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Why People Die By Suicide

Page 35

by Thomas Joiner


  provocation

  19–21

  Adolescents, suicide in, 163. See also

  Age

  Barber, M., 82

  Adoption studies. See Genetics

  Baumeister, R., theory of suicide, 40–

  Affiliation, need for. See

  41

  Belongingness, need for

  Beck, A. T., 205–206; theory of sui-

  African-Americans. See Race and eth-

  cide, 38–40, 106

  nicity, African-Americans

  Belongingness: as a protective factor,

  Age, 162–165

  23; thwarted, 24, 33, 38, 41, 57, 65,

  Alvarez, A., 26, 50, 58, 60, 103, 186

  96, 117–138, 201–202, 208; need

  Ambivalence, 53–54

  for, 96, 193; marital status and sui-

  271

  272 ● Index

  Belongingness (continued)

  Childhood physical or sexual abuse.

  cide, 124–127; family status and

  See Habituation to pain and provo-

  suicide, 125–127; sports fans and,

  cation, through childhood physical

  129–132

  or sexual abuse

  Bipolar Disorder. See Mental disor-

  Children: explaining suicide to, 7–8;

  ders, bipolar disorder

  suicide in, 110–111, 163–164. See

  Bishop, C., 121

  also Age

  Blackwelder, J., 49

  Chinese. See Race and ethnicity, Chi-

  Blaming, 6

  nese

  Boardman, A., 62

  Chronically ill populations, 110

  Borderline personality disorder. See

  Cleckley, H., 200–201

  Mental disorders, borderline per-

  Clusters of suicide, 165–170;

  sonality disorder

  assortative relating and, 30–31,

  Botton, A., 89

  166–167

  Brandes, B. See Meiwes, A.

