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attempted¡¡suicide¡£¡¡
2¡£¡¡To¡¡discuss¡¡what¡¡the¡¡criteria¡¡are¡¡for¡¡considering¡¡an¡¡act¡¡suicidal¡£¡¡
3¡£¡¡To¡¡review¡¡many¡¡of¡¡the¡¡facts¡¡and¡¡monly¡¡held¡¡misconceptions¡¡about¡¡suicide¡¡so¡¡that¡¡students¡¡are¡¡
better¡¡able¡¡to¡¡detect¡¡and¡¡react¡¡to¡¡crises¡¡involving¡¡suicide¡£¡¡
OVERVIEW¡¡

The¡¡age¡¡group¡¡that¡¡has¡¡recently¡¡shown¡¡the¡¡sharpest¡¡increase¡¡in¡¡attempted¡¡suicide¡¡is¡¡18¡­¡¡and¡¡24¡­years¡­old¡¡
college¡­aged¡¡people¡£¡¡Suicide¡¡now¡¡ranks¡¡second¡¡in¡¡leading¡¡causes¡¡of¡¡death¡¡for¡¡this¡¡age¡¡group£»¡¡right¡¡behind¡¡
automobile¡¡accidents¡£¡¡Because¡¡of¡¡the¡¡high¡¡incidence¡¡of¡¡suicide¡¡among¡¡college¡¡students£»¡¡this¡¡section¡¡typically¡¡
elicits¡¡great¡¡interest¡¡from¡¡many¡¡of¡¡the¡¡students£»¡¡and¡¡sometimes¡¡powerful¡¡emotions¡¡£¨see¡¡Pitfalls¡¡to¡¡Avoid£©¡£¡¡In¡¡
this¡¡section£»¡¡we¡¡will£º¡¡

1¡£¡¡Begin¡¡by¡¡going¡¡around¡¡the¡¡room¡¡and¡¡sharing¡¡any¡¡close¡¡brushes¡¡students¡¡have¡¡had¡¡with¡¡suicide£»¡¡
either¡¡personally¡¡or¡¡with¡¡another¡¡person¡¡who¡¡was¡¡experiencing¡¡difficulties¡£¡¡
2¡£¡¡Discuss¡¡definitions¡¡students¡¡have¡¡for¡¡suicide¡¡and¡¡the¡¡discrepancies¡¡between¡¡these¡¡definitions¡¡and¡¡
some¡¡of¡¡the¡¡other¡¡factors¡¡that¡¡can¡¡plicate¡¡judgments¡¡of¡¡suicide¡£¡¡
3¡£¡¡Take¡¡the¡¡Suicide¡¡Quiz¡¡£¨provided¡¡at¡¡the¡¡end¡¡of¡¡this¡¡section£©¡£¡¡
4¡£¡¡Read¡¡the¡¡10¡¡items¡¡and¡¡take¡¡a¡¡¡°hand¡¡count¡±¡¡of¡¡how¡¡many¡¡students¡¡believe¡¡each¡¡item¡¡is¡¡true¡¡or¡¡false¡£¡¡
5¡£¡¡Discuss¡¡statistics¡¡on¡¡suicide¡¡rates£»¡¡including¡¡differences¡¡according¡¡to¡¡gender£»¡¡age£»¡¡race£»¡¡
socioeconomic¡¡status£»¡¡and¡¡other¡¡variables¡£¡¡At¡¡a¡¡minimum£»¡¡this¡¡discussion¡¡will¡¡include¡¡the¡¡10¡¡items¡¡
that¡¡prise¡¡the¡¡Suicide¡¡Quiz¡£¡¡
GENERAL¡¡INTRODUCTION¡¡

