Exploring the Phenomenology of Suicide

Phenomenology studies conscious experience as experienced from the subjective or first‐person point of view. This paper was developed with the aim of shedding light on the phenomenology of suicide; that is, to focus on suicide as a phenomenon affecting a unique individual with unique motives for the suicidal act. To explore this topic, the author looks back at the past centuries to understand why suicide was thought to be confined to psychiatric illness and to document the bias in studies supporting this notion. One major step forward in the conceptualization of suicide as a psychological disorder was provided by Edwin Shneidman, who focused on the pain of negative emotions. Such a radical approach is laudable in an era where diagnostic criterria and the need to cure are more important than understanding what is not working at the emotional level.     

Are Young Adults' Suicides Psychologically Different from Those of Other Adults? (The Shneidman Lecture)

ABSTRACT: This Shneidman Lecture addresses the question: Are young adults' suicides psychologically different from those of other adults? Eight clusters (or patterns) as possible predictors of suicide notes and, by implication, suicide are discussed to address this question. The eight clusters are as follows: unbearable psychological pain, interpersonal relations, rejection-aggression, inability to adjust, indirect expressions, identification-egression, ego, and cognitive constriction. Comparisons between young adults (aged 18–25) and other adults indicate that young adults' suicides do differ psychologically in a number of patterns, but that considerable commonalities exist across the adult life span. The presentation emphasizes that a life span developmental perspective is essential when one is attempting to understand the suicides of young adults. A number of genuine suicide notes of young adults are presented to illustrate, from an idiographic view, what it might have been like for these individuals in the last moments of their lives.     

Rescuers and the Rescued

ABSTRACT: There is a fairly widespread but unverified belief that persons working on certain taboo areas may be similar to the population they serve and drawn to such work by their own personal problems in these areas. Two groups, 51 suicide prevention volunteers and 31 suicide attempters, were compared with respect to demographic characteristics and for psychological attitudes and experiences pertaining to suicide, death, and mental status by means of a death questionnaire developed by Shneidman. Comparative analysis revealed substantial differences between volunteers and clients. Demographically, the volunteers were older, better educated, more affluent, and contained a greater proportion of Protestants. Psychologically, the volunteers were distinctly different in regard to suicide. In contrast to their clients, the volunteers reported greater emotional stability, much less fantasy about suicide, almost no actual suicide attempts, and a disinclination to consider suicide as a justifiable problem-solving option.     

Changing the Legacy of Suicide

In the United States, despite the increase in knowledge about suicide, the rate of suicide has remained virtually unchanged for the past 30 years. The members of the American Association of Suicidology (AAS) are uniquely qualified to determine what, if anything, can be done to reduce the rate of suicide. The restructuring of the association has produced the potential for cross-divisional collaboration, and yet conventional membership boundaries have resulted in unrealized opportunities to impact the rate of suicide. Dr. Edwin Shneidman, stated in Albert Cain's 1972 landmark book Survivors of Suicide that “post-vention is prevention for the next generation” (p. x). The ability to design, implement, and study an effective model of postvention is within the considerable talents of our membership; however, doing so will require the commitment and flexibility of the entire association. By making postvention collaboration a goal of the association we can bring a national focus on suicide that could change the legacy of suicide.     

A Comparison of Suicide Note Writers with Suicides Who Did Not Leave Notes

There is disagreement in the suicide literature on the value of suicide notes as a data source, particularly regarding the extent to which suicide decedents who write notes differ from those who do not. Using 10 years of suicide cases from Summit County, Ohio, these two groups were compared on 40 variables including sociodemographic characteristics, reported affect before death, precipitating events, physical and mental health status and care, and method of suicide. The only differences found were that note writers were more likely to have lived alone and had made prior suicide threats. These findings suggest that for research purposes, suicide cases with and without notes are essentially similar.     

On the alleged ineffability of death

A number of recent theorists, all proceeding on the assumption that there is no afterlife, argue that the notion of one's own death defies comprehension in ways that have important implications. Some argue this "ineffability" of death precludes a rational decision to die. Dr. Edwin Shneidman maintains that it makes the notion of our own death unintelligible to each of us. In this paper, these arguments are criticized. It is maintained that death is not so inscrutible as these theorists would have us believe.     

Testing Shneidman’s model of suicidality in incarcerated offenders and in undergraduates

Suicidality constitutes a major health issue for society in general and incarcerated populations in particular. Shneidman’s model of suicide proposes that psychache (i.e., intense psychological pain) is the pre-eminent psychological cause of suicidality and mediates the influence of all other psychological correlates such as depression or hopelessness. The current research evaluates Shneidman’s model for samples of 73 male federal offenders, 80 male undergraduates, and 80 female undergraduates. Consistent with Shneidman’s theory, psychache was both a significant and a more important statistical predictor of reported self-harming ideation and action than was either depression or hopelessness. Further, this relatively greater importance of psychache for the statistical prediction of suicidality was not moderated either by offender status or by sex. Overall, findings support the applicability of Shneidman’s model of suicidality to incarcerated individuals and indicate the model’s generalizability across sex and offender status.     

