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Why People Die by Suicide [Paperback]

Thomas Joiner
4.5 out of 5 stars  See all reviews (2 customer reviews)
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Book Description

28 Sep 2007 0674025490 978-0674025493 1

In the wake of a suicide, the most troubling questions are invariably the most difficult to answer: How could we have known? What could we have done? And always, unremittingly: Why? Written by a clinical psychologist whose own life has been touched by suicide, this book offers the clearest account ever given of why some people choose to die.

Drawing on extensive clinical and epidemiological evidence, as well as personal experience, Thomas Joiner brings a comprehensive understanding to seemingly incomprehensible behavior. Among the many people who have considered, attempted, or died by suicide, he finds three factors that mark those most at risk of death: the feeling of being a burden on loved ones; the sense of isolation; and, chillingly, the learned ability to hurt oneself. Joiner tests his theory against diverse facts taken from clinical anecdotes, history, literature, popular culture, anthropology, epidemiology, genetics, and neurobiology--facts about suicide rates among men and women; white and African-American men; anorexics, athletes, prostitutes, and physicians; members of cults, sports fans, and citizens of nations in crisis.

The result is the most coherent and persuasive explanation ever given of why and how people overcome life's strongest instinct, self-preservation. Joiner's is a work that makes sense of the bewildering array of statistics and stories surrounding suicidal behavior; at the same time, it offers insight, guidance, and essential information to clinicians, scientists, and health practitioners, and to anyone whose life has been affected by suicide.


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Why People Die by Suicide + The Suicidal Mind + The Savage God: A Study of Suicide
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Product details

  • Paperback: 288 pages
  • Publisher: Harvard University Press; 1 edition (28 Sep 2007)
  • Language: English
  • ISBN-10: 0674025490
  • ISBN-13: 978-0674025493
  • Product Dimensions: 14 x 1.9 x 21 cm
  • Average Customer Review: 4.5 out of 5 stars  See all reviews (2 customer reviews)
  • Amazon Bestsellers Rank: 75,134 in Books (See Top 100 in Books)
  • See Complete Table of Contents

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Review

Joiner provides a fascinating contribution to psychological literature that is certain to join the ranks of Emile Durkheim's Suicide and Karl Menninger's Man Against Himself. Not only has Joiner established professional prominence in suicidology, but he also has a profound personal relationship with the subject: his own father died by suicide. Drawing on the pain of this experience as well as on clinical and epidemiological evidence, Joiner has managed to conduct significant research into why some people die by suicide, while others survive their attempts at self-annihilation. His persuasive thesis is that practice, mental and physical, is what separates the completers from the attempters. In particular, those who have become desensitized to physical pain are most likely to orchestrate their own deaths successfully. Joiner also identifies perceived burdensomeness, little sense of belonging, genetics, neurobiology, and mental disorders as contributors to suicidality and completion. -- Lynne F. Maxwell Library Journal 20051201 Taking one's own life goes against one of our strongest urges--the instinct of self-preservation. The deterioration of this instinct, says Thomas Joiner, should be regarded as a symptom of disease...His theory, outlined in Why People Die by Suicide is that it happens when severely depressed people acquire fearlessness. How do people become fearless? Through practice and learning, he says. This explains the bouts of self-harm or failed suicide attempts that are not cries for help so much as rehearsals for a deadly finale. -- Anjana Ahuja The Times 20060130 [Joiner's] theory is the most comprehensive yet put forth to explain why some people end their lives. Joiner offers a dizzying array of studies to shore up his argument, and some of the evidence he offers is quite novel for the lay reader. -- Philip Connors Newsday 20060205 Mr. Joiner's book is a useful guide to suicidal behavior...Mr. Joiner draws on many scientific fields--genetics, neuroscience, psychiatry, evolutionary psychology--all of which, he thinks, have something to offer the study of suicide. The major lesson of his book is the necessity of keeping the ability to commit suicide from coinciding with the desire for death...His book is a practical study, full of up-to-the-minute research. -- Thomas Meaney Wall Street Journal 20060420 It is the synergy and tension between Joiner's dual identity as suicide survivor and academic that imbues this book with both its power and a certain logical grandiosity...Joiner is to be commended for a powerful effort to integrate science and personal tragedy. In an easily digestible style, he reviews the breadth of modern suicide scholarship--biological, psychological, and social, and presents his integration clearly and forcefully. -- J. Michael Bostwick Boston Globe 20060712 The Florida State University psych professor, who grew up here and endured the suicide of his father not far from their Atlanta home, asserts that suicide is not simply an act but a process. Joiner describes how a person works up to suicide by overcoming the fear of death and the instinct for self-preservation. In accessible, somber prose, he also explains the conditions under which a person becomes suicidal. -- Lawrence Wright Atlanta Journal-Constitution Many researchers and clinicians have tried to explain why people commit suicide. The majority of studies that have been conducted to date have examined correlates and risk factors for suicidal behavior. However, many of these risk factors are found throughout the general population, and the vast majority of people do not engage in suicidal behavior. Dr. Joiner's theory is one of the first that integrates many of these risk factors into an explanatory model. His model makes sense both intuitively and empirically. What makes Dr. Joiner's theory particularly credible is the research that he and his students have done to support his model. Additionally, he is able to use his theory to explain such diverse behaviors as the suicide attacks on 9/11 and Kurt Cobain's suicide. What makes this book particularly interesting is that it begins with a prologue detailing Dr. Joiner's personal account of loss by suicide...This book is a must-read for clinicians and researchers who are involved with suicidal patients. Dr. Joiner's model highlights the acute risk factors for serious suicidal behavior thus providing tangible targets for assessment and treatment. Additionally this volume is an excellent resource for family members who have lost a loved one to suicide...Based upon the book's combination of sound scientific research with thoughtful personal reflections and examples it is given a strong recommendation. -- Elizabeth L. Jeglic Cognitive Behavioral Therapy Book Reviews The change in the way I now look at my dad's death comes because of [this] compelling book. -- Steve Martin The Times 20070608