  Cobain, K., 51, 75, 81, 88, 102, 185

  Brown, G., 106

  Cognitive Behavioral Analysis System

  Bulimia nervosa. See Mental disor-

  of Psychotherapy (CBASP). See

  ders, bulimia nervosa

  Treatments for suicidal behavior,

  Bunzel, B., 128

  Cognitive Behavioral Analysis Sys-

  Burdensomeness, 24, 34, 38, 41, 57,

  tem of Psychotherapy

  65, 96, 97–104, 105–117, 134–138,

  Cognitive sensitization, 40, 82–83

  190–191, 201–202, 208; effective-

  Cohen, D., 99

  ness, 23, 100

  COMT. See Catechol-O-

  Burton, R., 37, 172

  methyltransferase gene

  Conner, K., 123–124

  Case examples: Gayle, 21–24, 209–

  Contagion of suicide. See Clusters of

  210; Sharon, 24–25; Beatrice, 52,

  suicide

  81, 196–197; Ariel, 58–59, 86, 103,

  Crane, H., 55–57

  120

  Crisis card, 211–212

  Catechol-O-methyltransferase gene,

  Crisis intervention, 210–214

  178–179

  Cults. See Mass suicide

  Caucasians. See Race and ethnicity,

  Cultures of honor, 99–100, 153–155

  Caucasians

  CBASP. See Treatments for suicidal

  DBT. See Linehan, M., Dialectical Be-

  behavior, Cognitive Behavioral

  havior Therapy

  Analysis System of Psychotherapy

  Death: as viewed by suicidal individu-

  Ceos, 101

  als, 85–92, 132–134; desire for,

  Challenger disaster. See National trag-

  136

  edies

  DeCatanzaro, D., 105–106, 112, 113

  Index ● 273

  Deconstructionists, 44

  5-hyroxyindoleactectic acid (5-

  Depression, 22, 104–105, 164, 199–

  HIAA). See Serotonin system

  200; lifting before a suicide at-

  tempt, 58; social skills and, 104–

  Gender, 22, 29–30, 73–74, 155–158

  105, 121–122

  Genetics, 173–179, 188–189

  Dexamethasone, 183

  Geographic regions. See Prevalence of

  Diagnostic and Statistical Manual of

  suicide, by geographic region

  Mental Disorders. See DSM

  Golden Gate Bridge, 26–27, 31, 53, 54,

  Dialectical Behavior Therapy. See

  88–89, 120, 168, 170

  Linehan, M., Dialectical Behavior

  Grand Canyon, 90

  Therapy

  Gray, S., 57–58, 90

  DSM, 192, 200

  Guns, 151. See also Habituation to

  Dublin, L. 128

  pain and provocation, through

  Durkheim, E., theory of suicide, 33–

  guns in home

  35, 102, 114, 118, 125

  Dysthymia. See Mental disorders,

  Habituation to pain and provocation,

  dysthymia

  56, 58, 59, 68–78; through sub-

  stance abuse, 23, 62, 71, 74, 193–

  Effectiveness. See Burdensomeness,

  195; through violence and legal

  effectiveness

  contact, 62, 70–71, 163; through

  Eisenberger, N., 118

  childhood physical or sexual abuse,

  Elderly, suicide in the, 162. See also

  64–66, 188–191; through tattoo-

  Age

  ing and piercing, 69, 84; through

  Ellis, A., 205

  accidents, 69; through surgery,

  Emotion dysregulation, 41–42, 216–

  69–70; through prostitution, 71–

  217

  72; through being a physician, 73–

  Eskimos. See Race and ethnicity, Eski-

  74, 75; through guns in home, 83–

  mos

  84

  Ethnicity. See Race and ethnicity

  Heaven’s Gate incident. See Mass sui-

  Euthanasia. See Physician-assisted sui-

  cide

  cide

  Heckler, R., 87

  Evolutionary perspective, 105–106,

  Helplessness, learned, 99

  112–115, 118

  Hispanics. See Race and ethnicity,

  Exposure to pain and provocation.

  Hispanics

  See Habituation to pain and provo-

  Homicide. See Murder-suicide

  cation

  Hopelessness, 38–39, 74, 106

  HPA, 182–184, 191

  Family history. See Genetics

  Hypothalamic-pituitary-adrenal axis.

  Faulkner, W., 123

  See HPA

  274 ● Index

  ICARE. See Treatments for suicidal

  Marital status. See Belongingness,

  behavior, ICARE

  marital status and suicide

  Immigration and suicide, 127

  Mass suicide, 32, 144–146

  Impulsivity, 66, 74–75, 184–188

  Media. See Publicizing suicide

  Ineffectiveness. See Burdensomeness

  Medications. See Treatments for sui-

  Internet and suicide, 31–32, 101, 133,

  cidal behavior, medications

  168, 169

  Meehl, P., 58

  Interpersonal Psychotherapy (IPT).

  Meiwes, A., 90–92

  See Treatments for suicidal behav-

  Menninger, K., 33, 36, 49–50, 53–54,

  ior, Interpersonal Psychotherapy

  55, 69, 72, 73, 144, 173–174, 185,

  Intervention. See Crisis intervention

  186

  Mental disor
ders: bipolar disorder,

  James, W., 117, 134, 213

  10–11, 199; borderline personality

  Japanese. See Kamikaze pilots; Race

  disorder, 20, 72, 189, 195–196; an-

  and ethnicity, Japanese

  orexia nervosa, 72, 147, 196–197;

  Jonestown incident. See Mass suicide

  mood disorders, 150; anxiety disor-

  ders, 192–193; bulimia nervosa,

  Kamikaze pilots, 143–144

  197–198; dysthymia, 200; antisocial

  Kant, I., 119

  personality disorder, 200–201. See

  Kees, W., 54–55

  also Depression; Habituation to

  Kennedy, J. F., assassination of. See

  pain and provocation, through

  National tragedies

  substance abuse

  Klerman, G., 203

  Method of suicide, 150–152

  Knapp, C., 147

  Minnesota Multiphasic Personality

  Inventory (MMPI), 134

  Latinos. See Race and ethnicity, His-

  Mood disorders. See Mental disorders,

  panics

  mood disorders

  Learned helplessness. See Helpless-

  Mood regulation. See Emotion

  ness, learned

  dysregulation

  Lethality. See Acquired ability for sui-

  Multiple suicide attempters. See Ac-

  cide

  quired ability for suicide, multiple

  Life insurance, 115–117

  suicide attempters

  Linehan, M.: theory of suicide, 41–42;

  Murder-suicide, 149–150

  Dialectical Behavior Therapy, 42

  Murray, H., 36, 95, 96

  Lowell, R., 50

  National tragedies, 127–129

  Major Depressive Disorder. See De-

  Native Americans. See Race and eth-

  pression

  nicity, Native Americans

  Marcotte, D., 43–44

  Negative self-view. See Self-view

  Index ● 275

  Netherlands, suicide in the, 111

  Race and ethnicity, 158–162; Eskimos,

  Neurobiology, 179–184

  100–101, 111, 126, 189; African-

  Nightmares. See Sleep, disturbed

  Americans, 111, 112, 124, 158–160;

