Sense of self-determination and the suicidal experience. A phenomenological approach.

In this paper phenomenological descriptions of the experiential structures of suicidality and of self-determined behaviour are given; an understanding of the possible scopes and forms of lived self-determination in suicidal mental life is offered. Two possible limits of lived self-determination are described: suicide is always experienced as minimally self-determined, because it is the last active […]

Self-determination: a buffer against suicide ideation.

Self-determination was examined as a protective factor against the detrimental impact of negative life events on suicide ideation in adolescents. It is postulated that for highly self-determined adolescents, negative life events have a weaker impact on both hopelessness and suicide ideation than for non-self-determined adolescents. In turn, hopelessness is hypothesized to generate less suicide ideation […]

Do-Not-Resuscitate Orders in Suicidal Patients: Clinical, Ethical, and Legal Dilemmas

The authors review the literature related to patients who obtain a Do-Not-Resuscitate order in preparation for a suicide attempt & the ethical issues involved in mkaing a decision to resuscitate or not in these cases. The authors address the potential legal consequences of action or inaction & clinical issues to consider before such an order […]

Suicide and the State: the Ethics of Involuntary Hospitalization for Suicidal Patients

In this essay, the author first presents the argument that involuntary hospitalization is justified, & then presents the view that involuntary hospitalization is never justified. It is concluded that involuntary commitment is sometimes justified, but that the rules governing the institution need to be dramatically altered. (21 refs.) JA Contact us for a copy of […]

Indigenous Suicide and Colonization: the Legacy of Violence and the Necessity of Self-Determination

A theoretical case study & analysis of contemporary suicide among Maori youth is presented. In a traditional Maori conceptulization, individual well-being is sourced & tied to the well-being of the collective cultural identity. Individual pain is inseparable from collective pain & the role of the collective becomes that of carrying individuals who are suffering. The […]

EMS, Suicide, and the Out-of-Hospital DNR Order


Myths About Suicide

This book has three main chapters, one on the suicidal mind, one on suicidal behaviours, and the last on causes, consequences, & subpopulations. In each chapter, the author describes a number of myths & misunderstood topics, & then dispels or explains them.

Feminist Characteristics as Buffers to Suicide Attitudes and Ideation

This study explored the buffering quality of several characteristics (including self-esteem, autonomy, spirituality, religiosity, & social support) against suicidality. A total of 120 college-age women participated in the study. The full regression model that included hopelessness & a constellation of characteristics conceptually associated with feminist orientation was able to predict significantly suicide risk in this […]

A Death of One’s Own (IN: The Politics of Deviance, by A Hendershott)

Suicide has traditionally been viewed as a deviant act because it contributes to a climate in which individual life is devalued. Yet, as the author argues in this chapter, the line between suicide that is viewed as being justified (e.g. a person with a terminal illness) & suicide that is for the wrong reasons (e.g. […]

Diagnosing Suicides of Resolve: Psychiatric Practice in Contemporary Japan

Drawing on 2 years of fieldwork at psychiatric institutions around Tokyo, the author examines how psychiatrists try to persuade patients of the pathological nature of their suicidal intentions & how patients respond to such medicalization. Psychiatrists’ ambivalent attitudes toward pathologizing suicide & how they limit their biomedical jurisdiction by treating only what they regard as […]

Too Lonely to die Alone: Internet Suicide Pacts and Existential Suffering in Japan

The author begins this study by examining the recent rise in suicide in Japan & the most common public explanations given for this. Cases of Internet suicide pacts are then examined, placing them within the context of suicide in Japan in general, & providing a representative selection of ethnographic findings from Japanese suicide-related websites. Findings […]

Sovereignty, Stewardship, and the Self: Religious Perspectives on Euthanasia (IN: Euthanasia: the Good of the Patient, the Good of Society, ed. by R I Misbin)


Physician-Assisted Suicide and the Suicide Machine (IN: Euthanasia: the Good of the Patient, the Good of Society, ed. by R I Misbin)


Federal Policy Regarding End-of-Life Decisions (IN: Euthanasia: the Good of the Patient, the Good of Society, ed. by R I Misbin)


Suicides of German Jews in the Third Reich

This article re-examines Jewish responses towards Nazi racism by studying suicides among German Jews. The author’s purpose is two-fold: first, asking what motivated these suicides & secondly, how far, if at all, Jewish suicides can be considered a form of resistance towards Nazism & to what extent they were acts of despair & hopelessness. (129 […]

Doctors Must not Kill (IN: Euthanasia: the Good of the Patient, the Good of Society, ed. by R I Misbin)


A Physician’s Responsibility to Help a Patient die (IN: Euthanasia: the Good of the Patient, the Good of Society, ed. by R I Misbin)


From “Natural Death” to “Aid-in-Dying”: Reflections on the American Judicial Experience (IN: Euthanasia: the Good of the Patient, the Good of Society, ed. by R I Misbin)


Decisions Near the end of Life

Permitted Suicide: Model Rules for Mental Health Counseling

Please see SIEC #2003-0109 for another article by this author on this subject.

Altruism and Physician Assisted Death

Death and Dying (IN: Medical Ethics, ed. by R M Veatch)

Euthanasia in the Netherlands (IN: Medicine, Medical Ethics and the Value of Life, ed. by Byrne P)