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Re:What I have learned from my suicidal patients by shrimp_emoji on Saturday November 23, 2019 @04:30PM (#21616702)
>The soldier who hiked out on to the moor, lay down in the heather and overdosed. Émile Durkheim, the great sociologist, theorised as to why suicide is so common among military personnel – not simply because of the devastating effects of war, or because of their easy access to weapons, but because of the depersonalising effect of army training: “Military esprit can only be strong if the individual is self-detached, and such detachment necessarily throws the door open to suicide.”

Is this saying that veterans can kill themselves more easily because they have more rational clarity about the situation? If so, isn't that a good thing? To be able to carry it out can certainly be framed as "strong" (I doubt I could, though I'd want to if I find myself in the position). Look at these guys: https://en.wikipedia.org/wiki/Sokushinbutsu

If you've thought about it with a level head and conclude, "I want to log off now, that's enough existence for me," is it better to suffer under moral or peer pressure because others offhandedly want you to exist for as long as possible?

Re:What I have learned from my suicidal patients by whatshisface on Saturday November 23, 2019 @04:47PM (#21616810)
One one hand, we have a growing body of research saying that almost nothing anybody does is rational, and that most "rational explanations" that people deliver are post-hoc rationalizations of something they did on a whim. The popular interpretation is that this represents evidence against free will, but that may be a little overblown. On the other hand, there is a parallel cultural trend of people arguing that suicide is rational, and that many suicidal patients are that way because they sat down and added up the utility of the various options. I guess my point is, when obesity drops to zero on the day that everybody realizes that it isn't rational to be fat, I'll start considering the possibility that people could "decide" to kill themselves.
Re:What I have learned from my suicidal patients by ghemsley on Monday November 25, 2019 @05:54PM (#21633723)
Sorry, but you don't get it. Not all of us enjoy life that much. If I'm not getting what I want out of life, who are you to say that I have to stick around? It's perfectly reasonable to want to kill yourself given certain circumstances that are darker than I care to elaborate on right now, and you have no business saying otherwise. It should be up to the one suffering to decide when they've had enough. If you can't wrap your head around that, my guess is that you just haven't suffered enough. Everyone has their limit. I'm glad you are apparently far from yours but again, not all of us are so lucky.
Re:What I have learned from my suicidal patients by clarry on Saturday November 23, 2019 @04:54PM (#21616854)
It's not like people become fat on a whim or have no regrets about it happening. Likewise, you can plan suicide for years.
Re:What I have learned from my suicidal patients by mjevans on Sunday November 24, 2019 @02:19AM (#21618954)
Here's a hypothesis to consider.

Q: Is there a strong correlation between being lonely and being heavier?

H: Being lonely has several relations to eating 'worse' food, and more of it. An economical standpoint (at least in the US). A social activities promote things other than eating to fill time. A 'rewards' perspective, where lacking other forms of joy fatty, sugary, salty foods fulfill a basic stimulation requirement.

It would be interesting if a mental health research institution designed and ran a fundamental research study to determine if one, some, all, or more (possible) of these causes were related.

Re:What I have learned from my suicidal patients by solipsism on Saturday November 23, 2019 @11:21PM (#21618326)
but that may be a little overblown

No, it's quite well established, actually.

Re:What I have learned from my suicidal patients by aalleavitch on Sunday November 24, 2019 @07:37AM (#21620036)
What does it say about our society when suicide becomes a "rational decision"? Are we really so helpless to change the conditions of the people around us who are suffering that we would throw up our hands and write it off as a loss?

At what point do we admit that the structure of our society amounts to animal abuse?

Re:What I have learned from my suicidal patients by syrrim on Saturday November 23, 2019 @04:40PM (#21616763)
I don't think rationality is a good way of looking at it. Rationality is defined over some goal, and there's no obvious goal here. The better way of looking at it is to say that the military teaches them to treat their own life as less valuable. Lives have no inherent value or disvalue, beyond what we apply to them, so this is neither rational or irrational. But the effect is that they are more willing to, as you say, "log off".
Re:What I have learned from my suicidal patients by ThrowawayP on Saturday November 23, 2019 @05:00PM (#21616891)
> Rationality is defined over some goal, and there's no obvious goal here.

Relieving themselves of (to them) unbearable misery is a goal, quite possibly the most rational of all goals.