  Nisbett, P., 99

  Native Americans, 124, 160–161,

  Nonlethal self-injury, 84–85, 108, 115,

  164–165; Japanese, 133; Chinese,

  150

  157–158; Hispanics, 160; Cauca-

  No-suicide contracts, 212–213

  sians, 165

  Rachman, S., 52–53

  Opponent process theory, 59, 84–85

  Reimer, D., 70, 82, 121

  O’Reilly, R., 109

  Resolved plans and preparation. See

  Risk assessment, resolved plans and

  Pain tolerance. See Acquired ability

  preparation

  for suicide, pain tolerance

  Reuter, C., 87

  Passive suicide attempts, 147–149

  Risk assessment, 24, 206–210; re-

  Perceived burdensomeness. See

  solved plans and preparation, 78–

  Burdensomeness

  80, 81, 207–208; suicidal desire and

  Physician-assisted suicide, 146–147

  ideation, 79–80, 208. See also Atti-

  Physicians. See Habituation to pain

  tudes toward suicide

  and provocation, through being a

  Risk factors. See Risk assessment

  physician

  Roach, M., 157–158

  Piercing. See Habituation to pain and

  provocation, through tattooing and

  Schopenhauer, A., 49

  piercing

  Scythians, 101

  Plath, S., 58, 86–87, 119–120, 133

  Self-injury. See Nonlethal self-injury

  Popper, K., 68–69

  Self-view, 109–110

  Prefrontal cortex, 180

  Seneca, 119

  Prevalence of suicide, 29, 152–155; by

  September 11, 27–28, 140–143. See

  geographic region, 153–155

  also National tragedies

  Prevention, 25–27, 219–222

  Serotonin system, 172–173, 179–180,

  Previous suicide attempts. See Ac-

  186–187; transporter gene, 176–

  quired ability for suicide, multiple

  178

  suicide attempters

  Shneidman, E., 49, 53, 58, 93, 95, 96,

  Prostitution. See Habituation to pain

  102, 113, 120–121; theory of sui-

  and provocation, through prostitu-

  cide, 36–38, 41; psychache, 37–38,

  tion

  95, 106

  Psychache. See Shneidman, E.,

  Sleep, disturbed, 181–182

  psychache

  Social isolation. See Belongingness

  Psychoanalysis, 35–36

  Social skills. See Depression, social

  Publicizing suicide, 170

  skills and

  276 ● Index

  Sociobiological perspective. See Evo-

  Thwarted belongingness. See

  lutionary perspective

  Belongingness, thwarted

  Soloff, P., 67

  Transporter gene. See Serotonin sys-

  Sports fans and suicide. See

  tem, transporter gene

  Belongingness, sports fans and

  Treatments for suicidal behavior: In-

  Stigma, 26; lying about cause of

  terpersonal Psychotherapy (IPT),

  death, 6, 7

  203–205; Cognitive Behavioral

  Substance abuse. See Habituation to

  Analysis System of Psychotherapy

  pain and provocation, through

  (CBASP), 205; ICARE, 214–216;

  substance abuse

  medications, 218–219. See also Cri-

  Suicidal behavior, definitions of, 139–

  sis intervention

  152

  Tryptophan hydroxylase gene, 178

  Suicidal desire and ideation. See Risk

  Twin studies. See Genetics

  assessment, suicidal desire and

  ideation

  Violence. See Habituation to pain and

  Suicidal symptoms. See Risk assess-

  provocation, through violence and

  ment

  legal contact

  Sullivan, H. S., 35, 54, 113

  Voltaire, 52, 162, 230

  Support groups, 45

  Surgery. See Habituation to pain and

  Warning signs. See Risk assessment

  provocation, through surgery

  World War II. See National tragedies

  Tattooing. See Habituation to pain

  Youth suicide. See Adolescents;

  and provocation, through tattooing

  Children

  and piercing

  Yuit Eskimos. See Race and ethnicity,

  Terminally ill populations, 109

  Eskimos

  Document Outline

  CONTENTS

  Prologue: Losing My Dad

  1 What We Know and Don’t Know about Suicide

  2 The Capability to Enact Lethal Self-Injury Is Acquired

  3 The Desire for Death

  4 What Do We Mean by Suicide? How Is It Distributed in People?

  5 What Roles Do Genetics, Neurobiology, and Mental Disorders Play in Suicidal Behavior?

  6 Risk Assessment, Crisis Intervention, Treatment, and Prevention

  7 The Future of Suicide Prevention and Research

  Epilogue

  Notes

  Works Cited

  Acknowledgments

  Index

 

  Thomas Joiner, Why People Die By Suicide

 

 

 


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