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Medicine

Mental Health Experts Seek To Block the Paths To Suicide 498

HughPickens.com writes: Experts and laymen have long assumed that people who died by suicide will ultimately do it even if temporarily deterred. Now Celia Watson Seupel reports at the NY Times that a growing body of evidence challenges this view, with many experts calling for a reconsideration of suicide-prevention strategies to stress "means restriction." Instead of treating individual risk, means restriction entails modifying the environment by removing the means by which people usually die by suicide. The world cannot be made suicide-proof, of course. But, these researchers argue, if the walkway over a bridge is fenced off, a struggling college freshman cannot throw herself over the side. If parents leave guns in a locked safe, a teenage son cannot shoot himself if he suddenly decides life is hopeless.

Reducing the availability of highly lethal and commonly used suicide methods has been associated with declines in suicide rates of as much as 30%–50% in other countries (PDF). According to Cathy Barber, people trying to die by suicide tend to choose not the most effective method, but the one most at hand. Some methods have a case fatality rate as low as 1 or 2 percent," says Barber. "With a gun, it's closer to 85 or 90 percent. So it makes a difference what you're reaching for in these low-planned or unplanned suicide attempts." Ken Baldwin, who jumped from the Golden Gate Bridge in 1985 and lived, told reporters that he knew as soon as he had jumped that he had made a terrible mistake. "From the instant I saw my hand leave the railing, I knew I wanted to live. I was terrified out of my skull." Baldwin was lucky to survive the 220 foot plunge into frigid waters. Ms. Barber tells another story: On a friend's very first day as an emergency room physician, a patient was wheeled in, a young man who had shot himself in a suicide attempt. "He was begging the doctors to save him," she says. But they could not.
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Mental Health Experts Seek To Block the Paths To Suicide

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  • If parents leave guns in a locked safe, a teenage son cannot shoot himself if he suddenly decides life is hopeless.

    People have been proudly campaigning for irresponsible gun ownership in the US for a very, very, long time. Suggesting things like locking up guns - even in the gun owner's home - will be quickly shot down by people claiming you are impeding on their constitutional right to overthrow the government.

    I really, really, wish I was exaggerating or kidding on this one.

    • by JaredOfEuropa ( 526365 ) on Tuesday March 10, 2015 @04:33AM (#49223139) Journal
      There's a big difference between promoting gun safety at home, and putting it into law. The latter comes with regular, mandatory police inspections of gun owners' homes, to ensure guns are kept according to the rules. This is what we have in the Netherlands, where it's hard to get a gun license in the first place. Now I am not against such rules and inspections personally, but I can see how "freedom loving" gun owners in the US would object to that. However, the few of such gun owners that I know do voluntarily practise and advocate safe gun ownership, especially around kids.
      • Re: (Score:3, Insightful)

        There's a big difference between promoting gun safety at home, and putting it into law.

        Which would make it political suicide to even propose here in the US.

        However, the few of such gun owners that I know do voluntarily practise and advocate safe gun ownership, especially around kids.

        The overwhelming majority of actual gun owners are responsible. There are a lot more guns than gun accidents in this country, that is clear. However every single day there is at least one innocent child in this county who is shot as a direct result of an irresponsible owner. And those irresponsible owners are the ones whose "rights" we see so much time and money spent to protect.

        • by Charcharodon ( 611187 ) on Tuesday March 10, 2015 @05:40AM (#49223377)
          However every single day there is at least one innocent child in this county who is shot as a direct result of an irresponsible owner.

          That statement is about worthless until you define what a "child" is. For a long time the gun haters like to quote statistics that defined a child as someone under 21 and as high as 24, and in their numbers. The also included "children" who were criminals that were shot by either the police or citizens defending themselves.

          As it is far fewer actual children, as in those under the age of 14. A child as someone that cannot be put in prison as an adult.

          So if defining a child as someone from 0 to 14 years of age
          Firearm homicide (murder) of those under 14 was around 230
          Firearm accidents barely made it onto the chart I was looking at with 22 unintentional firearm deaths for the 10-14 year old category. It was the only place it was in the top ten causes of death for any age group all the way up to the 65+ category.
          vs.
          1170 for being run over by cars
          708 for drowning
          1182 unintentional suffocation
          408 being murdered by a parent/family member
          58 dying from exposure (cold)
          228 from burning to death
          69 accidental death from beatings
          116 bicycle accidents
          Source 2012 statistics form the Centers for Disease Control and Prevention. in 2012.

          Firearm deaths are hardly the "low hanging" fruit on things killing children in the US, and it hardly happens "every single day" Hence why most "gun nuts" get more than a little agitated when it is used as a reason to take away their rights.

          Firearm deaths and suicides do not start kicking in as a large result of death until the ages 15-24, but cars and alcohol/drug over dose kill more people by a factor of 3-5 times as many of all adults.

