Suicide Exceed Car Crashes as a Cause of Death

It is probably left wing false propaganda that the economy affects the suicide rate. However, if adverse circumstances can be found in a case brought to suit, why not blame the economy to end the scapegoating the clinician? 

 

May 2, 2013

Suicide Rates Rise Sharply in U.S.

By TARA PARKER-POPE

Suicide rates among middle-aged Americans have risen sharply in the past decade, prompting concern that a generation of baby boomers who have faced years of economic worry and easy access to prescription painkillers may be particularly vulnerable to self-inflicted harm.

More people now die of suicide than in car accidents, according to the Centers for Disease Control and Prevention, which published the findings in Friday’s issue of its Morbidity and Mortality Weekly Report. In 2010 there were 33,687 deaths from motor vehicle crashes and 38,364 suicides.

Suicide has typically been viewed as a problem of teenagers and the elderly, and the surge in suicide rates among middle-aged Americans is surprising.

From 1999 to 2010, the suicide rate among Americans ages 35 to 64 rose by nearly 30 percent, to 17.6 deaths per 100,000 people, up from 13.7. Although suicide rates are growing among both middle-aged men and women, far more men take their own lives. The suicide rate for middle-aged men was 27.3 deaths per 100,000, while for women it was 8.1 deaths per 100,000.

The most pronounced increases were seen among men in their 50s, a group in which suicide rates jumped by nearly 50 percent, to about 30 per 100,000. For women, the largest increase was seen in those ages 60 to 64, among whom rates increased by nearly 60 percent, to 7.0 per 100,000.

Suicide rates can be difficult to interpret because of variations in the way local officials report causes of death. But C.D.C. and academic researchers said they were confident that the data documented an actual increase in deaths by suicide and not a statistical anomaly. While reporting of suicides is not always consistent around the country, the current numbers are, if anything, too low.

“It’s vastly underreported,” said Julie Phillips, an associate professor of sociology at Rutgers University who has published research on rising suicide rates. “We know we’re not counting all suicides.”

The reasons for suicide are often complex, and officials and researchers acknowledge that no one can explain with certainty what is behind the rise. But C.D.C. officials cited a number of possible explanations, including that as adolescents people in this generation also posted higher rates of suicide compared with other cohorts.

“It is the baby boomer group where we see the highest rates of suicide,” said the C.D.C.’s deputy director, Ileana Arias. “There may be something about that group, and how they think about life issues and their life choices that may make a difference.”

The rise in suicides may also stem from the economic downturn over the past decade. Historically, suicide rates rise during times of financial stress and economic setbacks. “The increase does coincide with a decrease in financial standing for a lot of families over the same time period,” Dr. Arias said.

Another factor may be the widespread availability of opioid drugs like OxyContin and oxycodone, which can be particularly deadly in large doses.

Although most suicides are still committed using firearms, officials said there was a marked increase in poisoning deaths, which include intentional overdoses of prescription drugs, and hangings. Poisoning deaths were up 24 percent over all during the 10-year period and hangings were up 81 percent.

Dr. Arias noted that the higher suicide rates might be due to a series of life and financial circumstances that are unique to the baby boomer generation. Men and women in that age group are often coping with the stress of caring for aging parents while still providing financial and emotional support to adult children.

Low Omega 3 a Risk Factor for Suicide

Omega 3 research is becoming more important to mental health. Add it to the expert review checklist of unforeseen intervening causes in suicide.

From here.

"August 26, 2011 — Low levels of docosahexaenoic acid (DHA), the major omega-3 fatty acid concentrated in the brain, may increase suicide risk, new research suggests.

A retrospective case-control study of1600 United States military personnel, including 800 who had committed suicide and 800 healthy counterparts, showed that all participants had low omega-3 levels. However, the suicide risk was 62% greatest in those with the lowest levels of DHA.

Our findings add to an extensive body of research that points to a fundamental role for DHA and other omega-3 fatty acids in protecting against mental health problems and suicide risk.

