Suicide

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Suicide[edit | edit source]

Édouard Manet's depiction of suicide, circa 1877

Suicide is the act of intentionally causing one's own death. It is a significant public health issue, affecting individuals, families, and communities worldwide. Suicide can result from a complex interplay of psychological, social, and environmental factors.

Causes[edit | edit source]

Suicide is often associated with mental health disorders such as depression, bipolar disorder, schizophrenia, and substance use disorder. However, not all individuals who die by suicide have a diagnosable mental illness. Other factors that may contribute to suicide include overwhelming stress, trauma, loss, and feelings of hopelessness.

Neurobiological factors, such as brain-derived neurotrophic factor (BDNF), may play a role in suicide.

Methods[edit | edit source]

The methods of suicide vary widely and can include hanging, poisoning, firearms, and jumping from heights. The choice of method is often influenced by cultural, social, and personal factors, as well as the availability of means.

Prevention[edit | edit source]

A suicide prevention sign on the Golden Gate Bridge.

Suicide prevention involves a range of strategies aimed at reducing the risk of suicide. These include mental health treatment, crisis intervention, and public awareness campaigns. Restricting access to common means of suicide, such as firearms and certain medications, is also an effective prevention strategy.

Historical and Cultural Aspects[edit | edit source]

A kamikaze pilot, 1945.

Throughout history, suicide has been viewed differently across cultures and time periods. In some cultures, suicide has been seen as an honorable act, such as the kamikaze pilots of World War II. In others, it has been stigmatized and considered a sin or crime.

Impact[edit | edit source]

The impact of suicide extends beyond the individual, affecting families, friends, and communities. Survivors of suicide loss often experience a range of emotions, including grief, guilt, and anger. The economic impact of suicide is also significant, with costs related to healthcare, lost productivity, and legal expenses.

Suicide in Literature and Art[edit | edit source]

Lotte at Werther's grave, a scene from Goethe's "The Sorrows of Young Werther."

Suicide has been a theme in literature and art for centuries. Works such as Goethe's "The Sorrows of Young Werther" and Shakespeare's "Hamlet" explore the complexities of suicidal thoughts and actions. Art has also depicted suicide, as seen in Édouard Manet's painting "Le Suicidé."

Modern Interventions[edit | edit source]

Crisis counseling at the Golden Gate Bridge.

Modern interventions for suicide prevention include crisis hotlines, counseling services, and community support programs. Efforts to reduce stigma and increase access to mental health care are crucial components of these interventions.

Barriers and Fences[edit | edit source]

A suicide prevention fence on Tromsø Bridge.

Physical barriers, such as fences on bridges, are effective in preventing suicide by restricting access to means. These barriers are part of broader environmental strategies to reduce suicide risk.

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Contributors: Prab R. Tumpati, MD