          • by dwillden ( 521345 ) on Tuesday March 10, 2015 @06:20AM (#49223533) Homepage
            Great points, and as demonstrated in Australia after their firearm ban and confiscation, removing firearms does not remove suicides. After the ban yes firearm suicides nearly vanished. But the overall suicide rate did not drop. In fact it spiked significantly the two years immediately following but then returned to the exact same level and gradual downward trend it had been running at in the years prior to the ban. But now suicide by firearm was a fraction of the occurrence that it had been before the ban and confiscation of most handguns and many rifles.

            Guns do not cause suicide. They are a convenient method when available, but if not available those determined to exit this sphere of existence will find a way to do so.
            • by O('_')O_Bush ( 1162487 ) on Tuesday March 10, 2015 @07:52AM (#49223959)
              It is largely a cultural thing as well. If you look at a ranking of countries by suicide rate, no country in the top 10 are guns easily and legally acquired. Some, like Japan and South Korea, gun ownership is nearly impossible. But countries like the U.S. and Switzerland, having the highest gun ownership, rank 30 and 44 respectively.
            • by quenda ( 644621 ) on Tuesday March 10, 2015 @09:15AM (#49224609)

              in Australia after their firearm ban and confiscation, removing firearms does not remove suicides.

              There was no "firearm" ban, but a restriction and buyback of rapid-fire weapons. Of course many people used the money to buy new legal weapons.
              A bolt-action rifle or standard shotgun is not so good for massacres, but perfectly effective for hunting or suicide. There is no reason to expect a decline.

              those determined to exit this sphere of existence will find a way to do so.

              Ok, too hard to RTFA, but at least RTFS. It is not about those who are sufficiently determined to find a way.

            • by jjn1056 ( 85209 ) <jjn1056&yahoo,com> on Tuesday March 10, 2015 @09:23AM (#49224675) Homepage Journal

              " They are a convenient method when available, but if not available those determined to exit this sphere of existence will find a way to do so."

              You didn't read the article. What they are saying is that there is clear evidence that a lot of people that presently kill themselves with a readily available means, would not do it if that means required a lot more effort. Lots of people kill themselves on terrible impulse, particularly young people that are having trouble coping with there emotions due to simple biochemical forces. Those types of suicide would be reduced IF it was harder to act on that impulse. That is 100% clear.

              For people that are clinically depressed the story is a different matter. For those people simple reducing the means may not help so much (although I doubt it would hurt and might save some percentage).

              I don't know enough about all the facts in Australia to understand the stats you mention (you don't give a source so I can't evaluate it). This article does mention studies which indicate the opposite of what you are saying. We'd need to see all the studies together to review them to see which if any are more meaningful. We'd also need to consider any biases those sources may have...

            • by OzoneLad ( 899155 ) on Tuesday March 10, 2015 @01:14PM (#49226807)

              Guns do not cause suicide. They are a convenient method when available, but if not available those determined to exit this sphere of existence will find a way to do so.

              Especially in Australia, where almost everything is venomous or actively trying to kill you.

          • by dj245 ( 732906 )

            Firearm accidents barely made it onto the chart I was looking at with 22 unintentional firearm deaths for the 10-14 year old category. It was the only place it was in the top ten causes of death for any age group all the way up to the 65+ category. vs. 1170 for being run over by cars 708 for drowning 1182 unintentional suffocation 408 being murdered by a parent/family member 58 dying from exposure (cold) 228 from burning to death 69 accidental death from beatings 116 bicycle accidents Source 2012 statistics form the Centers for Disease Control and Prevention. in 2012.

            Firearm deaths are hardly the "low hanging" fruit on things killing children in the US, and it hardly happens "every single day" Hence why most "gun nuts" get more than a little agitated when it is used as a reason to take away their rights.

            It isn't a low hanging fruit. It is part of a multipronged approach, tackling all of the ways people die needlessly.

            Automakers spend billions of dollars making their cars more safe, going to great lengths to add features that increase survivability. The government sets standards that must be met if the car is allowed to be sold.

            Local governments and state/national governments spend millions of dollars making lakes, rivers and beaches more safe, by adding signage, marking hazards and swimming areas, h

            • Re: (Score:3, Interesting)

              by sycodon ( 149926 )

              Automakers spend billions of dollars making their cars more safe, going to great lengths to add features that increase survivability. The government sets standards that must be met if the car is allowed to be sold.

              But the don't ban cars.

              Local governments and state/national governments spend millions of dollars making lakes, rivers and beaches more safe, by adding signage, marking hazards and swimming areas, hiring lifeguards, building lighthouses, etc.

              But they don't ban swimming.

              Just about every plastic bag

        • And those irresponsible owners are the ones whose "rights" we see so much time and money spent to protect.

          It has historically been the policy of reasonable and just governments to punish people who have committed a crime, after they have committed said crime. Now alternatives have been proposed, most famously by Mr Orwell, but these are generally regarded as a poor choice for the populace.