"Our findings add to an extensive body of research that points to a fundamental role for DHA and other omega-3 fatty acids in protecting against mental health problems and suicide risks," co–principal investigator Capt. Joseph R. Hibbeln, MD, acting chief, Section on Nutritional Neurosciences at the National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, Maryland, said in a statement.

Dr. Joseph R. Hibbeln

He told Medscape Medical News that the US military "goes to great steps" to ensure they provide the best nutrition to their soldiers, especially in combat and deployment situations. However, these findings on the potential usefulness of omega-3 fatty acids for the brain should be taken into account when designing military diets in the future.

"Omega-3 is already recommended by the American Psychiatric Association as adjunctive therapy for anybody with a psychiatric disorder, especially for those with major depression," said Dr. Hibbeln.

When asked whether he would recommend omega-3 even to those without a diagnosis, Dr. Hibbeln replied, "it certainly wouldn't hurt."

"It's best not to categorize this as 'a drug,' but instead as a fundamental nutrient."

Altitude a Risk Factor for Suicide

"Two recent preliminary studies that found a positive correlation between altitude and suicide relied on the average or highest state altitude, or the elevation of the state capital city, to represent the altitude of the entire state.

Positive Correlation

However, US states vary greatly in altitude, and this method severely minimizes this variation, Dr. Brenner's team points out. Because counties vary considerably less in altitude than an entire state, they reexamined the altitude-suicide link at a county level.

The investigators included all 2584 US counties in their analysis. They examined county-specific mortality data for 20 years (1979-1998) and determined altitude for each county using the US Geologic Survey.

During the study period, among 42,868,100 total deaths, there were 596,704 suicide deaths (1.4%).

There was a negative correlation between county altitude and all-cause mortality (r = −0.31; P < .001), yet a "strong positive correlation" between county altitude and suicide rate (r = 0.50; P < .001). Positive correlations were seen for both firearm-related suicides (r = 0.40; P < .001) and non–firearm-related suicides (r = 0.31; P < .001).

Prior reports of increased suicide rates in the US mountainous region have fueled speculation that the excess may be due to greater access to firearms, increased isolation, or reduced income. But even after controlling for these variables, the positive correlation between altitude and suicide still exists, they report."

Genetic Linkage Study Finds Gene Associated with Suicide

Defendants should not be asked to pay for genetic abnormalities.



"A new study in patients with bipolar disorder (BPD) strongly suggests a genomewide association between attempted suicide and a region on chromosome 2 containing the ACP1 gene.

Expression of this gene, which influences a lithium-regulated pathway, is also elevated in BPD individuals who complete suicide, according to the study, which was published online March 22 in Molecular Psychiatry.

Suicide risk is greater in individuals with alcoholism, depression, or BPD. However, previous work has shown that offspring of mood-disordered and suicidal parents are at higher risk (12%) of attempting suicide than offspring of similar but nonsuicidal parents (2%).

The present genomewide association study looked for genetic associations with suicidal behavior in BPD individuals with or without a history of attempted suicide. Diagnosis of BPD was based on criteria in the Diagnostic and Statistical Manual of Mental Disorders (Third Edition Revised) or Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition).

Single nucleotide polymorphisms (SNPs) were analyzed in 1201 BPD individuals who had attempted suicide and 1497 who had not. Initial genotyping found 2507 SNPs associated with suicide attempts at P < .001, with strongest association (P = 1.09 × 10⁻⁶) at a locus on chromosome 2 (2p25)."

Excessive Taxation a Factor in a Mayor's Suicide

The stress of the hounding of lawyers seemed worse than death to this unfortunate taxpayer.

The mayor of Springfield, Illinois, Tim Davlin, was found dead Tuesday morning from what apparently was a self-inflicted gunshot wound, according to the State-Journal Register.

Illinois State Police are investigating his death.

