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      Suicide Triggers Described by Herodotus

      brief-report

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          Abstract

          Objective:

          The aim of this study was to better understand the triggers of suicide, particularly among the ancient Greek and Persian soldiers and commanders.

          Method:

          ‘Herodotus:TheHistories’ is a history of the rulers and soldiery who participated in the Greco-Persian wars (492-449 BCE). A new translation (2013) of this manuscript was studied. Accounts of suicide were collected and collated, with descriptions of circumstances, methods, and probable triggers.

          Results:

          Nine accounts of suicide were identified. Eight of these were named individuals (4 Greeks and 4 Persians); of whom, seven were male. Only one (not the female) appeared to act in response to a mental disorder. Other triggers of suicide included guilt, avoidance of dishonour/punishment and altruism. Cutting/ stabbing was the most common method; others included hanging, jumping, poison, and burning (the single female).

          Conclusion:

          While soldiers at a time of war do not reflect the general community, they are nevertheless members of their society. Thus, this evidence demonstrates that suicide triggered by burdensome circumstances (in addition to mental disorder) was known to the Greek and Persian people more than two millennia ago.

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          Most cited references17

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          Psychiatric diagnoses and suicide: revisiting the evidence.

          The key role of prevention and treatment of mental disorders in the prevention of suicide is widely acknowledged. Which specific disorders need to be targeted remains to be conclusively demonstrated. To re-examine the presence of psychiatric diagnosis in cases of completed suicide from a global perspective. A review of studies reporting diagnoses of mental disorders in cases of completed suicide with or without history of admission to mental hospitals. Most cases were from Europe and North America (82.2%). The majority (98%) of these had a diagnosis of at least one mental disorder. Among all diagnoses, mood disorders accounted for 30.2%, followed by substance-use related disorders (17.6%), schizophrenia (14.1%), and personality disorders (13.0%). The mental health paradigm in suicide prevention covers just a part of the problem. Antisuicide strategies focusing exclusively on the identification and treatment of depression need to be reconsidered. In addition to this, other mental disorders should be targeted, in particular alcohol-use disorders and schizophrenia. More emphasis should also be placed on psychosocial and environmental interventions diminishing and counteracting stress.
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            Are risk factors for suicide universal? A case-control study in India.

            The majority of suicides in India occur in the young. Indian society, religion and culture are very different to those in the West. The aim of the present study was to identify the risk factors for completed suicide. A population-based case-control study employing the 'psychological autopsy' technique was conducted. In total, 100 completed suicides and 100 neighbourhood controls were studied. The odds ratios for the risk factors were 19.5 (CI, 7.32-73.35) for presence of an Axis I disorder, 12.75 (CI, 4.69-48.59) for family history of psychopathology and 15.1 (CI, 2.4-93.9) for life events in the previous month. The presence of an Axis I disorder, family history of psychopathology and recent life events were all found to be significant risk factors. These findings suggest that risk factors for completed suicide are universal across countries and cultures.
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              Risk factors for suicide in rural south India.

              The relative contributions of psychosocial stress and psychiatric morbidity to suicide are a subject of debate. To determine major risk factors for suicide in rural south India. We used a matched case-control design and psychological autopsy to assess 100 consecutive suicides and 100 living controls matched for age, gender and neighbourhood. Thirty-seven (37%) of those who died by suicide had a DSM-III-R psychiatric diagnosis. Alcohol dependence (16%) and adjustment disorders (15%) were the most common categories. The prevalence rates for schizophrenia, major depressive episode and dysthymia were 2% each. Ongoing stress and chronic pain heightened the risk of suicide. Living alone and a break in a steady relationship within the past year were also significantly associated with suicide. Psychosocial stress and social isolation, rather than psychiatric morbidity, are risk factors for suicide in rural south India.
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                Author and article information

                Journal
                Iran J Psychiatry
                Iran J Psychiatry
                IJPS
                IJPS
                Iranian Journal of Psychiatry
                Tehran University of Medical Sciences
                1735-4587
                2008-2215
                April 2016
                : 11
                : 2
                : 128-132
                Affiliations
                [1. ]Discipline of Psychiatry, University of Tasmania, Hobart, Tasmania, Australia.
                [2. ]Substance Abuse Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
                Author notes
                Corresponding author: Saxby Pridmore, Professor, Discipline of Psychiatry, University of Tasmania Private Bag 96, Hobart, 7001, Australia. Tel: + 61 (03) 0409 825 029, Fax:+61 (03) 6234 7889, Email: s.pridmore@ 123456utas.edu.au
                Article
                ijps-11-128
                4947221
                27437010
                ad6067e4-0168-4dea-99df-ed4b99f0278c
                Copyright © Psychiatry & Psychology Research Center, Tehran University of Medical Sciences

                This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.

                History
                Categories
                Short Communication

                Clinical Psychology & Psychiatry
                suicide,suicide prevention,sociology
                Clinical Psychology & Psychiatry
                suicide, suicide prevention, sociology

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