Throughout¡¡the¡¡ages£»¡¡people¡¡have¡¡held¡¡very¡¡different¡¡views¡¡of¡¡suicide¡£¡¡The¡¡early¡¡Greeks¡¡often¡¡considered¡¡
suicide¡¡to¡¡be¡¡a¡¡natural¡¡solution¡¡to¡¡unhappy¡¡situations¡£¡¡The¡¡Romans¡¡took¡¡a¡¡conditional¡¡position£»¡¡suicide¡¡
induced¡¡by¡¡pain£»¡¡sickness¡¡or¡¡grief¡¡was¡¡exempt¡¡from¡¡punishment£»¡¡whereas¡¡suicide¡¡¡°without¡¡cause¡±¡¡was¡¡
unpardonable£»¡¡especially¡¡when¡¡interests¡¡of¡¡the¡¡state¡¡were¡¡involved¡£¡¡The¡¡advent¡¡of¡¡Christianity¡¡signaled¡¡a¡¡
departure¡¡from¡¡past¡¡laws¡¡concerning¡¡suicide¡£¡¡In¡¡the¡¡fourth¡¡century£»¡¡St¡£¡¡Augustine¡¡placed¡¡suicide¡¡in¡¡a¡¡moral¡¡
framework¡¡and¡¡condemned¡¡it¡¡as¡¡a¡¡grievous¡¡sin¡£¡¡Consequently£»¡¡suicide¡¡became¡¡rare¡¡in¡¡the¡¡Middle¡¡Ages¡£¡¡

The¡¡Renaissance¡¡brought¡¡a¡¡reconsideration¡¡of¡¡suicide¡¡as¡¡a¡¡solution¡¡to¡¡life¡¯s¡¡hardships¡£¡¡Indeed£»¡¡
Shakespeare¡¯s¡¡eight¡¡tragedies¡¡contain¡¡fourteen¡¡suicides£¡¡¡Gradually¡¡suicide¡¡became¡¡a¡¡topic¡¡of¡¡debate£»¡¡and¡¡in¡¡
1777¡¡the¡¡philosopher¡¡David¡¡Hume¡¡stated¡¡that¡¡suicide¡¡does¡¡not¡¡do¡¡society¡¡any¡¡harm¡ªthe¡¡individual¡¡merely¡¡
ceases¡¡to¡¡do¡¡good¡£¡¡Still£»¡¡it¡¡took¡¡until¡¡1961¡¡for¡¡England¡¡to¡¡repeal¡¡its¡¡law¡¡making¡¡attempted¡¡suicide¡¡a¡¡crime£»¡¡
and¡¡until¡¡June¡¡1972¡¡for¡¡Canada¡£¡¡The¡¡United¡¡States¡¡inherited¡¡its¡¡law¡¡from¡¡England£»¡¡and¡¡to¡¡this¡¡day¡¡it¡¡is¡¡
illegal¡¡to¡¡attempt¡¡suicide¡¡in¡¡seven¡¡states£»¡¡while¡¡in¡¡eighteen¡¡states£»¡¡aiding¡¡and¡¡abetting¡¡suicide¡¡is¡¡a¡¡crime¡£¡¡

PROCEDURE¡¡

Materials¡¡

The¡¡Suicide¡¡Quiz¡£¡¡

Optional£º¡¡Calculator¡¡for¡¡puting¡¡percentage¡¡of¡¡students¡¡who¡¡get¡¡each¡¡item¡¡correct¡£¡¡

422¡¡


Subjects¡¡

Any¡¡number£»¡¡but¡¡optimal¡¡with¡¡10¡ª25¡¡students¡£¡¡

Time¡¡Required¡¡for¡¡Research¡¡

10¡ª20¡¡minutes¡¡for¡¡initial¡¡discussion¡¡and¡¡5¡ª10¡¡minutes¡¡for¡¡first¡¡administration¡¡of¡¡the¡¡quiz¡£¡¡

Time¡¡Required¡¡for¡¡Discussion¡¡

10¡ª20¡¡minutes¡¡for¡¡a¡¡discussion¡¡of¡¡quiz¡¡material£»¡¡5¡ª10¡¡minutes¡¡for¡¡second¡¡administration¡¡of¡¡the¡¡Suicide¡¡
Quiz£»¡¡and¡¡5¡¡minutes¡¡for¡¡a¡¡wrap¡­up¡¡to¡¡the¡¡section¡£¡¡