Police Chief Robert Williams says officers responded to a 911 call shortly before 9 a.m. Tuesday at Timothy Davlin's home and found the Democratic mayor dead.

Williams declines to offer details about how Davlin died, saying the investigation is in its infancy.

Springfield Alderman Frank Kunz, who will take over mayoral duties, tells the paper he is shocked and that "it's a sad day."

Illinois Sen. Dick Durbin released a statement saying he was shocked by the news of Davlin's death.

"I was stunned and saddened by the news of Mayor Tim Davlin's passing. His work with my office always reflected his dedication to our hometown. My thoughts and prayers are with his family and friends at this tragic moment."

Mayor Davlin did not show up for a court ordered appearance Tuesday morning in a pending estate case involving his late cousin.

Records show that Mayor Davlin owes the federal government nearly $90,000 in unpaid income taxes and liens have been filed against his home.

The lien notice filed in the Sangamon County recorder’s office shows Davlin owes income taxes for the years 2003, 2005 and 2006.

The (Springfield) State Journal-Register reports that the mayor blames the problem on a dispute with the IRS over taxes owed on investments he cashed in to buy the home.

Sangamon County property records show that Davlin bought the home for $237,500 in 2004.

City payroll records from earlier this year show that Davlin earns more than $119,000 a year.

Read more: http://www.foxnews.com/us/2010/12/14/report-mayor-springfield-illnois-commits-suicide/#ixzz188wqEy7e

Scapegoating of Suicide of Member of Lawyer Privileged Group, Homosexuals

Homosexuality eliminates the single, true purpose of life, reproduction. Thus, people with it are depressed, and tend to commit suicide more often than those without it. Now, one suicides, and others are being scapegoated.

Update: NYT article . If homosexuality is supposed to be normal, and not a disorder, then it is puzzling that a person would be upset by any exposure. The defendants have not expressed any hostility toward homosexuals. There is one person who expressed an extreme form of hostility to homosexuality, the suicider. He found exposure so intolerable, he had to kill himself.

Bullying, Suicide, Punishment

By JOHN SCHWARTZ

Published: October 2, 2010

TYLER CLEMENTI may have died from exposure in cyberspace. His roommate and another student, according to police, viewed Mr. Clementi’s intimate encounter with another man on a Webcam and streamed it onto the Internet. Mr. Clementi, an 18-year-old violinist in his freshman year at Rutgers University, jumped off of the George Washington Bridge, and now the two face serious criminal charges, including invasion of privacy.

Enlarge This Image

Agence France-Presse — Getty Images

Tyler Clementi, Rutgers freshman

Related

• Legal Debate Swirls Over Charges in a Student’s Suicide (October 2, 2010)

• Before a Suicide, Hints in Online Musings (October 1, 2010)

• Private Moment Made Public, Then a Fatal Jump (September 30, 2010)

The prosecutor in the case has also said that he will investigate bringing bias charges, based on Mr. Clementi’s sexual orientation, which could raise the punishment to 10 years in prison from 5.

But the case has stirred passionate anger, and many have called for tougher charges, like manslaughter — just as outrage led to similar calls against the six students accused of bullying Phoebe Prince, a student in South Hadley, Mass., who also committed suicide earlier this year.

What should the punishment be for acts like cyberbullying and online humiliation?

That question is as difficult to answer as how to integrate our values with all the things in our lives made of bits, balancing a right to privacy with the urge to text, tweet, stream and post.

And the outcry over proper punishment is also part of the continuing debate about how to handle personal responsibility and freedom. Just how culpable is an online bully in someone’s decision to end a life?

It is not the first time cruel acts and online distribution have combined tragically. In 2008, Jessica Logan, 18, hung herself after an ex-boyfriend circulated the nude cellphone snapshots she had “sexted” to him.

Public humiliation and sexual orientation can be an especially deadly blend. In recent weeks, several students have committed suicide after instances that have been described as cyberbullying over sexual orientation, including Seth Walsh, a 13-year-old in Tehachapi, Calif., who hanged himself from a tree in his backyard last month and died after more than a week on life support.

