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A suicide pact is an agreed plan between two or more individuals to die by suicide. The plan may be to die together, or separately and closely timed.
Suicide pacts are an important concept in the study of suicide, and have occurred throughout history, as well as in fiction. An example of this is the suicide pact between Rudolf, Crown Prince of Austria and Baroness Mary Vetsera. [1]
Suicide pacts are sometimes contrasted with mass suicides, understood as incidents in which a larger number of people kill themselves together for the same ideological reason, often within a religious, political, military or paramilitary context. "Suicide pact" tends to connote small groups and non-ideological motivations, as do bonding as married or romantic partners, as family members or friends, or even as criminal partners.
In England and Wales, suicide pact is a partial defense, under section 4 of the Homicide Act 1957, which reduces murder to manslaughter. In Northern Ireland, this defense is created by section 14 of the Criminal Justice Act (Northern Ireland) 1966 (c. 20) (N.I.).
One of the first Internet suicides in Israel occurred in 1997, when Eran Aderet, a 19-year-old soldier, died after expressing a desire to kill himself online, and received detailed instructions on how to accomplish this with an M16 rifle in his possession. [2] Following this case, in 1999, a new Israeli association, SAHAR, sought to prevent suicide by providing supportive conversations and referrals to relevant resources. [3] In 2005, following an increase in the number of Internet suicide cases, the police established a special unit which consists of six police officers and specializes in helping people who communicate online that they want to die by suicide. The unit keeps in contact with forum moderators, who are asked to look out for posts from suicidal users. About 200 cases are detected each year, preventing dozens of suicides.
Following the success of the Israeli model, similar units have been founded in Sweden, Germany and France. [4]
Although the majority of such Internet-related suicide pacts have occurred in Japan [5] [6] [7] (where it takes the name of netto shinjū, ネット心中), similar incidents have also been reported from other countries including China, South Korea, Germany, Australia, Norway, the United Kingdom, [8] Canada and the United States.
The first known Internet-related suicide pact occurred in February 2000, when one Norwegian man and one Austrian woman plunged 300 metres down the famous cliff Preikestolen, in Rogaland county, Norway. Later, a Norwegian woman came forward stating that the Norwegian man had met her on an Internet forum, and planned to die by suicide with her too, but he had instead chosen to go with the Austrian woman. Both victims were in their 20s. [9] [10]
Despite the alarmed response of the media, Internet-connected suicide pacts are still relatively rare. Even in Japan, where most of such pacts have occurred, they still represent only 2% of all group suicide-pacts, and less than 0.01% of all suicides combined. However, they have been increasing in the country: 34 deaths from such pacts occurred in 2003; at least 50 are estimated to have occurred in 2004; and 91 deaths occurred in 2005. [11] [12] [13] One notable example would be Hiroshi Maeue, who on March 28, 2007, was sentenced to death by hanging, alleged to have murdered three participants in a suicide pact. [14]
An article published in the British Medical Journal in December 2004, by Sundararajan Rajagopal, Consultant Psychiatrist from St. Thomas' Hospital in London, highlighted the emergence of the relatively new phenomenon of cybersuicide pacts, addressing it from a psychiatric perspective. [15] Rajagopal commented "The recent suicide pacts in Japan might just be isolated events in a country that has even previously been shown to have the highest rate of suicide pacts. Alternatively, they might herald a new disturbing trend in suicide pacts, with more such incidents, involving strangers meeting over the Internet, becoming increasingly common. If the latter is the case then the epidemiology of suicide pacts is likely to change, with more young people living on their own, who may have died by suicide alone, joining with like-minded suicidal persons to die together".
An article published by the Canterbury Suicide Project [16] makes some notable comparisons between the nature of "traditional" suicide pacts and more recent Internet-related suicide pacts (or, as described in the article, "cyber-based suicide pacts"). It points out that traditionally suicide pacts:
On the other hand, the growing number of Internet-related suicide pacts are almost the exact opposite:
The article also points out that the trend of Internet-related suicide pacts is changing the way that mental-health workers need to deal with depressed and/or suicidal young people, advising that it is "prudent for clinicians to ask routinely if young people have been accessing Internet sites, obtaining suicide information from such sites, and talking in suicide chat rooms".
A person who enters into an Internet suicide pact can also be lying intentionally. William Francis Melchert-Dinkel is an example of a person who made multiple Internet suicide pacts, in which he falsely promised to hang himself after the other person died by suicide. [17] Melchert-Dinkel was later convicted of criminally assisting or attempting to assist in two suicides by providing detailed information about a suicide method. [18]
A copycat suicide is defined as an emulation of another suicide that the person attempting suicide knows about either from local knowledge or due to accounts or depictions of the original suicide on television and in other media. The publicized suicide serves as a trigger, in the absence of protective factors, for the next suicide by a susceptible or suggestible person. This is referred to as suicide contagion.
alt.suicide.holiday is a Usenet newsgroup. Its original purpose was to discuss the relationship between suicide rates and holiday seasons. However, it later evolved into a broad discussion forum where suicidal people can openly share their struggles or research suicide methods. Some participants are not suicidal, but post to provide psychological support or advice on how to kill oneself to suicidal or depressed posters. The newsgroup was unmoderated and was subject to occasional bouts of trolling and a harsh and sometimes hostile atmosphere, in mid-2002 the trolling heightened significantly and ended up driving away many regular users. According to its FAQ, its purpose is neither to encourage nor discourage suicide and strongly maintains a pro-choice view on the matter.