Re:What I have learned from my suicidal patients by throwaway28282 on Saturday November 23, 2019 @05:03PM (#21616912)
It's important to note that rational clarity about the situation can also be what leads soldiers to insinuate that they are actually the bad actors in a given conflict, which can lead to depression and then suicidal thoughts.

I can't find the study now. But it was documented that Viet Cong soldiers had overall less PTSD years after the Vietnam War than Americans. And the extrapolation was that Viet Cong soldiers, defending their country and people from a foreign invader, were more easily able to justify their actions and thus didn't feel the remorse, guilt, and fear during fighting that their American counterparts did.

Perhaps that isn't the whole story, but I'd bet that part of the reason American vets struggle with PTSD so much is that not all of them can rationalize and defend the things the American army does in other countries around the world. It is almost always involved in offensive invasions, especially of lands where neither the natives nor the insurgents trust them or want them involved. And I think being so face to face with injustice and having to perpetrate it without any moral salve that you are doing the right thing is hard, especially in our digitally connected, personally disconnected world.

Re:What I have learned from my suicidal patients by jdietrich on Saturday November 23, 2019 @07:19PM (#21617492)
>Is this saying that veterans can kill themselves more easily because they have more rational clarity about the situation?

I don't think so. Doctors and veterinarians have an unusually high rate of suicide, partly because they have access to highly lethal means of suicide but also because they've become inured to mortality. For most people, the practical realities of death are somewhat foreign, which creates a psychological barrier between the urge to cease existing and the means of making that happen.

The vast majority of suicidal impulses are temporary; the vast majority of people who attempt suicide do not go on to die by suicide. While it is entirely believable that some people are afflicted with unbearable and intractable misery, that is certainly not true for most people who die by suicide.

https://www.hsph.harvard.edu/means-matter/

Re:What I have learned from my suicidal patients by jdmcnugent on Saturday November 23, 2019 @11:42PM (#21618390)
Interesting side note about suicide among physicians (in the U.S. at least), every state license or hospital privileges (including renewals) I have applied for asks “have you been diagnosed with or received treatment for a mental health disease such as depression, anxiety, etc”. Obviously any rational person would at least hesitate to seek mental health treatment if it meant they could incur increased scrutiny just to continue to do their job, much less knowing that their peers (and sometimes competitors) on the hospital credentialling committee would be aware of their struggles. I have personally known at least 8 friends / coworkers in the medical field who have committed suicide since I entered the field and I cannot help but imagine that this contributed to at least some of them.
Re:What I have learned from my suicidal patients by snagglegaggle on Saturday November 23, 2019 @04:37PM (#21616742)
I think you are going in the right direction. Society needs to recognize that suicide must be some evolutionarily advantageous adaptation. Many people when pressed will say they think an individual has value, but that individual often sees no actions come from that sentiment. And if someone thinks they provide no value and are not wanted, it seems logical to unburden everyone else.

It would be similar to how cats go off alone to die when they are sick.

Re:What I have learned from my suicidal patients by jpindar on Saturday November 23, 2019 @10:26PM (#21618151)
People may say "everyone is valuable" but will they support UBI?

Oh, so not THAT valuable.

Re:What I have learned from my suicidal patients by sonofhans on Saturday November 23, 2019 @04:54PM (#21616857)
I do not believe there's evidence or reason to say that suicidal tendencies convey evolutionary advantage to the species. Many things seem to be accidents. Does the https://en.wikipedia.org/wiki/Photic_sneeze_reflex convey advantage? Very likely no; it's an accidental mutation that doesn't cause enough damage to be selected against.

Evolution isn't directed, and there is no end state. Attributing positive effect to every mutation verges on https://en.wikipedia.org/wiki/Teleology.

Re:What I have learned from my suicidal patients by snagglegaggle on Saturday November 23, 2019 @07:08PM (#21617461)
What would convince you? It should be pretty clear at this juncture I don't have evidence. However I did give a reason; if in general depressed people feel they are not contributing or participating in society then that is pretty clear.

You can look into this further: a lack of physical activity tends to worsen depression, and a hunter-gatherer with reduced mobility and/or other issues that make it hard to interact with the group is most certainly a resource drain. It goes on and on.

Evolution isn't directed but structures and instinct that are truly against the organisms interest are the exception, not the norm.