          If the vast majority of the population has no trouble in following a loosely enforced law, and someone cries "for the children!" to attempt to impose strict policing for the entire population for the sake of stopping the rema

      • "...regular, mandatory police inspections of gun owners' homes..."

        Why stop at just "gun owners'" homes? Mandatory police inspections would have to be performed at all homes, since people not on the list of gun owners could have undeclared firearms as well. I think you can see where this is going...
      • by mjwx ( 966435 )

        There's a big difference between promoting gun safety at home, and putting it into law. The latter comes with regular, mandatory police inspections of gun owners' homes

        Not really and that's wrong.

        Codifying firearms storage into law does not require mandatory police inspections. We've got laws around gun storage in Australia and the cops cant search your home without a warrant. Even if you let them in for a chat and they notice an improperly stored gun, they cant do anything about it (besides saying "ma

    • by hodet ( 620484 )

      I knew, I just knew that after reading the summary and it contained the word 'gun' that the whole first thread would be another useless gun debate with "second amendment" being brought up and people questioning each others parentage.

    • by moeinvt ( 851793 )

      How the hell is having loaded and easily accessible firearms in your own home "irresponsible"? What good is a firearm for defensive purposes if you have to open a safe before you can get to it?

      I'll proudly stand up to authoritarian a$$holes like Michael Bloomberg who want to tell me what I can and can't do with my firearms in my own home. You seriously want police going around serving warrants and arresting people for the "crime" of having unlocked firearms? If they start doing that, maybe it IS time for

    • And we could also stop accidental death by automobile by banning all cars except those the government gives permission to drive. Don't stop there, but a stop to DUI deaths by banning alcohol AND cars.

      100% of the population should not have to give things up for the irresponsible or bad decisions of a very small minority. Or do you only think that if it affects people other than yourself??? As long as you don't have to do anything you don't want to do, it's OK to force other people.

      It is not irresponsible t

  • by fuzzyfuzzyfungus ( 1223518 ) on Tuesday March 10, 2015 @04:24AM (#49223113) Journal
    Since we've made remarkably limited advances in the treatment of patients who think that the world is worth escaping; we've decided to just start blocking the exits. On the plus side, we have some emotionally salient anecdotes, of the sort that will probably cheer you right up unless you are one of those pesky people we can't really treat!
    • Since we've made remarkably limited advances in the treatment of patients who think that the world is worth escaping; we've decided to just start blocking the exits. On the plus side, we have some emotionally salient anecdotes, of the sort that will probably cheer you right up unless you are one of those pesky people we can't really treat!

      That's exactly the kind of thinking we need to change. What the article says is that there is a 'growing body of knowledge' that people who commit suicide are not fatally lost and are not uncurable. Rather people tend to decide to take their lives unplanned and without considering the options. If you can deter them at that very moment, treatment is often possible of even unnecessary. Often it was just a momentary coming together of small things.

      On the other hand there are people who are inherently suicidal.

      • by Your.Master ( 1088569 ) on Tuesday March 10, 2015 @05:13AM (#49223281)

        Who hasn't had an urge to throw himself of a bridge once upon a time?

        Without actually having statistics to back me up, I'm guessing most people. Certainly not me.

        Some statistics I found from a Google search suggests about 3/4 of people never have: https://www.thecalmzone.net/20... [thecalmzone.net]. Some Korean statistics go as high as 35%. I never saw higher without breaking it down into specialised at-risk populations (war veterens, LGBT people).

        I'm honestly shocked that you think it's normal. Clearly it's not rare. 25% isn't low. But it's nowhere near universal.

      • It's their ability to get results that needs to change. Our attitudes will reflect what outcomes we observe, thank you very much.
    • by javilon ( 99157 ) on Tuesday March 10, 2015 @05:10AM (#49223277) Homepage

      So it is forbidden to make a decision about your life. WTF?

      I am allowed to marry the wrong person and ruin my life at the drop of a hat. I am allowed to have kids where I may not be qualified to provide a decent life. I am allowed to sign a mortgage that I know I can't pay. I am allowed to try to climb the K7 if I am 70 years old, wich is very close to suicide.

      But I am not allowed to take my own life.

      Bollocks.

      • by Richard_at_work ( 517087 ) on Tuesday March 10, 2015 @06:02AM (#49223445)

        If you are not in a fit state of mind when you get married, you can get an annulment. If you are not in a fit state of mind when you have the child, you can let the child be adopted or temporarily fostered. If you are not in a fit state of mind when you signed the mortgage, it can be nullified.

        If you are not in a fit state of mind when you kill yourself, there is no going back.

        I personally have no issues with suicide, even assisted suicide, so long as the person who has elected to kill themselves has done so in a fully concious, fit state of mind.

        • by nadaou ( 535365 )

          Moreover, the mentally ill deserve what help we can give them, and those that care about them.

