Suicide, Happiness and Meaning

The death of Robin Williams highlighted the prevalence of suicide in our society. In this posting I want to consider ways of reducing this prevalence. To start with I should make it clear that I do not consider all suicide to be problematic. I have argued that for some people suicide may be a rational option. For instance I have argued in past postings that suicide would be a rational option for some terminally ill patients, prisoners serving life sentences and people faced by alzheimers and dementia . Indeed in some cases it might even be the morally right thing for someone to do. I do not believe in capital punishment but suicide might be the right moral option for someone who has committed some terrible crime, for instance a father who murders his wife and children. Nonetheless the vast majority of suicides are harmful. Usually if someone commits suicide he harms those he leaves behind and deprives himself of a life he may well have enjoyed had he been able to overcome his immediate worries. Let us accept that most suicide is harmful in this posting I want to consider what can be done to alleviate this harm. In doing so, I do not want to consider specific treatments to prevent suicide such as counselling or drug treatments. Instead I want to consider the elements in someone’s life that decrease the possibility of his suicide. I want consider happiness and meaning.

I will deal with happiness first. It might be thought that being happy inoculates people from committing suicide. It might be thought that happy people just don’t commit suicide. Such a thought is too simplistic. Let us accept that someone doesn’t commit suicide whilst he is happy but no one is happy all the time. Is it true that happy people don’t commit suicide? I will argue it is not. I will nonetheless later argue that cultivating some forms of happiness do help prevent suicide. What do we mean by a happy person? According to Feldman happiness means hedonistic happiness and a happy person is one who experiences a greater degree of happiness than unhappiness over a long period (1). For the moment let us accept Feldman’s view is correct. Let us now consider someone who was never either really happy or unhappy during his childhood and adolescence. Let assume when he was twenty he meet a lover and was blissfully happy for a year. Let us say throughout that year he experienced 10 units of happiness. Unfortunately at the end of the year his lover left his for his best friend. Such a person is now thirty and for the last nine years he has constantly experienced -0.5 units of happiness. According to a hedonistic account of happiness such a person would be regarded as a happy person. Intuitively I believe he would be regarded as an unhappy person. It seems unlikely such a person would commit suicide during his happy period but it is conceivable that such a person might be prone to do so during his unhappy period. It is even conceivable that someone suffering from bipolar disease might be regarded as a happy person provided the happiness he obtains during his manic periods is greater than his unhappiness during his periods of depression. People suffering from bipolar disease suffer from an increased risk of committing suicide. In the light of the above it seems that simply increasing someone’s hedonistic happiness is unlikely to decrease the overall possibility of his committing suicide. It may of course decrease this possibility in the period when he is actually enjoying hedonistic happiness. The above conclusion seems supported by evidence that people who turn to drink in an attempt to increase their hedonistic happiness are also at increased risk of committing suicide.

In spite of the above I will now argue happy people are less likely to commit suicide. I would not class a person, who is regarded as a happy person using the hedonistic definition above, as a truly happy person. I would regard such a person as a person who is happy some of the time. I have previously argued if we regard someone as a happy person we have reason to expect him to be happy tomorrow, see feldman, haybron and happydispositions . We have no reason to expect that someone who is enjoying hedonistic happiness today will be happy tomorrow. It seems to me that an important element in a happy person is a disposition to be happy (2). It seems possible that because someone who has a disposition to be happy is likely to experience being happy for longer periods of time that he will be less prone to committing suicide overall. How then does someone cultivate a disposition to be happy? One certainly can’t just will a happy disposition. Some might argue we simply can’t change our inborn dispositions but I will now suggest there are ways in which we might attempt to increase our disposition to be happy.

Firstly I would suggest being an optimist might increase our disposition to be happy. By an optimist I mean a realistic optimist as suggested by Tiberius (3) and not some Panglossian optimist who may be less happy. A realistic optimist has an expectation of being happy unless there is evidence to the contrary; a disposition to be happy. I believe being a realistic optimist is particularly important with regard to persons. If we meet someone for the first time we should expect him to possess goodwill. We should also demonstrate we expect him to have goodwill. Experience may of course temper our expectations. It follows that adopting a stance of realistic optimism may make someone less prone to committing suicide. I believe everyone irrespective of whether they have suicidal thoughts or not such adopt a stance of realistic optimism. For some this stance may come naturally but for others its adoption may be long and difficult. Perhaps the best way to foster realistic optimism might be to raise optimistic children, see Martin Seligman's book .