Suicide notes of the older adult.

Although not true in all countries, older adults are the developmental age group at highest risk for death by suicide in the United States. Our knowledge of suicide in the elderly is, however, limited. The psychological characteristics for suicide cannot be attributed primarily or even solely to being old. One avenue to understanding this complicated act in the elderly is suicide notes. Despite their limitations, suicide notes contain special revelations of the human mind and there is much one can learn from them about suicide in the older adult. This paper outlines the sparse literature on the topic of suicide notes of the older adult and then presents the author's own life-span research related to the elderly. The research indicated that long-term instability was critical in understanding suicide in the older adult. However, indirect expressions (e.g., ambivalence, unconscious implications) were much less frequently observed in the notes of the elderly than other adults. The research also found that older males often wrote about painful problems in their interpersonal relations in their final letters and this pain was significant in making their final decision. Future research, specifically regarding a protocol analysis based on a review of the research on suicide in the elderly, will be discussed.     

The Kurt Cobain Suicide Crisis: Perspectives from Research,Public Health,and the News Media

The suicide of rock star Kurt Cobain in 1994 raised immediate concerns among suicidologists and the public at large about the potential for his death to spark copycat suicides, especially among vulnerable youth. The Seattle community, where Cobain lived and died, was especially affected by his sudden death. An overview of Cobain's life and death is presented and various crisis center and community-based interventions that occurred are discussed. Preliminary data collected from the Seattle Medical Examiner's Office and from the Seattle Crisis Center to assess the potential impact of Cobain's death on completed suicides and the incidence of suicide crisis calls are presented. The data obtained from the Seattle King County area suggest that the expected “Werther effect” apparently did not occur, but there was a significant increase in suicide crisis calls following his death. It is hypothesized that the lack of an apparent copycat effect in Seattle may be due to various aspects of the media coverage, the method used in Cobain's suicide, and the crisis center and community outreach interventions that occurred. The Cobain suicide and the role of media influence on copycat suicides are further discussed in commentaries from public health and news media perspectives.     

Some Psychological Reflections on the Death of Malcolm Melville*

ABSTRACT: Malcolm Melville died on September 12, 1867, at age 18 from—to quote his death certificate—a “pistol shot wound in [his] right temporal region.” Contemporary designations of the mode of his death changed within hours from suicide, to accident, to death while of unsound mind. Historically, the mode of his death has remained equivocal. In order to approach this enigma a “psychological autopsy” of an equivocal death case as identical to Malcolm Melville's as was possible was conducted as though it were a genuine current “open” case at the Los Angeles Suicide Prevention Center in 1973. That procedure resulted in a near-unanimous judgment by the center staff that the most accurate certification of the death as described was “probable suicide,” which would then be certified as “suicide.” In this paper the assertion is made that Herman Melville himself had been a psychologically “battered child” and, in a way typical for battered children, psychologically battered his own children when it came his turn to be a parent. The further assertion is made that, for Malcolm, his father was suicidogenic; and established this penchant in Malcolm (through his neglect, active rejection, fearsomeness, and his fixed attention to his own writing—Redburn, White Jacke, and Moby Dick) within the first 2 years of Malcolm's life. For Malcolm, the psychological basis of his suicidal state was isolated desperation—a ubiquitous characteristic of most suicides. Malcolm had a deep unconscious feeling of not being wanted by his father; that it would be better if he were out of the way, dead. On the morning of his death, the choice for Malcolm was between the memory of his mother's kiss a few hours before and the terror of (and the need to protect himself against) his father's rage to come.     

Content Analysis of Suicide Notes as a Test of the Motivational Component of the Existential‐Constructivist Model of Suicide

A sample of 40 suicide notes were analyzed for motivational content in relation to an existential‐constructivist theory of suicide. Results generally supported the 4 theoretical categories of somatic, relational, spiritual, and psychological motivations, with 39 notes having content that could be classified according to the aforementioned categories. Psychological motivations were found to be the most prevalent, followed by relational, spiritual, and somatic concerns. Notes of completed suicides included more relational motivations than did those of suicide attempters, and older writers of notes showed more psychological and fewer spiritual motivations than did younger writers. Recommendations are offered for revising the theory to provide a stronger meaning‐based understanding of suicidal behavior.     

The embodiment of reconciliation: order and change in the work of Frederic Bartlett

Frederic Bartlett (1886-1969) was one of the most prominent figures in British academic psychology during the 20th century. His psychological work has had a mixed reception, but there is no doubt that it continues to be much cited. Bartlett and his work have also attracted considerable historical attention both within history of ideas accounts and in attempts to understand the establishment of British academic psychology. The present article argues that new light can be shed on Bartlett's writings by seeing them as repeatedly grappling with 2 interrelated themes: the preservation of order and the adjustment to changing conditions. The article illustrates the ways in which these themes ran through his major works and informed some of his key theoretical concepts before going on to examine some of the potential sources for these themes.     