        • by Intrepid imaginaut ( 1970940 ) on Tuesday March 10, 2015 @06:52AM (#49223641)

          If you are not in a fit state of mind when you get married, you can get an annulment. If you are not in a fit state of mind when you have the child, you can let the child be adopted or temporarily fostered.

          I'm not sure which country you're living in but it's not one I've ever heard of.

          Suicide is a problem which overwhelmingly affects men. If you get married the only usual out is divorce, which means that men in 99% of cases are on the hook for support for the rest of their lives. If you're identified as the father of the child, the situation is the same. There have been cases in the US where men who donated to sperm banks, men who were raped by women when they were underaged, men who weren't even related to the child have been forced to pay child support.

          This is the situation locally:

          - 99 percent of husbands lose their homes during divorces
          - Judges frequently make child maintenance orders against men on state benefits whose marriages have broken down - leaving many living below national insolvency guidelines, below subsistence levels
          - In seven out of ten cases the judge ordered a transfer of the property into the wife’s name
          - During 160 contested cases when an order was made to sell the home the wife received more than half of the proceeds in 25 percent of the cases, during the other 75 percent the proceeds were split
          - Joint custody does not mean shared parenting, with children in more than nine out of 10 cases living with their mothers- the "standard access" for married dads to their children after separation is "a couple of hours" every second week, with a few hours once or twice during the week
          - In no cases were the views of any child heard directly by a judge
          - A significant number of divorce cases take eight years or more to be concluded
          - 100% of maintenance orders, both child and spousal maintenance, are made in favour of the wife

          It absolutely is reflected in most western countries.

          If we're going to deal with the problem, let's deal with the problem. This article seems like political power grabbing and grandstanding on the backs of the dead, which is beyond reprehensible and shows the vile moral character of those proposing it.

        • by King_TJ ( 85913 ) on Tuesday March 10, 2015 @09:14AM (#49224603) Journal

          The person who equated this article to advocating "blocking the exits" is exactly right. The individual who actually plans to end their life in a fully conscious, fit state of mind has also surely come up with a plan that will get around any number of "blocked exit" strategies (like locking up personal guns in a cabinet, or hiding the keys to the car). They're not who this article refers to, IMO.

          But the person who is distraught enough to actually go through with a plan that has a high likelihood of ending their life (as opposed to FAR more of them who might talk about it or use a half-hearted attempt as attention-seeking behavior) are going to do it when the mood strikes them. And the original article seems to be saying it's effective and appropriate to remote as many possible means to accomplish this as possible, so the means will be lacking when the mood strikes.

          My problem with this is that it's only a band-aid for the underlying issue ... someone's severe depression. If it's not possible to get a person to get back the will to live, what quality of life do they have anyway, while you've "succeeded in preventing their suicide" by locking all of your knives up in a box?

      • by Vlado ( 817879 )
        I don't think that's the discussion that we're having here.

        If you feel that you should take your own life, I believe that you are well within your rights to do so. The discussion here is about the people who are attempting to end their lives on a whim, for a lack of a better term. And when they do, they realize that they made a mistake.

        Examples that you are giving are also, potentially, mistakes. But they are reversible or correctable. Or in some cases, just life. Suicide attempts, that result in deat
        • by itzly ( 3699663 )

          So we should allow people to get professional assistance on how to take their own life in a peaceful way. That way there's a graceful way out for those who have really considered the issue well. At the same time, reduce access to easy suicide on a whim.

          • by Vlado ( 817879 )
            Absolutely.

            Approaches like that already exist in other areas.
            For example, you generally cannot simply show up for a sex change operation. You have to go through (often) several years worth of consultations and evaluations, before you will be allowed to proceed.
            Similar situation also exists for people that have "extra phantom limbs" (they feel that one of their legs doesn't belong to them and should be removed, for instance). Depending on where they are, they will also have an option to consultations, t
    • Re: (Score:3, Interesting)

      by Anonymous Coward

      I recently read a story of a Japanese girl who tried to commit suicide and almost succeeded, but someone tried to help her and ‘saved’ her. Afterwards she called for people not to ‘help’ people who want to die, because life still sucked and in addition she got a huge hospital bill and even more people who guarded her from suicide.
      Suicide attempts fall broadly in two categories. 1) Cries for attention. These are almost always done in a non-lethal way, in my country these tend to be pe

    • by durrr ( 1316311 )

      But the world will be such more enjoyable for the potential suicidee when he's denied plastic bags, shoelaces, power cords and bedsheets!

    • Can't we do both? Why does doing one thing (block the exits) preclude doing the other (treat the issue)?

  • "Soul skill", or "Souls kill"?
    The parsing is important here.
  • Suicide is all very tragic and it'd be lovely if no-one had to feel that way, but did we really need to throw in the anecdotes at the end?