A survey of more than 5,000 college students, faculty members and staff members who are gay, lesbian, bisexual or transgender published last month by the advocacy group Campus Pride found that nearly one in four reported harassment, almost all related to sexual orientation and gender identity.

Warren J. Blumenfeld, an associate professor of curriculum and instruction at Iowa State University and an author of the Campus Pride study, also conducted a smaller survey of 350 nonheterosexual students between the ages of 11 and 22 and found that about half of the respondents reported being cyberbullied in the 30 days before the survey, and that more than a quarter had suicidal thoughts.

“Those students who are face-to-face bullied, and/or cyberbullied, face increased risk for depression, PTSD, and suicidal attempts and ideation,” Professor Blumenfeld said.

But punishment for people who do such a thing is still up for debate. In the Rutgers case, New Jersey prosecutors initially charged the two students, Dharum Ravi and Molly W. Wei, with two counts each of invasion of privacy for using the camera on Sept. 19. Mr. Ravi faces two additional counts for a second, unsuccessful attempt to view and transmit another image of Mr. Clementi two days later.

If Mr. Ravi’s actions constituted a bias crime, that could raise the charges from third-degree invasion of privacy to second degree, and double the possible punishment to 10 years.

Still, for all the talk of cyberbullying, the state statute regarding that particular crime seems ill suited to Mr. Clementi’s suicide.

Like most states with a cyberbullying statute, New Jersey’s focuses on primary and high school education, found in the part of the legal code devoted to education, not criminal acts. The privacy law in this case is used more often in high-tech peeping Tom cases involving hidden cameras in dressing rooms and bathrooms. State Senator Barbara Buono sponsored both pieces of legislation, and said the law had to adapt to new technologies. “No law is perfect,” she said. “No law can deter every and any instance of this kind of behavior. We’re going to try to do a better job.”

Still, the punishment must fit the crime, not the sense of outrage over it. While some have called for manslaughter charges in the Rutgers case, those are difficult to make stick. Reaching a guilty verdict would require that the suicide be viewed by a jury as foreseeable — a high hurdle in an age when most children report some degree of bullying.

Besides, finding the toughest possible charges isn’t the way the law is supposed to work, said Orin S. Kerr, a law professor at George Washington University who specializes in cybercrime. “There’s an understandable wish by prosecutors to respond to the moral outrage of society,” he said, “but the important thing is for the prosecution to follow the law.”

The fact that a case of bullying ends in suicide should not bend the judgment of prosecutors, he said. Society should be concerned, he said, when it appears that the government is “prosecuting people not for what they did, but for what the victim did in response.”

Finding the right level of prosecution, then, can be a challenge. On the one hand, he said, “it’s college — everybody is playing pranks on everybody else.” On the other, “invading somebody’s privacy can inflict such great distress that invasions of privacy should be punished, and punished significantly.”

Suicider Leaves Long Note

The note is here. Despairs of the evil of America as people in Cambridge do.

Another Suicider Kills Family First

Here.

Altitude an Independenat Risk Factor for Suicide

Add this risk factor to the expert review list. From the American Journal of Psychiatry.

Altitude, Gun Ownership, Rural Areas, and Suicide

Namkug Kim, Ph.D., Jennie B. Mickelson, B.S., Barry E. Brenner, M.D., Ph.D., Charlotte A. Haws, B.S., Deborah A. Yurgelun-Todd, Ph.D., and Perry F. Renshaw, M.D., Ph.D.

From the Brain Institute of the University of Utah; VISN 19 Mental Illness Research, Education, and Clinical Center (MIRECC), Salt Lake City Veterans Affairs Health Care System; and University Hospitals Case Medical Center, Case Western Reserve University, Cleveland.

