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Suicide: Some ethical implications

Published online by Cambridge University Press:  13 June 2014

Michael J Kelleher*
Affiliation:
National Suicide Research Foundation, Co Cork, Ireland

Extract

Death faces us all. Preoccupation with it however is commonly regarded as morbid. As a way of dying, suicide is seen as being abnormal. This is certainly so in a statistical sense. In 1993, there were 31,896 deaths in the Republic of Ireland of which officially 357 were suicides. This means that approximately one in a hundred deaths today are self-inflicted. The proportion of suicide deaths to other deaths varies across age groups, however. Generally speaking among the young, suicide is a more common cause of death because other types of death are less common. In the past the official Irish suicide figures may have under-estimated the true picture. Recent research however has shown that the official Irish suicide statistics are likely not to underestimate the true rate and are also more likely to be reliable than are the equivalent statistics from England and Wales.

The word ‘abnormal’, however, in medicine is also used in a nonstatistical sense to imply deviation from the ideal or desirable. If we say someone is abnormal, we imply that he is either mentally ill or suffering from a defect or blemish of personality. Most people assume that those who intentionally end their lives are abnormal in this latter medical sense, immediately prior to death. The opposite holds in murder. Society assumes the perpetrator is not mentally ill unless evidence is brought forward to the contrary. Not all believe this, however, and some actively canvass the viewpoint that suicide, in certain circumstances, is to be encouraged.

Type
Perspective
Copyright
Copyright © Cambridge University Press 1996

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References

1.Central Statistics Office, Cork. (1995)Google Scholar
2.McCarthy, PD, Walsh, D. The under-reporting of suicide and the consequences for national statistics. Br J Psychiatry 1975; 126: 308–10.CrossRefGoogle ScholarPubMed
3.Clarke-Finnegan, M, Fahy, TJ. Suicide rates in Ireland. Psych Med 1983; 13: 385–91.CrossRefGoogle ScholarPubMed
4.Kelleher, MJ, Corcoran, P, Keeley, HS, Dennehy, J, O'Donnell, I. Improving procedures for recording suicide statistics. Ir Med J 1996; 89: 1415.Google ScholarPubMed
5.Kastenbaum, R. Suicide As The Preferred Way of Death. In: Schneidman, ES, ed. Suicidology contemporary developments. New York: Grune & Stratton, 1976: 425441.Google Scholar
6.Humphry, D. Final exit: the practicalities of self deliverance and assisted suicide for the dying. Eugene, Oregon: The Hemlock Society, 1991.Google Scholar
7.Battin, MP. Rational suicide: how can we respond to a request for help? 1991; 12: 7380.Google ScholarPubMed
8.Kelleher, MJ. Euthanasia, suicide and assisted suicide. Ir Med J 1992; 85: 125.Google ScholarPubMed
9.MacDonald, M, Murphy, TR. Sleepless souls: suicide in early modem England. Oxford: Clarendon Press, 1990.CrossRefGoogle Scholar
10.Barraclough, B, Bunch, J, Nelson, B, Sainsbury, P. A 100 cases of suicide: clinical aspects. Br J Psychiatry 1974; 125: 355–73.CrossRefGoogle Scholar
11.Kelleher, MJ, Keohane, B, Corcoran, P, Keely, HS. One hundred Irish suicides: a psychological autopsy study. 1996 (In press).Google Scholar
12.Kelleher, MJ. Suicide among the world young. Lecture on August 17th 1995 at World Federation of Mental Health 1995 World Congress. Trinity College: Dublin 1995.Google Scholar
13.Kelleher, MJ. Suicide and the Irish. Mercier Press, 1996:913.Google Scholar
14.Edwards, JG. Suicide and anti-depressants. Br Med J 1995; 310: 205–6.CrossRefGoogle Scholar
15.Kelleher, MJ. Cultural Change and Youth Suicide. Understanding youth suicide: a meeting of different perspectives. Tel Aviv: August 1995.Google Scholar
16.Barraclough, BM. The bible suicides. Acta Psychiatr Scand 1992; 86: 34–9.CrossRefGoogle ScholarPubMed
17.van, Hooff AJL. (1994) Suicide in antiquity from kin killing to self-murder. In: Kelleher, MJ, ed. Divergent perspectives on suicidal behaviour. Cork: 157–69.Google Scholar
18.Aquinas, T. Summa Theologiae. 2AE64.5. London: Blackfriars, 1964.Google Scholar
19.Battin, PB. The less worse death. Oxford University Press, 1994: 205–53.Google Scholar
20.Battin, MP. Ethical issues in suicide. Englewood Cliffs, M.J. Prentice-Hall, 1982: 120.Google Scholar
21.Hume, D. Of Suicide (1784). In: Singer, Peter, ed. Applied ethics. Oxford University Press, 1986: 19.Google Scholar
22.Centers for Disease Control. CDC recommendations for a community plan for the prevention and containment of suicide clusters. Morbidity and Mortality Weekly. 1988; 37: (S/6) 112.Google Scholar
23.Monk, R. Wittgenstein: The duty of genius. Vintage, 1991: 187.Google Scholar
24. Ibid. Page 154.Google Scholar