    Ken Baldwin, who jumped from the Golden Gate Bridge in 1985 and lived, told reporters that he knew as soon as he had jumped that he had made a terrible mistake. "From the instant I saw my hand leave the railing, I knew I wanted to live. I was terrified out of my skull." Baldwin was lucky to survive the 220 foot plunge into frigid waters. Ms. Barber tells another story: On a friend's very first day as an emergency room physician, a patient was wheeled in, a young man who had shot himself in a suicide attempt. "He was begging the doctors to save him," she says. But they could not.

    How many people beg the doctors to let them die after a failed attempt?

    • The anecdotes illustrate typical experiences.

      Unless you are in a concentration camp, suicidal ideation and behavior is a mental health symptom. Interrupting someone's "MO" actually is a smart thing to do.

      A common technique is "chain analysis"; analyzing the chain of events that led up to a suicide attempt, and then looking at how to disrupt any future chains.

  • by thisisauniqueid ( 825395 ) on Tuesday March 10, 2015 @04:35AM (#49223151)
    This feels pertinent to me because this morning I was woken up at 6:45am by a loud helicopter hovering overhead for over an hour. A teenager had jumped in front of the CalTrain by where I live in Palo Alto in an apparent suicide. Turns out this is the 8th such CalTrain suicide so far this year, up from 8 suicides total (10 deaths) over the whole year last year. Locals are loudly requesting for the crossroads to be made into underpasses, and for improved fences etc.

    On the one hand I keep thinking that if someone is determined to commit suicide, they'll find a way. (There was a police guard posted at the crossing after previous suicides to prevent this, but the teenager simply jumped the fence 200 yards from the crossing and jumped in front of the train there instead.)

    On the other hand, I see the wisdom in trying to make the world a place where it's in no convenient way to commit suicide. As Banksy tweeted this morning [twitter.com], "Suicide does not end the chances of life getting worse, suicide eliminates the possibility of it ever getting better."
    • by JaredOfEuropa ( 526365 ) on Tuesday March 10, 2015 @04:41AM (#49223165) Journal
      "Suicide does not end the chances of life getting worse". Well yes, it rather does.

      While it's a nice sentiment, it's something to which I would reply: "Please let me be the judge of that".
      • "Everything will be okay in the end. If it's not OK, it's not the end."

        One sad aspect of suicide, out of many, is that a suicide victim never gets to see for themselves that life does in fact get better.
        • by Ihlosi ( 895663 )
          One sad aspect of suicide, out of many, is that a suicide victim never gets to see for themselves that life does in fact get better.

          In the long run, everyone dies.

  • Treating symptoms (Score:5, Insightful)

    by Anonymous Coward on Tuesday March 10, 2015 @04:52AM (#49223201)

    Suicide is a symptom of mental illness. Taking away the possibility to commit suicide doesn't solve the underlying cause.

    As someone who suffers from medical depression I feel pretty strongly about this subject, at least as strongly as I can allow myself to feel.
    It may sound paradoxical but having the option to commit suicide was one of the things that helped me to finally seek treatment. Before I approached counseling I decided on method and location for a possible suicide. Had that option not been available to me I might not have been able to push through.
    Had there been a policy in place to put people with depression on a 24/7 watch-list to prevent suicide the I would have probably gone for the suicide option first.

    When the subject of suicide comes up I often see people claiming that suicide is the "easy" way out. What they don't seem to realize is that more importantly it is a way out.
    Some people support assisted suicide for non-treatable painful diseases. Typically autoimmune disorders or certain forms of cancer where the body attacks itself. They have seen how much victims of those diseases have to suffer.
    It is much harder to see how much you suffer when the mind attacks itself. People think that therapy cures those problems. It doesn't. Bipolar disorder, schizophrenia and depression are permanent. You can only learn how to endure it or acquire the discipline to keep it back.
    To me the depression is much like one would expect from alcoholism. I function, but I can not allow myself to think freely. I have to keep my mind busy in complex projects and not let it wander off. Some relatives seem to have a hard time understanding that I will never want to talk nostalgia with them, ever.
    Preventing suicide kind of lacks relevance since the person my mind was before died with the depression anyway.

    Taking away to option of suicide doesn't solve anything of that. It only removes the inconvenience of having to deal with a body.

  • by Ihlosi ( 895663 ) on Tuesday March 10, 2015 @04:58AM (#49223227)
    ... people will start throwing themselves in front of trains. Which traumatizes train drivers and at least inconveniences everyone else on the train.

    Suicide is a cultural problem, not one of availability (or unavailability) of certain means. The suicide rate of, say, the US and Germany is pretty much the same, despite guns being much more accessible in the former than the latter. However, the train network is much more developed in the latter.

    People should, however, be educated about really shitty ways of killing yourself, like overdosing on acetaminophen and the like.

    • People should, however, be educated about really shitty ways of killing yourself, like overdosing on acetaminophen and the like.

