I don't want to
make hard conclusions, however, I have two stories. The first is a
rumour really, and it does not add to my happiness, but I will tell
it anyway since it goes towards answering my question about modern
popular suicide methods.. The local city train station currently has
a high turnover of staff among their drivers. This is due, so the
story goes, because one person a week is committing suicide by
stepping onto the tracks in front of a moving train. This rumour
comes via friends working in the mental health sector as therapists.
These therapists are perhaps fighting on the front lines of our
culture's darkest impulses, and have a unique, if somewhat bleak
perspective.
The second story is
more ambiguous, from the Japanese Zen tradition. A monk who, for
decades had diligently performed all the rituals and meditations as
instructed by his masters, finally became worn down by his inability
to have a single moment of enlightenment. Considering himself a
failure, he went to his master and announced his intention to commit
suicide. The master did not try to dissuade him, but merely
accompanied him to the high wall of the monastery, overlooking a a
cliff. The student, knowing that now was the moment he must choose
between enlightenment or death, put his foot upon the stone wall,
ready to throw himself over.
In that moment, his
mind cleared, and enlightenment burst from within him.
Enlightenment or
death.
He made his choice.
*
So with the rumours, stories and
philosophical discussions aside, I will share a few of the facts,
derived from a variety of sources. I here quote directly from the
web-pages I read, mostly government statistical studies.
In every state and territory of
Australia, suicide is much more common among males than females, with
the ratio standing at 3:1 in 2012.
According to hospital data, females
are more likely to deliberately injure themselves than males. In the
2008–2009 financial year, 62% of those who were hospitalised due to
self-harm were female.
Researchers have attributed the
difference between attempted and completed suicides among the sexes
to males using more lethal means to end their lives.
Suicide rates for both males and
females have generally decreased since the mid-90s with the overall
suicide rate decreasing by 23% between 1999 and 2009. Suicide rates
for males peaked in 1997 at 23.6 per 100,000 but have steadily
decreased since then and stood at 14.9 per 100,000 in 2009.
Female rates reached a high of 6.2
per 100 000 in 1997. Rates declined after that and was 4.5 per 100
000 in 2009. Comparing sex differences in suicide rates need to
consider differences across the lifespan. Since 2003, for females,
suicide rates range from 4 – 6 suicides per 100 000 with no
apparent age association, whilst for men suicide rates range from 10
– 30 suicides per 100 000 with substantive differences across the
lifespan; those males in middle and older age report substantially
increased rates of suicide.
Methods of Suicide
In 2003 the most common method of suicide was hanging, which was used in almost half (45%) of all suicide deaths. The next most used methods were poisoning by 'other' (including motor vehicle exhaust) (19%), Other (15%), poisoning by drugs (13%), and methods using firearms (9%). This distribution was consistent with that of the previous few years. However, over the decade strong trends were apparent such as the increase in the use of hanging, and a decrease in methods using firearms.
In 2003 the most common method of suicide was hanging, which was used in almost half (45%) of all suicide deaths. The next most used methods were poisoning by 'other' (including motor vehicle exhaust) (19%), Other (15%), poisoning by drugs (13%), and methods using firearms (9%). This distribution was consistent with that of the previous few years. However, over the decade strong trends were apparent such as the increase in the use of hanging, and a decrease in methods using firearms.
In 2016, suicide was the leading
cause of death among all people 15-44 years of age
In 2016, suicide accounted for over
one-third of deaths (35%) among people 15-24 years of age, and over a
quarter of deaths (28%) among those 25-34 years of age.
According to the ABS, for those
people 35-44 years of age, 16% of deaths were due to intentional
self-harm.