Method¡¡

1¡£¡¡This¡¡section¡¡begins¡¡with¡¡students¡¡sharing¡¡and¡¡experiences¡¡they¡¡have¡¡had¡¡with¡¡suicide£»¡¡personally¡¡
or¡¡with¡¡another¡¡person¡¡who¡¡was¡¡having¡¡trouble¡£¡¡We¡¡strongly¡¡remend¡¡excusing¡¡any¡¡students¡¡
who¡¡feel¡¡that¡¡the¡¡topic¡¡of¡¡suicide¡¡is¡¡too¡¡emotional¡¡for¡¡them¡¡to¡¡discuss¡£¡¡Few¡¡students¡¡will¡¡leave£»¡¡but¡¡it¡¡
is¡¡important¡¡that¡¡they¡¡have¡¡that¡¡option¡¡available¡£¡¡
2¡£¡¡Discuss¡¡differing¡¡definitions¡¡students¡¡have¡¡for¡¡suicide¡£¡¡What¡¡are¡¡the¡¡discrepancies¡¡between¡¡these¡¡
definitions£¿¡¡It¡¡should¡¡bee¡¡apparent¡¡that¡¡suicide¡¡is¡¡more¡¡than¡¡intentionally¡¡taking¡¡one¡¯s¡¡life¡£¡¡
Nero£»¡¡for¡¡example£»¡¡ordered¡¡an¡¡attendant¡¡to¡¡kill¡¡him¡£¡¡Seneca¡¡was¡¡ordered¡¡by¡¡Nero¡¡to¡¡kill¡¡himself¡£¡¡A¡¡
more¡¡modern¡¡example¡¡of¡¡Seneca¡¯s¡¡plight¡¡is¡¡found¡¡in¡¡the¡¡Jonestown¡¡massacre¡¡which¡¡hundreds¡¡of¡¡
Jim¡¡Jones¡¯¡¡devotees¡¡were¡¡instructed¡¡to¡¡take¡¡their¡¡own¡¡lives¡£¡¡Seppuku£»¡¡or¡¡hara¡­kiri£»¡¡was¡¡practically¡¡
obligatory¡¡for¡¡Japanese¡¡nobility¡¡and¡¡samurai¡¡when¡¡their¡¡failure¡¡caused¡¡loss¡¡or¡¡defeat¡¡for¡¡their¡¡
emperor¡¡or¡¡lord¡£¡¡Are¡¡these¡¡all¡¡cases¡¡of¡¡suicide£¿¡¡What¡¡about¡¡borderline¡¡cases¡¡of¡¡self¡­destruction£»¡¡
such¡¡as¡¡neglecting¡¡medical¡¡advice¡¡or¡¡excessive¡¡risk¡­taking¡¡£¨e¡£g¡££»¡¡driving¡¡at¡¡high¡¡speeds£»¡¡
volunteering¡¡for¡¡dangerous¡¡military¡¡missions£»¡¡or¡¡excessive¡¡overeating£©£¿¡¡Even¡¡more¡¡plicated¡¡
than¡¡the¡¡definition¡¡of¡¡a¡¡mitted¡¡suicide¡¡is¡¡the¡¡definition¡¡of¡¡an¡¡attempted¡¡suicide¡£¡¡
3¡£¡¡Students¡¡should¡¡take¡¡the¡¡Suicide¡¡Quiz¡£¡¡
4¡£¡¡Next£»¡¡the¡¡instructor¡¡should¡¡read¡¡through¡¡the¡¡10¡¡items¡¡and¡¡take¡¡a¡¡¡°hand¡¡count¡±¡¡of¡¡how¡¡many¡¡
students¡¡believe¡¡each¡¡item¡¡is¡¡true¡¡or¡¡false¡£¡¡In¡¡actuality£»¡¡all¡¡of¡¡the¡¡items¡¡are¡¡false¡¡and¡¡constitute¡¡
mon¡¡myths¡¡about¡¡suicide¡£¡¡
5¡£¡¡Next£»¡¡the¡¡instructor¡¡should¡¡review¡¡statistics¡¡on¡¡suicide¡¡rates£»¡¡including¡¡differences¡¡according¡¡to¡¡
gender£»¡¡age£»¡¡race£»¡¡socioeconomic¡¡status£»¡¡and¡¡other¡¡variables¡£¡¡Minimally£»¡¡this¡¡discussion¡¡must¡¡
include¡¡the¡¡10¡¡items¡¡that¡¡pose¡¡the¡¡Suicide¡¡Quiz¡£¡¡For¡¡example£»¡¡the¡¡instructor¡¡might¡¡challenge¡¡the¡¡
class¡¡to¡¡explain¡¡why¡¡men¡¡are¡¡more¡¡likely¡¡to¡¡mit¡¡suicide¡¡than¡¡women¡¡£¨Question¡¡2£©£»¡¡even¡¡though¡¡
women¡¡attempt¡¡suicide¡¡two¡¡or¡¡three¡¡times¡¡more¡¡often¡¡than¡¡men¡¡£¨Question¡¡1£©¡£¡¡The¡¡answer¡¡lies¡¡in¡¡the¡¡
choice¡¡of¡¡method¡¡£¨Question¡¡3£©£»¡¡men¡¡choose¡¡guns¡¡whereas¡¡women¡¡choose¡¡pills¡£¡¡Alternatively£»¡¡the¡¡
instructor¡¡might¡¡spend¡¡time¡¡countering¡¡the¡¡myth¡¡that¡¡people¡¡who¡¡periodically¡¡mention¡¡suicide¡¡are¡¡
not¡¡likely¡¡to¡¡mit¡¡it¡¡£¨Question¡¡10£©¡£¡¡This¡¡could¡¡prove¡¡to¡¡be¡¡a¡¡transition¡¡for¡¡discussion¡¡of¡¡what¡¡to¡¡do¡¡
if¡¡a¡¡friend¡¡or¡¡family¡¡member¡¡has¡¡been¡¡talking¡¡about¡¡suicide¡£¡¡
6¡£¡¡Students¡¡should¡¡take¡¡the¡¡Suicide¡¡Quiz¡¡once¡¡more£»¡¡this¡¡time¡¡read¡¡aloud¡¡by¡¡the¡¡instructor¡¡with¡¡a¡¡
show¡¡of¡¡hands¡¡whether¡¡each¡¡item¡¡is¡¡true¡¡or¡¡false¡£¡¡It¡¡should¡¡then¡¡bee¡¡apparent¡¡that¡¡all¡¡of¡¡the¡¡
items¡¡were¡¡myths£»¡¡and¡¡the¡¡class¡¡has¡¡learned¡¡much¡¡about¡¡suicide¡¡since¡¡the¡¡beginning¡¡of¡¡the¡¡section¡£¡¡
PITFALLS¡¡TO¡¡AVOID¡¡