      That's a way I'd personally prefer to avoid.

      Maybe (not that it would ever happen) there could be a govt sanctioned 'suicide wait list' where you sign on and after three months of counselling and intervention if you're not taken yourself off it, it'd get done painlessly and privately.

      At least that would curb the public messes. Maybe...

  • by jandersen ( 462034 ) on Tuesday March 10, 2015 @05:04AM (#49223259)

    Trying to address the issue of suicide by taking away the means of killing yourself is probably entirely the wrong way to go about it. People who are serious about suicide will always find a way, for starters, and unless something substantial is done to address the mental suffering that drives a person to suicide, all you achieve is to prolong the suffering. It is the kind of boneheaded, incompetent idiocy that you get from politicians, when their only goal is to get re-elected.

    I think a much better approach would be

    1) Give people the right to suicide and the help to do so safely, if that is the right word. This will show people who are suicidal, that you respect them, something is all too often not the case. I think respect is crucial, because if you see suicide as the only way out, you don't want to seek help if you fear that this way out will be taken away; so you have to know that you can go ahead, if you really want to.

    2) Make that right dependent on them having been through good quality advice and assessment. Many people only want kill themselves because they can see no other way - they can often be helped to find a better way out.

    There is still too much religiously motivated prudishness towards death - life does not belong to some 'God', it belongs to the individual and it is ultimately the responsibility of the individual what they want to do. It is IMO deeply unethical to force life on somebody who really doesn't want it.

    • The article asserts that having "good" methods of suicide (including a viable assisted-suicide scheme such as you describe) isn't going to make a difference in these spur-of-the-moment cases, where people apparently tend to pick whatever method of suicide lies close to hand rather than stop and think about what the most effective method would be. The idea is that if you make people stop and think, they'll think better of it. I'm all in favour of an assisted suicide scheme, but there appears to be merit in t
    • by Greyfox ( 87712 ) on Tuesday March 10, 2015 @05:28AM (#49223325) Homepage Journal
      A lot of these seem to be impulsive in nature. Depression is a cyclical thing, and eliminating an opportunity from presenting itself could mean the difference between someone dying and their outlook brightening enough for them to realize they have other options. I spent the weekend worrying about a skydiving friend who had to go jail yesterday. If he'd opted to pound in, no one could have stopped him. I wasn't about to tell him to spend the weekend not skydiving, though. I did make sure to talk to him when he needed it, letting him know that the sky and all his friends would still be here when he got out. I think that could have made the difference between the world closing up on him. He was much more of a loner a year ago and the outcome might have been different if he'd been in this position then.

      There's a pretty decent support network over at the dropzone. Good folk there. A lot of them know their way around the prison system. Society tends to look down on people with criminal records, but I've trusted my life to a lot of those guys and am going to do it again without hesitation. There's a lot broken with our society, but we should fix what we can.

    • by javilon ( 99157 )

      Please mod parent up. Your life is yours and only yours. You should be entitled to end it. People around you may suffer or you may be alienated enough that nobody would care much, but that, again is your decision. In my country the suicide rate goes way up on people over 80. They have had enough and want to end their lifes with some dignity and spare themselves all of the suffering of terminal illneses and isolation depending on a health system that only sees them as a number.

      What is wrong with that? only t

    • Not true (Score:5, Insightful)

      by aepervius ( 535155 ) on Tuesday March 10, 2015 @06:57AM (#49223673)
      "People who are serious about suicide will always find a way"

      No You don't. At some point in my teenage life I came to that dark place. But since the easy method was removed from my reach, I did not go for other method. the moment *passed*. In fact suicide is not always associated with a mental illness. I see many poster here pretend that, but it is not. Suicide is a symptom that somebody feels is in a situation where living further is more painful than dying. It CAN be a symptom of mental illness but also simply a symptom of intense physical pain or a symptom of plain stupid teenage angst. And for the last group, removing the easy means can simply make the person force to have more time to think.And thus prevent suicide. And then post about it on slashdot 25 years later.
  • by sjames ( 1099 ) on Tuesday March 10, 2015 @05:08AM (#49223275) Homepage Journal

    I understand the motivation, but there are simply far too many ways to die if you want to. Even if we nerf the whole world and baby proof everything, we won't stop an adult or teen that wants to die from doing so. But we will make the world a worse place to live.

    There is a significant chance that we will just force people to choose a horrific way to die or (perhaps worse) a way that is as likely to leave them in a horrific but not dead state as it is to kill them.

    Besides, how will we cook without knives?

  • by Gravis Zero ( 934156 ) on Tuesday March 10, 2015 @05:22AM (#49223305)

    it seems to me that making treatment free (it's expensive!) and encouraging people to get help rather than shaming them for feeling badly would be a better way to go.

    society doesn't want spend money to help the mentally ill which ironically bites them in the ass because about 1/3 of the homeless have a form of (untreated) mental illnesses which is why they are homeless. it costs more to have social programs for the homeless than it does to actually help them or even give them homes! i'm sure it would cost much less if we had free treatment to prevent them from becoming homeless in the first place.

    wake up, society!