About the Author

Thomas Joiner is Bright-Burton Professor of Psychology at Florida State University.

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22 of 23 people found the following review helpful
5.0 out of 5 stars Compelling, compassionate and clinically useful 18 May 2009
Format:Paperback
Professor Joiner has successfully used the experience of his father's suicide to provide a personal and compassionate framework onto which to hang an accessible and compelling academic model for why people die by suicide.

Well written and wide reaching in scope, learning and reference this book provides insight into the minds of those who die by suicide and proposes a model for mapping and assessing the factors that contribute to suicide.

It is academically vigorous and clinically useful. For the clinician it provides many original ideas and aids to the management of suicidal and peri-suicidal people and risk assessment is addressed. My own clinical practice has been challenged and changed by this book.

It would be, by increasing understanding, perhaps, comforting to the layperson seeking to grieve a loved one who died by suicide. As someone affected personally and professionally by suicide I certainly found it to be so.

Hopefully, by addressing the misconceptions that surround suicide and challenging stereotypical responses, (Such as suicide is cowardly act) this book will help to de-stigmatise the subject and the people affected by it.

I whole heartedly recommend this book and commend Professor Joiner for writing it, it must have been a hard book to write. I have no doubt that this book will help many.
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18 of 19 people found the following review helpful
By C. WATT
Format:Paperback|Amazon Verified Purchase
This academic look at the epidemiology of suicide is an important contribution to the question of why some people die by suicide and others don't. Joiner, who lost his father to suicide, explores what he believes to be the three main pre-requisite that enable someone to take their own life.

The book is well written but some readers may find it too clinical and if you were looking for answers as to what may have caused someone to consider suicide, you may find the book falls quite short of that. Instead Joiner compares international studies in an effort to demonstrate that clinicians may be able to predict which of their patients will be most likely to complete suicide.

What Joiner fails to do is address the reasons why most people at risk of suicide don't talk about how bad they are feeling, even when there is widespread evidence that most desperately want to. Joiner also fails to address the important fact that prediction can only be based on knowing that someone is at risk in the first place, that his model is limited to predicting likelihood of completed suicide and does nothing to predict attempts (which are just as important) or the critical fact that clinicians rarely know their patients well enough to be able to explore the true answers to the 3 fold model that would enable such a risk assessment to be in any way accurate.