Objective: The authors recently observed a correlation between state altitude and suicide rate in the United States, which could be explained by higher rates of gun ownership and lower population density in the intermountain West. The present study evaluated the relationship between mean county and state altitude in the United States and total age-adjusted suicide rates, firearm-related suicide rates, and non-firearm-related suicide rates. The authors hypothesized that altitude would be significantly associated with suicide rate. Method: Elevation data were calculated with an approximate spatial resolution of 0.5 km, using zonal statistics on data sets compiled from the National Geospatial-Intelligence Agency and the National Aeronautics and Space Administration. Suicide and population density data were obtained through the Centers for Disease Control and Prevention (CDC) WONDER database. Gun ownership data were obtained through the CDC's Behavioral Risk Factor Surveillance System. Results: A significant positive correlation was observed between age-adjusted suicide rate and county elevation (r=0.51). Firearm (r=0.41) and non-firearm suicide rates (r=0.32) were also positively correlated with mean county elevation. Conclusions: When altitude, gun ownership, and population density are considered as predictor variables for suicide rates on a state basis, altitude appears to be a significant independent risk factor. This association may be related to the effects of metabolic stress associated with mild hypoxia in individuals with mood disorders.

Suicider Mass Murderer

Now he qualifies for an involuntary commitment. Thank the lawyer for this tragedy, including the needless death of the suicider.

Husband enraged over how his wife cooked his breakfast eggs kills her and four others in Kentucky shotgun rampage

By Mail Foreign Service
Last updated at 7:15 PM on 12th September 2010

A man facing eviction over his terrible temper became so enraged by how his wife cooked his eggs that he killed her, his stepdaughter and three neighbours with a shotgun before turning the weapon on himself.

Dressed in his pyjamas, Stanley Neace, 47, went on the killing spree in a trailer park in Jackson, eastern Kentucky. The massacre happened at around 11.30am local time.

Neighbours in the roadside trailer park said Neace stormed across the lawns of several homes and fired dozens of shots from a 12-gauge pump shotgun.

Hospital Cleared of Malpractice After Discharged Patient Commits Suicide

1) Early discharge encouraged by involuntary commitment act.

2) Psychiatrist cannot held responsible for unpredictable patient behavior.

3) Patient had follow up care set up.

Hospital cleared in patient’s suicide

September 01, 2010, 01:43 AM By Michelle Durand Daily Journal Staff

San Mateo Medical Center is not responsible for a suicidal patient who killed herself after being discharged before the end of a 72-hour psychiatric hold, according to a state appellate court who upheld a previous ruling that the treating psychiatrist believed she no longer required care. The decision filed Aug. 30 holds that Dr. Mina Bak not only discharged Katherine Farley early because of her belief the woman would not harm herself but provided her referrals to other agencies for follow-up help. Farley was brought to the hospital at approximately 7:15 p.m. June 23, 2006 in an intoxicated state and voicing suicidal thoughts, according to court records. The emergency room doctor admitted her to the psychiatric ward where her medical history, including past suicide attempts, depression and alcohol abuse, were assessed. The following morning, she told Bak she was still depressed but denied any specific suicidal plan and said she would never harm herself because she was “too chicken” and had a young son. Bak discharged Farley at 2:40 p.m. June 24 and, at approximately 6 p.m. June 26, she committed suicide. The following August, Farley’s husband, Dave Monroe, and their son sued for medical malpractice, arguing the hospital staff failed to note the “seriousness of her condition and the danger she posed to herself,” did not give necessary care while she was still experiencing a psychiatric emergency and released her too early without instructions for treatment. The suit also alleged Farley was released early because of her inability to pay for medical services and economic status. In August 2008, the trial court agreed with the hospital that it was immune from liability.

Why Do Drug Compaaies and Researchers Neglect Suicide?

They are afraid of litigation. The lawsuit the lawyer claims is to prevent suicide in others prevents any advances in the prevention of suicide. Thank the lawyer for lack of progress in suicide prevention. Any jury awarding any verdict in a suicide claim must also be held responsible for this stagnation.

