of self-inflicted death, they also constitute a blueprint depicting suicide as a solution to common human problems.
Every year, about 30,000 people die by suicide in the U.S., and some 650,000 receive emergency treatment after a suicide attempt. Often, those most at risk are the least able to access professional help. Reducing Suicide provides a blueprint for addressing this tragic and costly problem: how we can build an appropriate infrastructure, conduct needed research, and improve our ability to recognize suicide risk and effectively intervene. Rich in data, the book also strikes an intensely personal chord, featuring compelling quotes about people's experience with suicide. The book explores the factors that raise a person's risk of suicide: psychological and biological factors including substance abuse, the link between childhood trauma and later suicide, and the impact of family life, economic status, religion, and other social and cultural conditions. The authors review the effectiveness of existing interventions, including mental health practitioners' ability to assess suicide risk among patients. They present lessons learned from the Air Force suicide prevention program and other prevention initiatives. And they identify barriers to effective research and treatment. This new volume will be of special interest to policy makers, administrators, researchers, practitioners, and journalists working in the field of mental health.
When his teenage son Christopher, brain-damaged in an auto accident, developed a 105-degree fever following weeks of unconsciousness, John Campbell asked the attending physician for help. The doctor refused. Why bother? The boy’s life was effectively over. Campbell refused to accept this verdict. He demanded treatment and threatened legal action. The doctor finally relented. With treatment, Christopher’s temperature—which had eventually reached 107.6 degrees—subsided almost immediately. Soon afterward the boy regained consciousness and was learning to walk again. This story is one of many Wesley J. Smith recounts in his award-winning classic critique of the modern bioethics movement, Culture of Death. In this newly updated edition, Smith chronicles how the threats to the equality of human life have accelerated in recent years, from the proliferation of euthanasia and the Brittany Maynard assisted suicide firestorm, to the potential for “death panels” posed by Obamacare and the explosive Terri Schiavo controversy. Culture of Death reveals how more and more doctors have withdrawn from the Hippocratic Oath and how “bioethicists” influence policy by posing questions such as whether organs may be harvested from the terminally ill and disabled. This is a passionate yet coolly reasoned book about the current crisis in medical ethics by an author who has made “the new thanatology” his consuming interest.
This book is an attempt to understand suicide from the perspective of a group of men who decided to take their own lives. Their stories imply that male suicide is not, as frequently portrayed, an impulsive action arising from particular, sex-specific, causes but relates to a cluster of interlinked issues which accumulate over time. These issues were not distinctively male concerns but were connected to gender in that the men’s difficulties were exacerbated by the existence of an emotional culture which inhibited males from expressing specific feelings. The prevailing form of masculinity impeded them in developing knowledge of, and speaking about, their emotional needs and from accessing help and this prolonged their suffering and made suicide a possibility. These men produced compelling accounts of their emotional pain which belied notions of male inexpressiveness but the findings point to a link between emotionally constraining cultures and suicidal behaviour for some groups of men.
This book is about a new theory of suicide as cultural mimesis, or as an idea that is internalized from culture. Written as part of a new, critical focus in suicidology, this volume moves away from the dominant, strictly scientific understanding of suicide as the result of a mental disorder, and towards positioning suicide as an anthropologically salient, community-driven phenomenon. Written by a leading researcher in the field, this volume presents a conception of suicide as culturally scripted, and it demonstrates how suicide becomes a cultural idiom of distress that for some can become a normative option.
With recent studies using genetic, epigenetic, and other molecular and neurochemical approaches, a new era has begun in understanding pathophysiology of suicide. Emerging evidence suggests that neurobiological factors are not only critical in providing potential risk factors but also provide a promising approach to develop more effective treatment and prevention strategies. The Neurobiological Basis of Suicide discusses the most recent findings in suicide neurobiology. Psychological, psychosocial, and cultural factors are important in determining the risk factors for suicide; however, they offer weak prediction and can be of little clinical use. Interestingly, cognitive characteristics are different among depressed suicidal and depressed nonsuicidal subjects, and could be involved in the development of suicidal behavior. The characterization of the neurobiological basis of suicide is in delineating the risk factors associated with suicide. The Neurobiological Basis of Suicide focuses on how and why these neurobiological factors are crucial in the pathogenic mechanisms of suicidal behavior and how these findings can be transformed into potential therapeutic applications.