A last defence: the negotiation of blame within suicide notes

This paper presents a discursive analysis of 172 suicide notes left by 120 suicide victims. Instead of searching for the underlying psychological reasons for suicide in the content of notes, we argue that such notes should be viewed as acts of communication which serve to manage the blame accorded to both author and recipients of the suicide note. Consequently notes may provide evidence of socially shared beliefs as to when suicide is more or less acceptable. The analysis largely confirms this approach. It is found that matters relating to blame are referred to more frequently than any other issue (87% of notes). The precise arguments which are used to justify the actions of both self and others are then described in detail and some evidence is provided that the nature of these arguments may vary as a function of the social position of the author and also the identity of the recipient. The implications of these findings, and for a general use of a discursive approach to suicide, are then discussed. Copyright © 2000 John Wiley & Sons, Ltd.     

The Confrontation with Death and the Renewal of Life

ABSTRACT: Several writers have argued that a majority of suicidal acts are “gambles with death.” A distinction is made between cases where the gamble with death is merely consequential (i.e., arising from ignorance, apathy, indifference) and cases where it is the very essence of the act. Typically in these latter cases others are excluded from possible intervention. The individual is thus playing a game of “pure” chance. Death is summoned and challenged in order that life may continue. It is argued, from an interactionist perspective, that such acts are desperate efforts to confirm existence in situations of extreme uncertainty and represent a distinct form of what Shneidman has called “egotic” suicide.     

Regression and new beginnings: Michael, Alice and Enid Balint and the circulation of ideas

This article offers a new evaluation of Michael Balint's history. It starts with his growing up in Hungary and examines the central concepts of his writing: the analytic pair, regression and the basic fault and creativity, up to and including his renowned work on the eponymous Balint groups (which forged a unique link between psychoanalysis and medicine). While his name is, of course, well known, this article aims to bring his ideas to the attention of a modern analytic audience. Having trained in the 1920s with Ferenczi, Balint brought Ferenczi's literary inheritance to England where he lived until his death in 1970. His connections to Klein, Winnicott and Lacan, all of whom respected his analytic stance, are also examined. Furthermore, this article argues that his ideas were filtered through the theoretical lens of his first wife Alice Balint and later through Enid Balint, both of whom played a key - and rarely recognised - role in the development of his thought. It ends with a brief discussion of his ideas on analytic training and his quest, successful only after his death, to publish the complete Freud-Ferenczi correspondence, together with Ferenczi's diary.     

Suicide notes in alcoholism

Alcoholism is associated with a vast number of suicides. The most systematic study of suicide among alcoholics is the work of Eli Robins and George Murphy. The suicide notes in these studies have remained unanalyzed to date. The present analysis suggested that these suicide notes of alcoholics did not differ from those of nonalcoholics; core themes in their deaths are unbearable psychological pain, cognitive constriction, indirect expressions, rejection-aggression, and identification-aggression. Although caution is in order in accepting the null hypothesis, we can at least suggest that further study is needed.     

A Psychological Autopsy of an Indian Adolescent Suicide with Implications for Community Services

This psychological autopsy of the suicidal death of an adolescent Indian boy includes a brief family background, a history of his difficulties, and a report of his psychological evaluation. There is an attempt to understand the societal and familial factors that seem to have predisposed him to commit suicide. The report includes an analysis of the resources currently available in Indian communities and a recommendation for the kinds of resources that might prevent suicide in this setting.     

A thematic comparison of suicide notes drawn from Northern Ireland and the United States

Suicide is a global concern hence cross-cultural research ought to be central to national suicide prevention strategies. This study sought to investigate suicide notes drawn from Northern Ireland and the United States as these countries have broadly similar suicide rates but markedly different cultures. A theoretical-conceptual analysis of sixty suicide notes drawn from these countries, matched for age and sex, was undertaken based on a thematic model of suicide developed by Leenaars (1996) across countries. The results suggested that there were more psychological commonalities than differences. Two differences emerged which suggested that aspects of the interpersonal components may be more salient in Northern Irish rather than American suicides. It is argued that more wide-ranging cross-cultural studies are required to enhance our ability to identify and predict those most at risk from suicide.     

A thematic comparison of suicide notes drawn from Northern Ireland and the United States

Suicide is a global concern hence cross-cultural research ought to be central to national suicide prevention strategies. This study sought to investigate suicide notes drawn from Northern Ireland and the United States as these countries have broadly similar suicide rates but markedly different cultures. A theoretical-conceptual analysis of sixty suicide notes drawn from these countries, matched for age and sex, was undertaken based on a thematic model of suicide developed by Leenaars (1996) across countries. The results suggested that there were more psychological commonalities than differences. Two differences emerged which suggested that aspects of the interpersonal components may be more salient in Northern Irish rather than American suicides. It is argued that more wide-ranging cross-cultural studies are required to enhance our ability to identify and predict those most at risk from suicide.