Parasuicide

Attempted suicide

Suicide Statistics

Suicide is the ninth most common cause of death in the U.S.A.
There are approximately 30,000 certified suicides a year.
Underrepresent actual incidence
Suicide rate is 12.3, up slightly
The suicide rate in the U.S.A. is highest among elderly people.

Bad Economic Times

Increase of suicide rates

White Males

Completed suicides come frequently from this segment of the U.S. population

Age

White male increases with age
Females and nonwhites reach their peak earlier in adult life

American Youth

Suicide rates increases
male predominating
Suicide is the 8th leading cause of death among American youth (ages 5-24)

Groups at Risk

City dwellers
Divorced
Suffering from depression
Life-threatening illness

African- American Women

Over the past quarter of a century, the suicide rates among African- American women have declined

Regions

The highest suicide rates in the U.S.A. are found in low density states such as Nevada and New Mexico.

Young Women

Make more suicide attempts than other age-gender groups.

Families of Suicidal Youth

Rigid rules
Long term patterns of family dysfunction.
"Smother love" that discourages the youth's maturation and independence.
Poor communication patterns within the family.

Higher Risk of Suicide Among Youth

A previous suicide attempt
Previous suicide attempt by others in the family.
Changes in behavior
Hopelessness, apathy, and/or dread
Talking about suicidal intentions.
Thought process narrowed

Flashes of anger

Chinese adolescents in Hong Kong

Reasons for living
Wanting to experience life.
Not fair to leave parents by themselves.
Wanting to grow together with friends.
Not fear of going to hell.

Suicide Behavior in Children

Pressure from family
Depressed attitude
Coping attempts that don’t work well
Accumulated frustrations and loss of self-confidence

Alcohol and Drug Abuse

More common among suicidal people
Often associated with suicide even when the person drinks on "jags" rather than constantly
Even more frequently related to suicide with youth than with other age groups

Suicide and the Elderly

Since 1990, the largest increase in the U.S.A. suicide rate has been among white men age 85 and above.
Subintentional
not looking after health and withdrawing
Firearms are the most common choice of suicide method for elderly men and women in the U.S.A.

Risk Factors of Suicide in Elderly

white, male, over 65, rural area or transient inner city
social isolation
depression
physical illness
alcohol abuse
failure to cope with stress
loss of relationships

Indicators of Suicide Risk in Elderly

Loss of appetite.
Stooped, withdrawn, fatigued.
Lack of eye contact.

Native American Suicide

More frequent among youth than elderly
Highest rate of all ethnic and racial subpopulations
Alcohol consumption is major factor
Differences in tribes

High-Risk Situations

The risk for suicide of people with HIV/AIDS is 20 times greater than the general population.
Suicide rates in cities with major gambling operations are higher than average for visitors and for residents
Schoolyard bullies and peer harrasment
"Suicide by cop"

Suicide As Sinful

St. Augustine and St. Thomas established the Catholic position against suicide by offering all the following arguments:
The Sixth Commandment: "Thou shalt not kill."
Suicide eliminates the opportunity to repent of sins.
Only God has the right to kill.
How does this relate to an evangelical Christian view?

Suicide as Criminal

Suicide is on the books as a crime
Only in two local jurisdictions in Kentucky and South Carolina (where it is not enforced)

Suicide As Weakness or Madness

Darwin’s survival-of-the-fitness
"If you can’t stand the heat, get out of the kitchen!"

Suicide as "The Great Death"

The Samurai who sought death on the battlefield became a symbol for others who considered suicide to be a desirable way of ending their lives.

Suicide as a Rational Alternative

To living in an ugly and harsh world was favorably regarded by the Stoics.

Durkheim's Sociological Theory of Suicide

Egoistic suicide
not under sufficient control by societal norms and obligations.
Altruistic suicide
have extremely high or excessive concern for society (Kamikaze).
Anomic suicide
rejected by society
Fatalistic suicide
too much control by society (prisons)

Individual Meanings of Suicide

Suicide for Reunion

Thought in mind of having a reunion with a loved one who is dead

Suicide for Rest and Refuge

Sleep-death analogy
Escapist tendencies

Suicide for Revenge

Rejection
combined with low self-esteem

Penalty of Failure

Warren Breed
Sense of failure with association to other factors
Rigid persistence in following the same goals and methods despite repeated failure
rigidity
commitment
shame
isolation

Suicide As a Mistake

People who were intercepted by others before they could make a suicidal leap from The Golden Gate or Bay bridges in San Francisco did not make subsequent fatal suicide attempts.

Psychoanalytical

Sigmund Freud attempted to explain suicidality through his theory that the instincts of Life and death are in constant conflict or negotiation with each other.

Descent Toward Suicide

According to Richard Heckler, the first event in what might prove to be a sequence ending in a fatal suicide attempt is loss or trauma early in life.

Descent Toward Suicide

Loss of hope
A sense of sinking slowly into a subhuman kind of existence.
Withdrawal and communication breakdown
Constructing a personality facade to hide behind.
Suicidal trance
Trapped in tunnel
Death as release

Facts and Myths

People who talk about suicide will not actually take their own lives.
Only depressed people commit suicide.
Only crazy people
Don’t ask
Inherited

Websites

Mental Health Net
Suicide and the School
Suicide in Art, Film, and Literature