  • by burtosis ( 1124179 ) on Tuesday March 10, 2015 @05:37AM (#49223365)
    I can only imagine the costs of changing every last bridge, high area, train track, city sidewalk, etc. into hampster style fenced off tunnels to be, at a minimum, in the hundreds of billions of US dollars (world costs in the tens of trillions) while leaving hundreds of millions of homes in the US alone still chock full of methods to commit suicide anyway. Not to mention natural areas - are we going to fence off every cliff within a few miles of a homestead too?
    Here's a thought that's way out there; let's spend those billions on research and development of new medication and treatments instead - that would likely have a far bigger impact. Sadly it's just poorly thought through emotional click bait instead of a sane approach to solving a serious problem. It's as if the rationality of humans is as well evolved as our lower spines.
  • Some people commit suicide because their life sucks so much they don't want to deal with it any more. People should be afforded the dignity to make their own choices without pseudo-altruistic nannying.

    Others do so because they are defective. Selfish, attention-seeking losers who want everyone around them to be part of their pity party. Screw them. The gene pool is improved by their departure.

    Oh, by the way, I have personally witnessed a suicide. A roommate blew his brains out in our living room because his

  • by krygny ( 473134 ) on Tuesday March 10, 2015 @05:58AM (#49223433)

    Nobody ever seems to want to solve the problems they have. That's hard. It's easier to solve problems you wish you had.

    I locked up my gun today so little Jimmy couldn't blow his brains out. He'll be fine now.

  • by no-body ( 127863 ) on Tuesday March 10, 2015 @06:08AM (#49223475)

    that those concerned about other's ending their life are projecting their own fear of dying. Who owns one's life? Some priest, politician or shrink or the one living it?

  • by gnasher719 ( 869701 ) on Tuesday March 10, 2015 @06:13AM (#49223497)
    An amazing statistic in the USA is that females have significantly more suicide attempts, while males have significantly more "successful" suicides. And that's due to the availability of guns, which provide an easy way to kill yourself with a high success rate.

    An anecdote from the Golden Gate Bridge: A man was spotted on the bridge in some rather agitated state, so the police was called, and the got him. It turned out he had decided to kill himself by jumping off the left side of the Golden Gate Bridge. (Un)fortunately he found himself on the right side. Now there is absolutely no difference between jumping from the left or the right side, but he had decided to kill himself by jumping from the left side. (Un)fortunately there were six lanes of traffic between the right and the left side, and he didn't dare running across the traffic for fear of getting killed, which was actually quite reasonable.

    A few years ago, when there was a statistically small number of suicides at Foxconn, the company put up suicide nets which would catch and save people jumping from the roof, and more likely prevent them from jumping in the first place (because these people wanted to die, not look like idiots caught in a net). That gave a course a lot of ammunition to the idiots among the Foxconn haters and Apple haters, but it actually worked. Take a simple way of killing yourself away, and suicide rates drop.

    It's long known that the majority of suicides are not done for any rational reason, but because of some mental disturbance. The slightest obstacle in the way of killing themselves can save them.
    • by moeinvt ( 851793 )

      ..."males have significantly more 'successful' suicides. And that's due to the availability of guns..."

      Your conclusion doesn't follow from the premise. The only thing it demonstrates is that people who use firearms in a suicide attempt are more successful than people who use other means. It's not evidence that the availability of guns is the causal factor in the attempt.

    • Re: (Score:3, Interesting)

      by Pat1978 ( 4035445 )
      No. Women use drugs more often, and those are much more often counted as accident. At school in Australia I had a dorm mate who committed suicide with a prescription opioid overdose. We all knew she was depressed. It was ruled accident, because unlike self inflicted death by gun which are always ruled suicide, drug overdose is treated the opposite way by Coroners. With overdose, absent affirmative proof of intent to commit suicide, it is ruled an accident. In short if there are gun cleaning materials out,
  • that those concerned about others ending their life are projecting their own fear of dying.
    Who owns one's life? The one living it or some politician, priest or shrink mindfucking about it and continuing trying to dominate others?

  • They can no more remove the means for suicide than they can legislate a person's desire to live or what makes them horny.

    It's a complete waste of time and money to even attempt to banning the items a person could use to suicide.

    It's time for the fucking politicians to actually rectify a serious problem instead of dicking around with time wasting subjects and endless re-iterations of old laws to appear that they're actually working.

  • "The world cannot be made suicide-proof, of course. But, these researchers argue, if the walkway over a bridge is fenced off, a struggling college freshman cannot throw herself over the side. "

    So in short they ARE trying to suicide- proof the world. Good luck with that.

