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Contents - Preface - Ancient suicides - Defense of - Forbidden sin? - Some causes - Imitative & Epidemic - Obsession - Genius & Insanity - Physical Causes - Emotional Causes - 19th Century Treatments - Result of Insanity? - Medical Jurisprudence - 19th Century Statistics - Post-suicide Appearance - Singular Cases - Laws Don't Work - Endnotes - After Life, then ... - Peaceful Death, a Human Right
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This treatise had its origin in the following circumstance: -- A few months ago, the author had the honour of reading before the Westminster Medical Society, a paper on “Suicide Medically considered,” which giving rise to an animated discussion, and evolving an expression of the opinions of several eminent professional men, excited at the time much interest.
It was the author’s object in his paper to establish a fact, he believes, of primary importance, -- that the disposition to commit self-destruction is, to a great extent, amenable to those principles which regulate our treatment of ordinary disease; and that, to a degree more than is generally supposed, it originates in derangement of the brain and abdominal viscera.
Notwithstanding, however, these points were not considered with the minuteness commensurate with their value, the discussion which followed the author’s communication afforded him great satisfaction. It tended to strengthen in his mind an opinion previously formed, that the members of the medical profession were inferior to no other class in a knowledge ofvi those higher branches of philosophy that give dignity and elevation to human character.
To explain more fully the author’s views on the subject of Suicide is the object of the present work, which is, strange to say, the first in England that has been exclusively devoted to this important and interesting branch of inquiry.
Hitherto suicide has been the theme of the novel and the drama, and has never, with the exception of an incidental notice in works on medical jurisprudence, been considered in this country in reference to its pathological and physiological character.
That an intimate acquaintance with this branch of knowledge is highly important to the medical philosopher, few will deny; that it is a subject of general and painful interest, all must admit. The apparent coolness with which suicide is often committed has induced many to suppose that the unfortunate perpetrator was at the time in possession of a sound mind; and it is this idea which has induced the profession to conceive the subject as one foreign to their pursuits, and belonging rather to the province of the moral philosopher. How far the author has succeeded in disproving this opinion, it is for others to decide.
He takes this opportunity of acknowledging the assistance he has received from the writings of Pinel, Esquirol, Falret, Fodére, Arnold, Crichton, Willis, Black, Haslam, Burrows, Conolly, Pritchard, Mayo, Ellis, Paris, Smith, Beck, Taylor, and Ray. To the pages of Dr. Johnson’s Medico-chirurgical Review, the Medical Gazette, the Lancet, and British and Foreign Medical Review, he is also largely indebted.
In conclusion, the author, conscious of its imperfections,
claims for his work no other praise than that it is the firstvii attempt in this country to reflect light on a branch of medical
and moral philosophy, the importance of which is only equalled
by the difficulties impeding its investigation. He will feel himself
amply repaid, should his introductory essay (for such only
can it be considered) stimulate others more competent than
himself to prosecute the inquiry which he has commenced.
Their success will afford him much satisfaction and pleasure;
for in the attainment of their endeavours will his hopes be
fulfilled, and his ambition gratified.
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