Wednesday, June 11, 2014

Suicide and Ireland

Figures from the Central Statistics Office show that the number of suicides registered in Ireland fell by 6% last year. The CSO's yearly summary shows 475 suicides were registered in 2013, compared to 507 in 2012. The CSO statistics show several counties recording rates of suicide well above the national average of 10.3 per 100,000 population. Males accounted for over 83% of all suicide deaths last year. The number of registered suicides in the 15-24 age group fell by 23% last year, however Ireland still has the fourth highest suicide rate in that age group in the European Union (RTE, 2014).

Women are likely to attempt suicide about three times more often than men, but men are, on average, three times more likely to actually kill themselves. These differences may be due to (1) a higher incidence of depression in women and (2) men's choice of more violent and lethal methods, such as shooting themselves or jumping off buildings. The suicide rate for both men and women is higher among those who have been divorced or widowed. Women's suicides are more likely to be triggered, although not certain to be triggered by any means, by failures in love relationships, whereas career failure more often prompts men's suicides (Shneidman, 1976). Further, a history of sexual or physical abuse significantly increases the likelihood of later suicide attempts (Garnefski & Arends, 1998).

Is suicide contagious?

Most people react to hearing the news of a suicide with sadness and curiosity. Some people react by attempting suicide themselves, often by the same method they have just heard about. Gould (1990) reported an increase in suicides during a 9-day period after widespread publicity about a suicide. Clusters of suicides (several people copying one person) seem to predominate among teenagers, with as many as 5% of all teenage suicides reflecting an imitation (Gould, 1990; Gould, Greenberg, Velting, & Shaffer, 2003). Suicide prevention charity Console has called for a real-time register of suicide data to be kept. It said it could then "act on timely and accurate statistics to put measures in place to prevent such phenomena as suicide clustering or contagion".

Why would anyone want to copy a suicide? First, suicides are often romanticized in the media: An attractive young person under unbearable pressure commits suicide and becomes a martyr to friends and peers by getting even with the (adult) world for creating such a difficult situation. Also, media accounts often describe in detail the methods used in the suicide, thereby providing a guide to potential victims. Little is reported about the paralysis, brain damage, and other tragic consequences of the incomplete or failed suicide or about how suicide is almost always associated with a severe psychological disorder. More important, even less is said about the futility of this method of solving problems (Gould, 1990, 2001; O’Carroll, 1990).

To prevent these tragedies, mental health professionals must intervene immediately in schools and other locations with people who might be depressed or otherwise vulnerable to the contagion of suicide. But it isn’t clear that suicide is ''contagious'' in the infectious disease sense. Rather, the stress of a friend’s suicide or some other major stress may affect several individuals who are vulnerable because of existing psychological disorders (Durand & Barlow, 2013).
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''The ability to be in the present moment is a major component of mental wellness'' ~ Abraham Maslow

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