    Well, no, I take that back, since I can almost guarantee that they're going to use my ever increasing taxes to pay for stringing safety nets everywhere.

  • Its sad really. Sad that these people have so much pain and sad the grievous injuries some of the survivors will sustain.... sad all around. However, I just don't feel it is a valid reason to tell someone what they can and can't have at their own disposal.

    Its a nice thought and good intention, its just, not justified. I don't want to tell other people what they can and can't own, I don't want my government doing that, and want it to do less of it than it does. Hell, I would constitutionally remove the right

  • Gun control bullshit (Score:5, Interesting)

    by moeinvt ( 851793 ) on Tuesday March 10, 2015 @07:25AM (#49223791)

    Nothing but more theory and anecdote.

    "You can reduce the rate of suicide in the United States ... if fewer people had guns in their homes ..."

    Total nonsense. The number of households with firearms has been on a multi-decade downward trend:

    http://www.slate.com/blogs/the... [slate.com]

    Meanwhile, the suicide rate per 100k people has been quite stable at 10-15 per 100k over the last 60 years:

    http://www.infoplease.com/ipa/... [infoplease.com]

    So where's the evidence that fewer gun-owning households means a lower suicide rate?
    The ONLY consistently documented relationship between firearms and suicide is this:

    "Some methods have a case fatality rate as low as 1 or 2 percent ... with a gun, it's closer to 85 or 90 percent."

    True and I'm sure that in their so-called "study", the 10-15% of people who survived a self-inflicted gunshot wound regret it and claim it was an impulsive act, but that's hardly "proof" that access to firearms was a causal factor in suicide attempts.

    This also raises the important question of how many people really want to die and how many are just desperate for attention. The "cry for help" suicide is a well known and documented fact. If you slice your wrists perpendicular to the length of the arm, you're either incompetent or you don't really want to commit suicide. Fire a 12 gauge shotgun in your mouth and there's zero doubt that you're genuinely trying to kill yourself.

    Note also that the USA is #30 worldwide in suicide rate, far behind many countries with strict gun control laws. Take Japan for example with a rate of 20.7/100k.

    This is just a bunch of leftist academics trying to further the gun control agenda without real evidence. Gun control groups like Michael Bloomberg's astroturf "Everytown" are actually pushing laws requiring that all firearms in private homes be locked up ... where they will be useless for defense. And imagine police getting search warrants and breaking down your door because someone saw a gun on your nightstand? Insanity..

  • How about we make suicide completely legal? Think about it. We make suicide legal, but you have to apply for it. Then you have to show up at the Department of Social Health and wait in line for 5 hours, and if that doesn't make you go "man this is ridiculous... I'll just go on living" maybe you'll actually get some real help.

    Anyway, you might be right. Lets put corks in tailpipes and ban metal cutlery. That'll show those damn commie suicidal bastards that they can't take away our freedom.

  • Article title makes me think of a flood analogy: "World seeks to address rising sea levels with dikes, walls and dams."

    Since the psychologists are powerless to do anything about the underlying causes of suicidal behavior, now they attempt to make it harder to do? Good luck with that.

  • Blister packaging (Score:4, Interesting)

    by swm ( 171547 ) <swmcd@world.std.com> on Tuesday March 10, 2015 @08:55AM (#49224437) Homepage

    The UK used to sell acetaminophen (AKA Tylenol) in bottles (like in the US).
    Some people committed suicide by OD'ing on the pills.
    So they changed from bottles to blister packs.
    Now if you want to off yourself that way, you have to sit there and pop out ~50 pills, one by one.
    It reduced those sucides by something like 30%.

    That's a lot of lives saved, with a pretty low barrier.

  • I know the "Darwin Awards" are intended as a joke, but consider a purely animalistic / mathematical perspective: the individual doesn't matter to Mother Nature. Most species produce lots of offspring simply to overcome the high odds of dying before reproducing. Those odds are mostly external from predators and injury, and also include internal causes like illness, "unfitness" (in the Darwinian sense), and any kind of defect. Some calculated risk-taking is useful, but poor calculation skills (or excessive bravado despite calculation) lead to the "Darwin Awards" concept. Maybe, in the same vein, some amount of fear / depression / unhappiness is useful as a moderating influence on behavior - as often stated, courage is not the absence of fear, it is persistence despite fear - but too much of those emotions renders the individual less useful, and enough of those emotions to cause self-damage or self-killing is a trait that will self-cull from the gene pool.

    Is it, then, worthwhile from a purely economical point to try to baby-proof the world, or would it be more practical to emphasize recognition and identification of people with problems for targeted help? Not to mention impinging on everybody for the safety of the few (a hot reaction in so many posts here). This has some analogy to the issue of "playground safety" meaning that children get no exercise and learn no skills because the play area must be totally safe for all activities and ability levels. At what point does making the world totally safe mean nobody can have a cooking knife?

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