1¡£¡¡Suicide¡¡is¡¡an¡¡intensely¡¡emotional¡¡subject£»¡¡the¡¡greatest¡¡pitfall¡¡any¡¡discussion¡¡leader¡¡will¡¡face¡¡is¡¡
underestimating¡¡the¡¡impact¡¡this¡¡topic¡¡may¡¡have¡¡on¡¡certain¡¡students¡£¡¡It¡¡may¡¡be¡¡appropriate¡¡to¡¡give¡¡
students¡¡advance¡¡warning¡¡of¡¡the¡¡topic¡¡and¡¡the¡¡option¡¡to¡¡excuse¡¡themselves¡£¡¡
2¡£¡¡In¡¡order¡¡for¡¡the¡¡opening¡¡discussion¡¡to¡¡work¡¡well£»¡¡a¡¡supportive¡¡tone¡¡must¡¡be¡¡set¡¡so¡¡that¡¡students¡¡feel¡¡
fortable¡¡sharing¡¡personal¡¡accounts¡£¡¡The¡¡instructor¡¡may¡¡also¡¡want¡¡to¡¡make¡¡clear¡¡that¡¡this¡¡
information¡¡should¡¡not¡¡be¡¡shared¡¡with¡¡friends¡¡outside¡¡of¡¡the¡¡discussion¡¡group¡£¡¡
423¡¡


3¡£¡¡The¡¡instructor¡¡might¡¡mention¡¡this¡¡topic¡¡the¡¡week¡¡before¡¡and¡¡invite¡¡students¡¡who¡¡want¡¡to¡¡discuss¡¡
any¡¡personal¡¡experiences¡¡regarding¡¡suicide¡¡among¡¡family¡¡or¡¡friends¡¡to¡¡meet¡¡with¡¡him¡¡or¡¡her¡£¡¡
4¡£¡¡It¡¡is¡¡important¡¡that¡¡there¡¡is¡¡no¡¡munication¡¡while¡¡students¡¡take¡¡the¡¡Suicide¡¡Quiz¡£¡¡
DATA¡¡ANALYSIS¡¡AND¡¡INTERPRETATION¡¡