Re:What I have learned from my suicidal patients by brazzy on Saturday November 23, 2019 @05:00PM (#21616892)
> Society needs to recognize that suicide must be some evolutionarily advantageous adaptation.

Bollocks. There is very close to zero evolutionary pressure against (and, of course, even less than that for) having a small percentage of individual of a species decide to off themselves. Especially when it's older males (the most likely age group to commit suicide).

Re:What I have learned from my suicidal patients by benibela on Saturday November 23, 2019 @05:35PM (#21617083)
It might be a epidemic prevention, similar to apoptosis.

Better the sick person dies voluntarily than infecting everyone else with a deadly disease

Re:What I have learned from my suicidal patients by pbhjpbhj on Saturday November 23, 2019 @05:23PM (#21617026)
Surely if a tribe can reduce the feeding burden it improves its fitness, to the benefit of all members.

If a tribe can do that, and increase calorie intake simultaneously then there's a double benefit.

Older males [who can't hunt or defend and after trained in anything else] who would end their own lives would improve the survival chances of their own offspring, it seems?

Re:What I have learned from my suicidal patients by marmadukester39 on Saturday November 23, 2019 @04:46PM (#21616803)
Except that suicide burdens everyone around a person terribly.
Re:What I have learned from my suicidal patients by clarry on Saturday November 23, 2019 @04:58PM (#21616874)
And that is a major issue for many younger people who contemplate suicide.

I think it's more that they want to unburden themselves, but knowing that doing so will burden their close ones is what keeps them from doing it.

Quite nightmarish, if you think about it.

Re:What I have learned from my suicidal patients by ARandomerDude on Saturday November 23, 2019 @06:05PM (#21617221)
> Quite nightmarish, if you think about it.

Your comment assumes a positive change is impossible.

I almost killed myself when I was in high school but decided not to because I didn't want to hurt my family. That bought me enough time to get things straightened out and now I am very thankful to be here.

Re:What I have learned from my suicidal patients by clarry on Saturday November 23, 2019 @06:12PM (#21617261)
It is a nightmare if positive change does not come about. You're stuck in pain for as long as you refuse to bring others pain.
Re:What I have learned from my suicidal patients by ghemsley on Monday November 25, 2019 @06:15PM (#21633924)
My guess is that the burden must be worse for the person who commmits suicide. Or they wouldn't bother, would they? And similarly, if the burden is so great for those around them, why don't they kill themselves too?

It comes down to the fact that most people don't want to acknowledge their incredible privilege in being relatively unburdened by depression, I think.

I happen to know attempting suicide can be quite severely painful. Most people who try do not risk it lightly. And much of the time, in my experience, it's those "people around you" who are to blame for the person wanting to die in the first place. If we're being honest, most of us don't truly do everything we reasonably can to help those with aspirations towards suicide. Many people act as some of those in this comment section are, telling people they're being selfish and weak. How the fuck on Earth does that help matters? And before you assume I only care about myself or something, my best friend just killed himself a few months ago and I cried nonstop for days. I still support his right to do what he did.

It becomes blindingly obvious to me when a person has no idea what it's like living with chronic treatment resistant depression as soon as they open their mouths. It's just ignorance and priviliege and a total misunderstanding of the problem to blame someone who is suicidal for wanting to end their own suffering.

Re:What I have learned from my suicidal patients by snagglegaggle on Saturday November 23, 2019 @07:01PM (#21617436)
For a while, yes, but then they get over it. If the person would continue to be nonproductive (or in the situation being discussed -- feel they are being nonproductive) for years then there is a clear benefit to their death.

Does suicide have place in a modern society? Probably not, but at the same time the fact people continue to kill themselves show that people really don't care about the issue. Actions speak louder than words.

[dead]
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Re:What I have learned from my suicidal patients by postsantum on Saturday November 23, 2019 @06:01PM (#21617203)
You wouldn't be the subject of the process of missing out if you don't exist anymore
Re:What I have learned from my suicidal patients by cairo_x on Saturday November 23, 2019 @04:59PM (#21616889)
The number of people who have put off suicide and gone on to do great things is immeasurable. Curtailed suicide is such a common story, not just from people who have been exceptional, but normal people who go on to have families and spring forth entire trees of life, which themselves produce endless greatness.