I will now argue that if someone has a meaningful life he will be less prone to depression and less likely to commit suicide. Let us assume someone has meaning in his life. He must care about the things that have meaning for him. It is impossible to imagine something having meaning to someone if he doesn’t care about it at all. If someone cares about something he must be satisfied with what he cares about. According to Harry Frankfurt satisfaction entails “an absence of restlessness or resistance. A satisfied person may be willing to accept a change in his condition, but he has no active interest in bringing about a change” (4).  It seems to me if someone has meaning in his life that this means he is likely to have less active interest in bringing about a change in his life. It follows he is less likely to commit suicide. According to Daniel Nettles there are three elements to being happy. Firstly there are momentary emotions such as joy or pleasure. Secondly there are judgements about feelings such as satisfaction and lastly the quality of someone’s life over time (5). Let us assume Nettle’s is correct. It follows provided meaning is connected to satisfaction that someone with meaning in life is likely to have more happiness in his life than someone who does not. It seems probable the greater the happiness in someone’s life the less prone he will be to depression and suicide.

In previous posting I have talked about the unbearable lightness of simply being. That is existing without any aims or direction in someone’s life, a life devoid of meaning. Such a person might be cast as a wanton, he has no fixed boundaries and is amorphous with no fixed shape or identity (4). Of course have no fixed boundaries or identity doesn’t make someone commit, someone may drift along in life in an aimless way for years. However I would suggest such a person has less of a defence if suicidal thoughts arise, he has no reason to combat these thoughts. It follows if someone has some meaning in his life that this meaning should act as an antidote to suicidal thoughts.

Let us accept that having some meaning in someone’s life means he is less likely to commit suicide. How then do we encourage people to have meaningful lives? It seems to me meaning and love are connected. By love I don’t mean romantic love; I mean caring about something. Caring about doesn’t just mean liking. Someone can like an ice cream but this doesn’t mean he cares about it. Someone cares about something if he identifies himself with what he cares about and is hurt when what he cares about is damaged and is benefited when what he cares about flourishes (6). I would suggest that for a meaningful life someone must cultivate loving something. This something need not be a person; it might be a cause, a country or even a love of knowledge. Unfortunately someone just can’t decide to love; can’t just decide to have a meaningful life. However someone by cultivating friendships and paying attention to life might find love grows naturally even if this growth is somewhat slow.

To conclude I want to deal very briefly with friendship. I have suggested if we want to love and perhaps be loved we should cultivate friendship. Robin Dunbar believes we can have at most 150 friends, see Wiki Dunbar's number . However the friends I am concerned are not just people whom we know and know us, not just people we know on Facebook. Friends are people we love. We identify with such friends and are hurt when they are hurt and feel pleasure when they are benefited. Moreover because such friends are people we love we can’t simply choose these friends in the way we choose friends on Facebook, we come to have such friends by sharing aims and ideals. We have to pay attention to the friends we love and this limits the number of such friendships we can have. Cultivating friends we love is not easy but doing so may decrease our propensity to commit suicide which might not be true of cultivating a larger circle of friends.

1.      Fred Feldman, 2010, what is this thing called Happiness? Oxford, page 29

2.      Daniel Haybron, 2008, The Pursuit of Unhappiness, Oxford, page 138.

3.      Valerie Tiberius, 2008, The Reflective life, Oxford, chapter 6.
4.      Harry Frankfurt, 1999, Necessity, Volition, and Love. Cambridge

5.      Daniel Nettle, 2005, Happiness; The Science Behind Your Smile, Oxford, page 8.

6.      Frankfurt, page 114.

Alzheimer’s and Suicide

There is a new blood test which can predict with 90% accuracy whether someone will develop Alzheimer’s disease in the near future, see biomarkers for alzheimers . In this posting I want to examine one of the consequences of cheap and accurate tests for degenerative mental diseases. Dena Davis has given a talk many times that highlights some of these consequences, see Hastings Centre Bioethics Forum . She asks her audience to imagine two individuals, Manny and Sue. Manny was a little frail and died at 85. He was living independently until his death and mentally “all there.” Sue lived until she was 99. From the age of 88 she began a slow cognitive decline eventually becoming incontinent and unable to walk, speak, or feed herself. Davis then asks her audience to imagine who they would rather be, Manny or Sue. The audience always preferred Manny and someone only rarely chose Sue.

An effective test for Alzheimer’s disease would enable someone with a positive test to plan for his future. For instance he might want to arrange his finances, make plans for his care and write a last directive if he wants. He might also choose to spend his savings on travel or the other things he enjoys whilst he is still capable. Such a test would also give him one further choice to make and it is this choice which is highlighted by Davis I want to focus on. He could choose to end his life like Manny or like Sue. A positive test means he has a rational reason to commit suicide. Committing suicide would not be an irrational choice.