The right to die is a concept based on the opinion that human beings are entitled to end their life or undergo voluntary euthanasia. Possession of the right to die is often bestowed with the understanding that a person with a terminal illness, incurable pain, or without the will to continue living should be allowed to end their own life, use assisted suicide, or decline life-prolonging treatment. The question of who, if anyone, may be empowered to make this decision is often the subject of debate.
The BMJ is a weekly peer-reviewed medical journal, published by BMJ Group, which in turn is wholly-owned by the British Medical Association (BMA). The BMJ has editorial freedom from the BMA. It is one of the world's oldest general medical journals. Previously called the British Medical Journal, the title was officially shortened to BMJ in 1988, and then changed to The BMJ in 2014. The journal is published by BMJ Publishing Group Ltd, a subsidiary of the British Medical Association (BMA). The current editor-in-chief of The BMJ is Kamran Abbasi, who was appointed in January 2022.
David HealyFRCPsych, a professor of psychiatry at Bangor University in the United Kingdom, is a psychiatrist, psychopharmacologist, scientist and author. His main areas of research are the contribution of antidepressants to suicide, conflict of interest between pharmaceutical companies and academic medicine, and the history of pharmacology. Healy has written more than 150 peer-reviewed articles, 200 other articles, and 20 books, including The Antidepressant Era, The Creation of Psychopharmacology, The Psychopharmacologists Volumes 1–3, Let Them Eat Prozac and Mania: A Short History of Bipolar Disorder.
A suicide method is any means by which a person may choose to end their life. Suicide attempts do not always result in death, and a non-fatal suicide attempt can leave the person with serious physical injuries, long-term health problems, and brain damage.
A murder–suicide is an act where an individual intentionally kills one or more people before killing themselves. The combination of murder and suicide can take various forms:
Consensual homicide refers to a case when one person kills another, with the consent of the person being killed.
A suicide barrier is a structure intended to deter people from attempting suicide by deliberately jumping from a high place on a structure. Suicide barriers often consist of nets, metal screening, and fencing. Suicide barriers may be placed on tall bridges, observation decks, and other tall structures.
Hiroshi Maeue was a Japanese serial killer who lured his victims via the internet and killed three people in 2005. Also known as the "Suicide Website Murderer", Maeue suffered from a paraphilic psychosexual disorder that translated into being unable to achieve sexual release in the absence of performing an act of strangulation.
In Japan, suicide is considered a major social issue. In 2017, the country had the seventh highest suicide rate in the OECD, at 14.9 per 100,000 persons, and in 2019 the country had the second highest suicide rate among the G7 developed nations.
Suicide is the act of intentionally causing one's own death. Mental disorders, physical disorders, and substance abuse are risk factors.
William Francis Melchert-Dinkel is an American former licensed practical nurse who was convicted in 2011 of convincing people online to commit suicide. He told those contemplating suicide what methods worked best, that it was an acceptable choice to take their own life, that they would be better off in heaven, and/or falsely entered into suicide pacts with them. He is a married father of two. His wife, Joyce Melchert-Dinkel, stood by him accepting his suicide sexual fetish through court.
Prisoner suicide is suicide by an inmate in a jail or prison.
Advocacy of suicide, also known as pro-suicide, has occurred in many cultures and subcultures.
Researchers study Social media and suicide to find if a correlation exists between the two. Some research has shown that there may be a correlation.
Animal suicide is when an animal intentionally ends its own life through its actions. It implies a wide range of higher cognitive capacities that experts have been wary to ascribe to nonhuman animals such as a concept of self, death, and future intention. There is currently not enough empirical data on the subject for there to be a consensus among experts. For these reasons, the occurrence of animal suicide is controversial among academics.
Suicide and the Internet have increasingly important relationships as Internet use becomes more ubiquitous.
Historically, suicide terminology has been rife with issues of nomenclature, connotation, and outcomes, and terminology describing suicide has often been defined differently depending on the purpose of the definition. A lack of agreed-upon nomenclature and operational definitions has complicated understanding. In 2007, attempts were made to reach some consensus. There is controversy regarding the phrase "to commit suicide" as some view it as implying negative moral judgment and having an association with criminal or sinful activity.
Study 329 was a clinical trial which was conducted in North America from 1994 to 1998 to study the efficacy of paroxetine, an SSRI anti-depressant, in treating 12- to 18-year-olds diagnosed with major depressive disorder. Led by Martin Keller, then professor of psychiatry at Brown University, and funded by the British pharmaceutical company SmithKline Beecham—known since 2000 as GlaxoSmithKline (GSK)—the study compared paroxetine with imipramine, a tricyclic antidepressant, and placebo. SmithKline Beecham had released paroxetine in 1991, marketing it as Paxil in North America and Seroxat in the UK. The drug attracted sales of $11.7 billion in the United States alone from 1997 to 2006, including $2.12 billion in 2002, the year before it lost its patent.