Suicide and Western culture.
OBJECTIVE
The aim of this paper is to examine the cultural roots and transmission of Western suicide and suicidal behaviour.


METHODS
We explored a period of antiquity (mythical Greece-61 CE) and selected accounts of 10 prominent suicides. The precipitating circumstances were tabulated and an assessment made of the most likely attendant emotions. The same process was followed for a recent period (1994-2008), from which 10 suicides were identified. The precipitating circumstances and the attendant emotions were compared. These circumstances and emotions were then compared to statements commonly encountered in clinical practice from people demonstrating suicidal behaviour. Finally, we looked for evidence that these stories (and the response models) had entered Western culture.


RESULTS
Precipitating circumstances, loss of a loved one, actual or imminent execution or imprisonment, other losses and public disgrace, and the negative emotions of shame, guilt, fear, anger, grief and sorrow were common to both historical periods. These circumstances and emotions are similar to those commonly expressed by people who have demonstrated suicidal behaviour. There was a clear record (literature, visual arts) of these stories forming part of our cultural heritage.


CONCLUSIONS
Models of maladaptive responses to certain adverse circumstances are part of Western culture. Suicide as a response to certain circumstances and negative emotions can be traced back more than 2000 years. Cultural change will be necessary to minimize suicide.
Pridmore
Saxby
S
Discipline of Psychiatry, University of Tasmania, Royal Hobart Hospital, Hobart, TAS, Australia. spridmore@iprimus.com.au
McArthur
Milford
M
D000368:Aged; D000369:Aged, 80 and over; D003431:Cross-Cultural Comparison; D004534:Egypt; D004644:Emotions; D005197:Famous Persons; D005260:Female; D006115:Greece; D049673:History, 20th Century; D049674:History, 21st Century; D049690:History, Ancient; D006801:Humans; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009229:Mythology; D012384:Rome; D013405:Suicide / Q000266:history* / Q000523:psychology