Intentional self-harm top 10
multiple causes, proportion of total suicides , by age group, 2017
|
||||||
Cause of death and ICD code |
5-24
years
|
25-44
years
|
45-64
years
|
65-84
years
|
85
years +
|
All
ages
|
|
||||||
Mood disorders (F30-F39) |
34.3
|
43.0
|
49.0
|
40.3
|
26.0
|
43.0
|
Mental and behavioural disorders due to
psychoactive substance use (F10-F19) |
25.9
|
41.6
|
26.7
|
10.1
|
2.6
|
29.5
|
Other symptoms and signs involving emotional state
(R458) (c) |
20.6
|
16.9
|
19.5
|
16.4
|
11.7
|
18.1
|
Anxiety and stress-related disorders (F40-49) |
15.2
|
19.7
|
17.9
|
13.6
|
9.1
|
17.5
|
Findings of alcohol, drugs and other substances in
blood (R78) |
18.5
|
17.0
|
13.7
|
9.6
|
7.8
|
14.9
|
Schizophrenia, schizotypal and delusional
disorders (F20-F29) |
3.5
|
7.9
|
5.2
|
2.3
|
—
|
5.5
|
Unspecified mental disorder (F99) |
7.2
|
5.0
|
4.3
|
1.8
|
—
|
4.5
|
Malignant neoplasms (C00-C97, D45-D46, D47.1,
D47.3-D47.5) |
0.5
|
0.9
|
1.9
|
16.1
|
24.7
|
3.7
|
Diseases of the musculoskeletal system (M00-M99) |
0.2
|
1.7
|
3.3
|
11.1
|
15.6
|
3.6
|
Personality disorders (F60-F69) |
5.4
|
5.0
|
2.0
|
1.3
|
—
|
3.5
|
Chronic pain (R522) |
0.5
|
1.3
|
3.7
|
5.3
|
5.2
|
2.6
|
Ischaemic heart diseases (I20-I25) |
0.2
|
0.7
|
1.8
|
7.8
|
16.9
|
2.3
|
Chronic lower respiratory diseases (J40-J47) |
0.2
|
0.5
|
2.0
|
6.0
|
9.1
|
1.9
|
Diabetes (E10-E14) |
0.5
|
0.6
|
2.0
|
5.0
|
9.1
|
1.8
|
Heart failure (I50-I51) |
0.2
|
0.2
|
1.0
|
5.0
|
7.8
|
1.2
|
Behavioural disorders usually occurring in
childhood and adolescence (F90-F98) |
3.7
|
1.1
|
0.6
|
—
|
—
|
1.1
|
Disorders of psychological development (F80-F89) |
2.1
|
0.5
|
0.1
|
—
|
—
|
0.5
|
Indigenous Suicide Rates
Indigenous suicide rates are between
two and four times those of non-Indigenous Australians in the 15 and
44 age groups
For those of Aboriginal and Torres
Strait Islander descent in NSW, QLD, SA, WA and NT there were 162
deaths due to suicide (119 male, 43 female), which was the fifth most
common cause of death.
While suicide is a big problem
across our entire society, for Australia’s Aboriginal peoples, it’s
at epidemic proportions.
As the esteemed suicide prevention
researcher Gerry Georgatos recently wrote in The Guardian Australia
the figures below may not even represent the full extent of the
issue.
“Suicide accounts for more than 5%
of Aboriginal and Torres Strait Islander deaths… In fact in my
estimations, because of under-reporting issues, suicide accounts
for 10% of indigenous deaths.”
*
Discerning the reasons behind suicides
is more difficult, but the sources suggest that long term
unemployment among men, particularly in rural areas, is the greatest
contributor. There is a feeling of chronic uselessness that, year
after year builds up inside a man and dries up his sense of personal
honour and respect. Of course, every suicide is unique, and
individual personal reasons will involve many different factors.
So, Tacitus, while the high-profile
suicides of ancient history make for fascinating reading, the modern
daily facts make for grim study. We aren't killing ourselves because
tyrants threaten us with torture and execution, but rather, every day
existence and the struggle to make ends meet is torture enough.
I have said enough
of the reasons for choosing to die, so I shall end my letter with a
quote from Cicero, who, in his piece entitled Scipio's Dream,
tells us that it is our duty to remain alive. In a conversation with
the spirit of Scipio Africanus, the following advice is given to the
younger, still living Scipio.
Unless that God whose temple is
around you everywhere shall have liberated you from the chains of the
body, you cannot come to us. Men are begotten subject to this law...
Wherefore, my son, by you and by all just men that soul must be
retained within its body's confines, nor can it be allowed to flit
without command of him by whom it has been given to you. You may not
escape the duty which God has entrusted to you.... It is your duty
to your parents and to your relatives, but especially to you country.
There lies the road to heaven.
So, right or wrong,
suicide is happening every day. Whether we talk about it or not, it
is happening. We are affected by it, our whole society is influenced
by our attitudes towards suicide, and by the stories we tell
ourselves about what it means. That is my purpose in writing this
letter, to allow of an open discussion on a difficult topic. We
Australians are killing ourselves in private, and in shame,
loneliness and desperation, and keeping the truth of this epidemic
hidden away, or only silently acknowledged, will not help anyone.
Thank you Tacitus, even when the
lessons are hard, I am proud to know you, and grateful to have you as
a teacher.
Morgan.
PS. As I finish writing this letter to
you I have found more writing from both Cicero and Epictetus on the
subject of suicide and suffering. I sense that I will write more on
this subject in the future. However, I will part with this quote from Albert Camus...
There is but one truly serious
philosophical problem, and that is suicide. Judging whether life is
or is not worth living amounts to answering the fundamental question
of philosophy. All the rest — whether or not the world has three
dimensions, whether the mind has nine or twelve categories — comes
afterwards. These are games; one must first answer. And if it is
true, as Nietzsche claims, that a philosopher, to deserve our
respect, must preach by example, you can appreciate the importance of
that reply, for it will precede the definitive act. These are facts
the heart can feel; yet they call for careful study before they
become clear to the intellect.