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Introduction and Summary
At least 50 percent of suicides are a result of, or occur during, a primary
mood disorder. Suicide has become the
eighth leading cause of death in the general population and the third leading
cause of death for individuals between the ages of fifteen and twenty-four. One
suicide occurs every twenty minutes in the United States; there is a suicide
every three minutes among women in China. Caucasian Americans are also more
prone to commit suicide than African Americans. Rates of suicide attempts are
higher among adolescents than the elderly, but rates of suicidal completion are
higher among the elderly. This may be due either to higher fatality in the
methods used by the elderly, or the decrease in physical resilience of elderly
individuals. The lethality of the methods and varying immediacy and efficacy of
medical treatment may also partially explain the higher rates of suicide
completion in non-Western cultures. For every one completed suicide, there are
ten attempted suicides. Finally, there are gender differences; women are three
times more likely than men to attempt suicide, yet men are four times more
likely to complete suicide. This seems to be reflective of the
different methods used by the genders: Men are more likely to use more violent
and immediately fatal methods such as guns, while women are more likely to use
methods that allow for intervention and discovery, such as drug overdoses.
Definition and Description
Studies have found that there are ten main elements that appear often in cases
of suicide and thus have come to be considered the common elements leading to
suicide. It has been found that the common purpose of suicide attempts is to
try to find a solution to a problem; the common goal is the cessation of
consciousness. The common stimulus is unbearable psychological pain, and the
common stressor is frustrated psychological needs. The common emotion is
hopelessness/helplessness, and the common cognitive state is ambivalence. The
common perceptual state is constriction, or tunnel vision, and the common action
is escape. Finally, the common interpersonal act is communication of
intentions, and the common pattern is a consistency in life-long patterns of
coping mechanisms. The DSM-IV does not
offer a classification system for suicide, instead listing suicidal idealization
as a symptom of mood disorders.
Emile Durkheim, a French sociologist, has proposed a classification system for
suicide that concentrates on the social circumstances in which the individual
lives. According to this system, there are four types of suicides:
egoistic, anomic, altruistic, and fatalistic. Egoistic
suicides, following a pattern of diminished integration, are individuals who
have become detached from society and come to believe that their existence is
meaningless. Most of the individuals in this group suffer from mental disorders
or are recently divorced, and usually exhibit signs of
depression and apathy. Individuals who
compose the category of altruistic suicides, with a pattern of excessive
integration, exist in a community wherein the social rules dictate that that
person's life is sacrificial. Anomic suicides, with a pattern of diminished
regulation, usually result from sudden disruptions in the social hierarchy or
norms, such as economic or political crises, or disruptions in the
individual's normal life. The typical feelings associated with this group of
individuals are anger, disappointment, and exasperation. The final group of
classification is that of fatalistic suicides, with a pattern of excessive
regulation, which are very uncommon; fatalistic suicides occur among individuals
who believe that the circumstances surrounding their lives have simply become
unbearable.
Two problems with Durkheim's system are that many of the types seem to be highly
comorbid, and that it is not clear why other members who exist within the
same social group, subject to the same social pressures, do not commit
suicide.
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