Suicide

Suicide (from Latin sui caedere, to kill oneself) is the act of willfully ending one's own life; it is sometimes a noun for one who has committed or attempted the act.

Attempted suicide and parasuicide

Many suicidal people participate in suicidal activities which do not result in death. These are known as attempted suicide or parasuicide. Generally, those with a history of such attempts are almost 23 times more likely to eventually end their own lives than those without.{{ref|suicide1}}

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Sometimes, a person will make actions resembling suicide attempts while not being fully committed, or in a deliberate attempt to have others notice. This is called a suicidal gesture (also known as a "cry for help"). Prototypical methods might be a non-lethal method of self-harm that leaves obvious signs of the attempt, or simply a lethal action at a time when the person considers it likely that they will be rescued or prevented from fully carrying it out.

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On the other hand, a person who genuinely wishes to die may fail, due to lack of knowledge about what they are doing; unwillingness to try methods that may end in permanent damage if they fail or harm to others; or an unanticipated rescue, among other reasons. This is referred to as a suicidal attempt.

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Distinguishing between a suicidal attempt and a suicidal gesture may be difficult. Intent and motivation are not always fully discernable since so many people in a suicidal state are genuinely conflicted over whether they wish to end their lives. One approach, assuming that a sufficiently strong intent will ensure success, considers all near-suicides to be suicidal gestures. This however does not explain why so many people who fail at suicide end up with severe injuries, often permanent, which are most likely undesirable to those who are making a suicidal gesture. Another possibility is those wishing merely to make a suicidal gesture may end up accidentally killing themselves, perhaps by underestimating the lethality of the method chosen or by overestimating the possibility of external intervention by others. Suicide-like acts should generally be treated as seriously as possible since if there is an insufficiently strong reaction from loved ones from a suicidal gesture, this may motivate future, more committed attempts.

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In the technical literature the use of the terms parasuicide, deliberate self-harm (DSH) are preferred – both of these terms avoid the question of the intent of the action. Those who attempt DSH are, as a group, quite different from those who attempt to die from suicide. DSH is far more common than suicide, and the vast majority of DSH participants are females aged under 35. They are usually not physically ill and while psychological factors are highly significant, they are rarely clinically ill and severe depression is uncommon. Social issues are key – DSH is most common among those living in overcrowded conditions, in conflict with their families, with disrupted childhoods and history of drinking, criminal behavior, and violence. Individuals under these stresses become anxious and depressed and then, usually in reaction to a single particular crisis, they attempt to harm themselves. The motivation may be a desire for relief from emotional pain or to communicate feelings, although the motivation will often be complex and confused. DSH may also result from an inner conflict between the desire to end life and the desire to continue living.

Related Topics:
Parasuicide - Self-harm

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