Joiner's book is interesting and important, however it could not be considered a practical guide and I doubt would give any solace to someone who has been bereaved by suicide. It does however highlight the importance of previous experience of self-harming behaviours and how these experiences may make the difference between life and death for someone at risk. Clinicians would do well to take note of this critical point.

If you have lost someone to suicide, or are worried about someone you know, please seek more immediate help and use this book only as background knowledge. There are many great organisations that can help, please don't hide it, talk about it.
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Amazon.com: 4.4 out of 5 stars  30 reviews
47 of 51 people found the following review helpful
5.0 out of 5 stars Sensitive, scientific and helpful 16 Aug 2006
By Robert Leahy - Published on Amazon.com
Format:Hardcover
Thomas Joiner is one of the leading scientific experts on suicide. This is certainly reflected in his excellent review of major theories and evidence---but what strikes me throughout the book is how compassionate, how human and how personal his own story is. He begins the book by noting that his father died by suicide. Throughout his discussions of the research on suicide--which Joiner handles with great skill-- he comes back to remind us that suicide is about someone's parent, brother, sister, child or friend. Suicide has been a topic of research interest since Durkheim advanced his theory of "altruistic" suicide and anomie. Indeed, Joiner's review of the research appears to support this classic theory. Individuals more likely to kill themselves are either feeling like a burden to others (thus, the "altruistic" model) or that they are so detached that they do not "belong". These are certainly issues that we must all keep in mind with an ageing population---of people who may feel that they are a burden. Joiner urges us to recognize that this "perception" is almost always a distortion--- but it may feel real to the suicidal person. Moreover,Joiner clearly shows that suicidal risk is increased as the individual repeats self-injury--- cutting, bruising, dangerous activities, even tatooing. As the individual becomes more accustomed to being in control of his or her pain, suicide becomes the next step on a slippery slope. Of course, other models stress the importance of hopelessness, depression or substance abuse as predictors--and, although Joiner argues these are secondary to belongingness and burden--- those of us (as therapists) working with suicidal people need to attend to all of the precursors. I hope that this excellent, compassionate, very personal but also very scientific book gets a wide readership. It may be difficult to read "about suicide" but it may help you either understand why someone you know may have committed suicide--or, even better, it may help you support someone and help them stay alive. Bravo to Joiner for writing this book.
29 of 33 people found the following review helpful
5.0 out of 5 stars Great book if you have recently lost a loved one to suicide 6 May 2009
By Lily S - Published on Amazon.com
Format:Paperback
My boyfriend committed suicide four months ago. I have been tormented by almost every single bad human emotions you can think of. I have purchased almost every single books here on amazon regarding suicide. Obviously, I am desperately in need of finding answers to comfort me, to help me cope with the incredible loss.
This book is amazing. It answered almost all my questions.
If you are a suicide survivor who lost a loved one to suicide, I highly recommend this book. It will comfort you and perhaps you can finally let go of the unnecessary guilt.
39 of 49 people found the following review helpful
5.0 out of 5 stars The Best Book on the Subject I Have Seen 25 Jan 2006
By Garrett - Published on Amazon.com
Format:Hardcover
This book is just an excellent combination of personal and academic. It is very well written. It has got substance and depth to it. It breaks some new ground.

Family and friends of people who have died by suicide, who know the emotional wreckage it leaves behind, who know that suicide is a sum producer of much more pain that it solves, are more not less likely to do it themselves. Why?

Partly, "people desire death when two fundamental needs are frustrated to the point of extinction; namely, the need to belong with and connect to others, and the need to feel effective with or to influence others." Well, for survivors, the second part of this has been pretty well challenged. The first part gets challenged too: the topic is still somewhat taboo, despite that everyone knows that talking about it is important, there is real difficulty to it. Connection, on the issue, takes work.

The ideas and the feelings expressed in this book come across as real and true and well grounded. I thank Thomas Joiner for writing it.
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