Suicide is increasingly understood and predicted as an intersection of biological, psychological, cognitive, and sociocultural factors. We have some basic knowledge of these factors and how they interact, but presently we know very little about how culture can play a role as a variable that influences suicide. Suicide Among Racial and Ethnic Minority Groups will go a long way towards filling that gap by pulling together cutting edge empirical research from general cultural diversity literature and applying it to suicide assessment, treatment, and prevention theory and practice. By looking outside of the limited cross-cultural studies done within suicidal populations, the contributors – all established experts in both multicultural counseling and suicidology – expand the available empirical literature base in order to provide a deeper look into how culture can act as an important catalyst in suicidal intentions. Following theoretical overviews, the text focuses on six broad ethic groups classified in the literature (African American, American Indian, Asian American, European American, Hawaiian & Pacific Islander, and Hispanic), with a main chapter devoted to each, relating each culture to suicide research, highlighting specific variables within the culture that can influence suicide, and presenting appropriate treatment considerations. A final section of the book consists of practical applications within specific settings (therapy, outreach, schools, psychiatric services) and prevention and training issues.
Suicide is undoubtedly a worldwide major challenge for the public health. It is estimated that more than 150,000 persons in Europe die as a result of suicide every year and in several European countries suicide represents the principal cause of death among young people aged 14–25 years. It is true that suicide is a complex (and yet not fully understood) phenomenon and may be determined by the interaction between various factors, such as neurobiology, personal and familiar history, stressful events, sociocultural environment, etc. The suicide is always a plague for the population at risk and one of the most disgraceful events for a human being. Moreover, it implies a lot of pain often shared by the relatives and persons who are close to suicide subjects. Furthermore, it has been widely demonstrated that the loss of a subject due to suicide may be one of the most distressing events that may occur in mental health professionals resulting in several negative consequences, such as burnout, development of psychiatric symptoms and lower quality of life and work productivity. All considered, it is clear that the suicide prevention is a worldwide priority and every effort should be made in order to improve the early recognition of imminent suicide, manage suicidal subjects, and strengthen suicide prevention strategies. In our opinion, the first step of prevention is the improvement of knowledge in the field: this was the aim of this present special issue on Frontiers in Psychiatry. In this special issue, several papers have contributed to the suicide knowledge from several viewpoints and we hope that this will contribute to improve and disseminate knowledge on this topic.
Keep up-to-date with recent research and practice in suicide. This book is based on the TRIPLE i in Suicidology international conferences, which are organised annually by the Slovene Centre for Suicide Research in memory of the late Prof. Andrej Marušič with the aim of promoting intuition, imagination, and innovation in the research and prevention of suicide and suicidal behaviour. The carefully selected chapters provide food for thought to practitioners, researchers, students, and all those who come into contact with the tragedy of suicide, with the hope of stimulating new ideas and interventions in the difficult fight against suicidal behaviours. In four parts, the internationally renowned team of authors summarise the achievements of suicidology so far (both in quantitative and qualitative research), present effective interventions in suicide prevention (including for youths and older people) and knowledge gained in bereavement and postvention studies (such as in different cultures and those bereaved by suicide), and highlight future directions for suicide research and prevention. The volume is thus a useful resource for all those interested in keeping up-to-date with recent research and practice in suicide.
Part of the authoritative Oxford Textbooks in Psychiatry series, the new edition of the Oxford Textbook of Suicidology and Suicide Prevention remains a key text in the field of suicidology, fully updated with new chapters devoted to major psychiatric disorders and their relation to suicide.