It might be objected it is never rational to commit suicide. However for a spy facing prolonged torture to be rapidly followed by death, suicide seems a rational choice. The same reasoning might apply for someone suffering from a painful incurable disease when the pain is such that it cannot be controlled. I have also argued that sometimes it might be rational for someone who has committed some terrible crime to commit suicide. Let us accept in some circumstances it is rational to commit suicide. My objector might now object these circumstances are very rare. However according to Alzheimer’s Society there are currently 800,000 people in the UK suffering from dementia, see alzheimer's statistics . It follows if an accurate test could be introduced for Alzheimer’s disease became widely available the circumstances in which someone could make a rational decision to commit suicide might not be rare.

It might be objected whilst it might be rational to commit suicide that none the less it would be wrong. It might for instance be rational for a criminal to commit a crime which benefits him and would remain undetected. It would however be wrong to commit such a crime. One reason why it would be wrong is that crime harms others. It might then be argued that even if committing suicide is rational the fact that it harms others makes it wrong. I would certainly agree that a parent who commits suicide leaving her children behind does something wrong. However if someone commits suicide after committing a number of murders and rapes then does he do any additional harm to others by committing suicide, see prisoners serving life sentences . I would suggest he does not. It follows his suicide is not wrong and that it might even be wrong to stop him doing so. It follows that sometimes it might be both rational and not wrong based on harm to others for someone to commit suicide. My objector might now argue that committing suicide is wrong for reasons other than harm to others. I would reject such an argument. I believe in Mill’s dictum that “That the only purpose for which power can be rightfully exercised over any member of a civilized community, against his will, is to prevent harm to others.” Moreover I believe any society that fails to accept the autonomous decisions of its members provided these decisions do not harm others is not a truly caring society. Such a society may care for its members; but someone may care for sheep. Caring about its members must of necessity involve respect and respect must involve accepting we are the sort of creatures who can determine our own future provided we don’t harm others.

I have argued that sometimes it might be both rational and not be wrong for someone to commit suicide. However in the case of Alzheimer’s disease my objector might argue even if it might be rational for someone to commit suicide it would still be wrong. I argued above there are some circumstances in which suicide is wrong. Indeed I would suggest suicide is wrong in most cases because of the harm it does to others. However if someone who will develop Alzheimer’s disease commits suicide is he really doing something wrong by harming others? Jennifer Hecht argues if someone commits suicide he harms the community he lives in because by committing suicide encourages others to do likewise (1). Firstly I would question whether someone who commits suicide because he has a terminal illness will develop Alzheimer’s disease would encourage suicide in general. This would mean Hecht objection would not apply to anyone who commits suicide because he is likely develop Alzheimer’s disease. Someone’s suicide in this situation may of course increase the suicide rate among those likely to suffer from similar conditions. Secondly should society make someone suffer because he might influence others? Should we for instance ban the sale of alcohol because its consumption might influence some people to drink unwisely? My objector might now argue someone who commits suicide because he will develop Alzheimer’s disease harms particular people, his family and friends, the people who love him. I accept his suicide will make those who love him sad. But he will make these people sad eventually anyway when he dies, his suicide merely brings this period of sadness forward. Does the fact he commits suicide increase this sadness? I can see no reason why it should. Does the fact he commits suicide mean his friends and family should feel rejected. Once again I can see no reason why this should be because as his disease takes hold his meaningful interactions with them will inevitably cease. In the light of the above I would suggest if someone commits suicide because he will develop Alzheimer’s disease does no wrong. I do however accept his timing is crucial as Davis does.

Let it be accepted that someone who will develop Alzheimer’s disease does no wrong if he commits suicide. I want to examine two consequences of accepting the above. Firstly would it be wrong to aid someone in this situation to commit suicide? Prima facie if someone engages in some enterprise which isn’t wrong how can it be wrong to aid him in his enterprise? I would suggest great care is needed in this situation. Care is needed because we must be sure any aid we offer is to help someone carry out his decision and does not influence him in making his decision. The two are easily confused. One option might be that before we aid someone in such a situation we should make sure he gives his informed consent. Adopting this option might mean only physician assisted suicide would seem to be possible. A better option might be only to provide the means for anyone in this condition to commit suicide once he has made a firm decision to do so. Secondly it might be objected that because of the sheer number of people who will develop Alzheimer’s disease that permitting such people the right to commit suicide would mean we would face an epidemic of suicides. I will only make two responses to the above. Firstly many people who will develop Alzheimer’s disease will not wish to commit suicide and I’m doubtful whether adopting such a policy would lead to an avalanche of suicides. Secondly even if such a policy leads to an epidemic of suicides the badness is in the disease not the wrongness of the suicides.