"

Health

The Forgotten Patients

Robert Langreth and Rebecca Ruiz, 08.26.10, 11:20 AM EDT
Forbes Magazine dated September 13, 2010

The mental health industry ignores the 35,000 people a year who commit suicide. A few researchers are trying to change that.

Cyberbullying Suicider Had Ordinary Mental Health Problems

As usual, the self-dealing prosecutor compound the tragedy with their own publicity seeking agenda. These prosecutors should be prosecuted themselves. And I hope they are after the case is over.

"In January, 15-year-old Phoebe Prince killed herself after being bullied at South Hadley High School in Massachusetts. Six students have been criminally charged in connection with her death; their cases go to court in September. Last month, I wrote a long article explaining why the story of Phoebe's death is more complicated than the narrative that had taken hold in the media—that Phoebe had been tortured for months by a pack of mean girls. I argued that the serious and unusual felony charges brought against the six teens represent prosecutorial overreach, given that Phoebe had mental health troubles before the bullying began, that she was caught up in conflicts that other South Hadley kids saw as "normal girl drama," and that the bullying, while wrong, was not the "relentless" three-month campaign the district attorney described."

Top Model Suicide

Nick Pisa

Police are investigating the death of a top male model found dead just hours ahead of the start of Milan Men's Fashion Week.

Catwalk star Tom Nicon, 22, died instantly after falling four floors from an apartment window in the centre of the Italian fashion capital.

French model Nicon worked for Louis Vuitton, Burberry, Hugo Boss and had just returned from a Versace rehearsal before he was found dead.

'Suicide': Tom Nicon had recently split from his girlfriend, a police source said

Police in Milan said today they were treating the death as suicide and investigating suggestions he had suffered from a ''complicated affair of love.''

A police source in Milan said: 'We have spoken to the friends he was staying with and they have told us that he had recently broken up with his girlfriend and was depressed.''

Factory Conditions Generate Many Suicides

"The massive Foxconn factory in the southern Chinese city of Shenzhen is known for assembling famous electronic goods like Apple's iPhone and iPad. But in recent months it has gained a darker image, as a place where distraught workers regularly throw themselves to their deaths. The latest fatality came on Tuesday morning, when a 19-year-old employee died in a fall in the company's Shenzhen compound, according to the state-run Xinhua news service. He was the ninth worker this year to have died in a fall from factory buildings on Foxconn's properties in Shenzhen; two have survived suicide attempts, according to state-media reports. Another teenager, who the company revealed this month died after jumping from a company building in Hebei province in January, brings the total employee death toll from falls to 10 this year.

The string of deaths has drawn attention to the labor practices of a highly successful Fortune 500 company that has 420,000 workers on its payroll in Shenzhen alone. Two dozen activists protested outside the company's Hong Kong offices on Tuesday, calling on Foxconn to improve working conditions and raise wages. The Taiwan-owned company, which is an arm of the Hon Hai Group, has defended the treatment of its workers. "A lot of things cannot be said at this point, but we are quietly doing our job," CEO Terry Gou told a business forum on Monday. With over 900,000 employees globally in the Hon Hai Group, Gou acknowledged the difficulties of employee management. "But," he said, "we are confident we will get things under control shortly." (See portraits of Chinese workers.)"

Suicide After Investigation of Inoffensive Un-PC Remark

I would like the PC snitch, the supervisor and any corporate counsel fired for causing this suicide. They must be sued afterward.

Compensation for Suicide Spreads to Great Britain

The family of a psychiatric patient who committed suicide by jumping in front of a train has won £10,000 compensation from the NHS Trust on the grounds that it failed to protect her.

Carol Savage, 50, died in July 2004 after she absconded from Runwell Hospital in Essex and walked two miles to Wickford station.

Mrs Savage’s daughter, Anna, started legal proceedings, seeking a declaration and damages under the Human Rights Act, on the basis that South Essex Partnership NHS Foundation Trust had violated her mother’s right to life under Article 2 of the European Convention.