If¡¡there¡¡is¡¡substantial¡¡disagreement¡¡over¡¡the¡¡correct¡¡answers¡¡during¡¡the¡¡initial¡¡administration¡¡of¡¡the¡¡Suicide¡¡
Quiz£»¡¡it¡¡may¡¡prove¡¡interesting¡¡to¡¡tabulate¡¡the¡¡percentage¡¡of¡¡students¡¡for¡¡each¡¡item¡¡who¡¡believe¡¡the¡¡correct¡¡
answer¡¡is¡¡true¡¡versus¡¡the¡¡percentage¡¡who¡¡believe¡¡the¡¡item¡¡is¡¡false¡£¡¡

DISCUSSION£»¡¡EXTENSIONS£»¡¡AND¡¡EXPERIMENTAL¡¡VARIATIONS¡¡

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should¡¡respond¡¡to¡¡friends¡¡or¡¡family¡¡members¡¡at¡¡high¡¡risk¡¡of¡¡suicide¡£¡¡If¡¡the¡¡instructor¡¡does¡¡not¡¡feel¡¡
qualified¡¡to¡¡lead¡¡such¡¡a¡¡discussion£»¡¡it¡¡might¡¡be¡¡possible¡¡to¡¡bring¡¡in¡¡an¡¡outside¡¡¡°expert¡£¡±¡¡
2¡£¡¡Of¡¡all¡¡the¡¡discussion¡¡sections£»¡¡the¡¡one¡¡on¡¡suicide¡¡involved¡¡the¡¡least¡¡amount¡¡of¡¡direct¡¡research¡­for¡¡
good¡¡reasons¡£¡¡What¡¡are¡¡some¡¡of¡¡the¡¡problems¡¡that¡¡face¡¡suicide¡¡researchers£¿¡¡£¨Hint¡¡for¡¡students£º¡¡The¡¡
annual¡¡American¡¡suicide¡¡rate¡¡is¡¡12¡¡out¡¡of¡¡every¡¡100£»000¡¡people¡££©¡¡
3¡£¡¡If¡¡the¡¡campus¡¡or¡¡munity¡¡operates¡¡a¡¡crisis¡¡telephone¡¡line£»¡¡the¡¡instructor¡¡might¡¡arrange¡¡a¡¡field¡¡trip¡¡
for¡¡interested¡¡students¡¡to¡¡visit¡¡the¡¡facility¡¡or¡¡have¡¡a¡¡worker¡¡as¡¡a¡¡guest¡¡for¡¡the¡¡class¡£¡¡
4¡£¡¡For¡¡instructors¡¡with¡¡some¡¡experience¡¡in¡¡counseling£»¡¡one¡¡interesting¡¡variation¡¡is¡¡to¡¡have¡¡students¡¡
role¡­play¡¡callers¡¡who¡¡are¡¡contacting¡¡a¡¡suicide¡¡crisis¡¡line¡£¡¡Either¡¡the¡¡instructor¡¡or¡¡a¡¡student¡¡could¡¡
role¡­play¡¡the¡¡telephone¡¡counselor£»¡¡and¡¡the¡¡class¡¡could¡¡discuss¡¡what¡¡and¡¡what¡¡not¡¡to¡¡say¡¡to¡¡a¡¡person¡¡
who¡¡is¡¡having¡¡a¡¡crisis¡£¡¡This¡¡technique¡¡works¡¡especially¡¡well¡¡if£»¡¡after¡¡particularly¡¡interesting¡¡
episodes£»¡¡the¡¡role¡­played¡¡action¡¡is¡¡¡°frozen¡±¡¡for¡¡detailed¡¡discussion¡£¡¡
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ADDITIONAL¡¡RESOURCES¡¡

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Barrington£»¡¡M¡£¡¡R¡££»¡¡&¡¡Hendin£»¡¡H¡£¡¡£¨1984£©¡£¡¡Can¡¡suicide¡¡be¡¡rational£¿¡¡In¡¡J¡£¡¡Rubinstein¡¡&¡¡B¡£¡¡D¡£¡¡Slife¡¡£¨Eds¡££©£»¡¡Taking¡¡
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continuously¡£¡¡
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the¡¡1960s¡¡and¡¡have¡¡declined¡¡somewhat¡¡since¡¡then¡£¡¡
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T¡¡F¡¡9¡£¡¡Those¡¡people¡¡who¡¡never¡¡mention¡¡suicide¡¡are¡¡more¡¡likely¡¡to¡¡
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