In a landmark judgment yesterday Mr Justice Mackay, at the High Court in London, ruled in her favour and said that Miss Savage was herself a victim under the Act.

Related Links

• Mental health care and help for the elderly

• Cutback risk to 500,000 mental health patients

He said: “The defendant Trust ought to have known of the relevant risk and ought to have taken precautions which would substantially have increased the chances of this tragedy being avoided.”

He refused the Trust, which had fought the case all the way to the Law Lords on a preliminary argument, permission to appeal, although it can apply to the Court of Appeal directly.

Suicides Will Stop. That's an Order

It's not touchy feely stuff, General. It is not losing an asset into which you have poured massive taxpayer investment. It is about getting treated for clear disorder, some of which may have been caused by military service. It is about competing with the Air Force for history's best suicide reduction program.

FORT CAMPBELL, Ky. -- Thousands of soldiers, their bald eagle shoulder patches lined up row upon row across the grassy field, stood at rigid attention to hear a stern message from their commander.

Brig. Gen. Stephen Townsend addressed the 101st Airborne Division with military brusqueness: Suicides at the post had spiked after soldiers started returning home from war, and this was unacceptable.

"It's bad for soldiers, it's bad for families, bad for your units, bad for this division and our Army and our country and it's got to stop now," he insisted. "Suicides on Fort Campbell have to stop now."

It sounded like a typical, military response to a complicated and tragic situation. Authorities believe that 21 soldiers from Fort Campbell killed themselves in 2009, the same year that the Army reported 160 potential suicides, the most since 1980, when it started recording those deaths.

But Townsend's martial response is not the only one. Behind the scenes, there has been a concerted effort at Fort Campbell over the past year to change the hard-charging military mindset to show no weakness, complete the mission.

There are Army doctors like Tangeneare Singh, reaching out to soldiers struggling silently from depression, trauma-related stress and other mental illnesses. There are staffers like Daina Cole, who tracks data collected from Fort Campbell's soldiers, looking for evidence of problems.

And there are platoon sergeants like Robert Groszmann, trained to listen carefully to the soldiers under his command to detect signs of trouble. He knows that the Army must deal with the deadly issues of some of its fighting men and women, though some disdain this "touchy-feely Army stuff."

Rejected Job Applicant Commits Suicide

I suppose one has to add feminism to the list of risk factors. She was bright, personable, had a boyfriend. The following likely never entered her mind.

1) Being a good wife is as important as getting a job.

2) Starting a family is far more important than getting an entry level job.

3) If no one is hiring, employ yourself, and start a business helping or pleasing people.

Indictment for Abetting Suicide in a Foreign Country

Suicide is the intentional act of another. The defendant had neither power over the suiciders, nor any duty to them from a professional relationship.

And then again, the scapegoating families. These families had far more power to prevent the suicides by obtaining adequate treatment for their loved ones, than the defendant had to induce the suicide by advice on making knots.

"

Drybrough hanged himself on July 27, 2005. His sister reported going to his home and finding a suicide note, then finding him hanging from a rope tied to a ladder.

Documents say Melchert-Dinkel told investigators he advised Drybrough to use a "slip knot" and place the knot behind his left ear to compress the left and right carotid arteries. Computer evidence showed that Melchert-Dinkel also instructed Drybrough on how to hang himself from a low object.

The victim's mother, Elaine Drybrough, told a British newspaper last month that Melchert-Dinkel "appointed himself Mark's executioner. He whispered in his ear each time he logged on to the computer. Because of his medical experience, he knew exactly ... the buttons he needed to push."

Mark Kajouji, who now serves as an ambassador for Your Life Counts, a national suicide prevention program in Canada, said he can't say for sure whether his sister would still be alive if not for Melchert-Dinkel. But he wonders.

"Obviously, he pushed her to the brink," he said. "He could have been the guy who said, 'Don't do it.' But instead he decided to prey on it.""