1. Jennifer Hecht, 2014, Stay: A History of Suicide and the Philosophies Against It, Yale University Press.

The Reporting of Suicide

The topic in this posting is the reporting of suicide. My starting point is a posting in bio edge . A leading Australian newspaper recently ran some articles chronicling Beverly Broadbent’s decision to commit suicide, see The Age. It appears at the time Beverly was relatively healthy. I will not consider whether Beverly was right to commit suicide here. However at this point I must make it clear I believe some people have the right to commit suicide and in the right circumstances may justify their decision if they do so. The post’s author clearly believes the journalist involved, Julia Medew, acted in an irresponsible way. He points out,

“A journalist is first of all a human being. Didn’t Medew have a moral obligation to dissuade a relatively healthy woman from committing suicide?”

However even if Medew ought to have attempted to dissuade Beverly this does not mean she ought not to have reported the suicide. In this posting I will argue the reporting of suicide is necessary for a better understanding of suicide.

What is wrong with Medew’s story? It might be objected that either the story should not have been reported in the way it was or it should not have been reported at all. I will deal with the latter objection first. An objector might argue such stories should not be reported due to the harm they cause. She might point to evidence that suggests the reporting of suicide leads to copy cat attempts, see for instance Gould, Jamieson and Romer . Because of the harm these copy cat suicides cause she might conclude suicide should simply not be reported at all. In reply I could point out much the same argument could be applied to school massacres and terrorist bombings. Prima facie it would be inconsistent to report these and not report suicides. Moreover it would seem to be absurd not to report events such as the Boston bombings for fear of contagion so why should Medew not report on Beverly’s suicide. My objector might respond that my analogy is flawed. She might point out the Boston bombings are a major story that cannot be ignored whilst Beverly’s suicide was a minor one and as a result could be. In reply I accept that Beverly’s particular suicide was not a major story but suicide in general is an important concern to society. If this were not so why should the World Health Organisation offer guidelines to journalists ?

However let us assume that my objector is correct and that in practice it is impossible to ignore terrorist bombings, such as those in Boston, whilst suicides can safely be ignored. Now provided she believes suicides should not be reported, due to the danger of copy cat cases, does this mean she also believes terrorist bombings should not be reported provided this was possible, as the same dangers of copycat attacks seem to apply. Perhaps the only reason why we ought not to attempt to ban the reporting of terrorist bombings is that we cannot. I will now argue that for terrorism such censorship is wrong even if this is possible. The Provisional IRA carried out a program of terror in Northern Ireland during the troubles. Both the British and Irish governments attempted censorship in the reporting of the troubles. However in Ed Moloney’s view,

“Censorship probably extended the life of the Troubles by as much as a third and that people died unnecessarily because of it. I say this because what censorship did was prevent the media from explaining events fully. One result was that public and government understanding was less than it should have been”, see Irish Censorship .

At this point my objector might point out that the reporting of terrorist bombings is not the same as journalists talking to Sinn Fein. In response I would point out a failure to report on Sinn Fein lead to a lack of understanding. I would then argue failing to fully report terrorist bombings might lead both the public and governments failing to grasp the full importance of these events. I would then suggest this diminished importance would lead to diminished understanding. If we fail to grasp the full importance of something we are less likely to reflect on it fully. Suicide is a problem for society and it is the biggest killer of young men in the UK, see The Guardian . If society is to understand and tackle this problem then it must be aware of the importance of the problem. I would suggest a failure to debate suicide, in an order to obtain a more adequate understanding of its causes, merely perpetuates suicide at its present levels. I would further suggest even if press coverage of suicide increases the cases of copy cat suicide in the short term that in the long term a more adequate understanding of the causes of suicide will lead to a decrease in the suicide rate. If this is so then the harm caused by copy cat suicides due to the reporting of suicide should be more than counterbalanced by a long term drop in the suicide rate.

I have argued it was not wrong for Medew to report on Beverly’s suicide. This brings us back to the first reason for the possible wrongness of her reporting, perhaps she was not wrong to report Beverly’s suicide but she did so in the wrong way. A report usually involves, what happened, the details of how it happened and why it happened. I have argued above if something that happens is not fully reported then we can fail to grasp how important that something is. This failure can lead to an inadequate understanding of the problem. Nonetheless it seems to me the mechanics of how someone commits suicide is not usually necessary to the understanding suicide and hence should not usually be reported. However if we are to understand the reasons for suicide we must understand an individual’s reasons for committing suicide and these should be reported. I would suggest the reporting of these reasons should not be emotive. There should be a separation of news and comment and comment need not be emotive free. If we understand the reasons why someone wishes to or actually commits suicide we might be in a better position to deal with the underlying causes of these reasons. Let us consider the case of the Verbessem brothers mentioned in my previous posting. I accept it is possible that the reporting of the brother’s case might lead to an increase in the number of the deaf blind wanting euthanasia in Belgium. However reporting the reasons why the brothers wanted to die might also lead to more or better centres for the deaf-blind. It follows reporting the brother’s case might well lead to an increase of options available to the deaf-blind, which in turn might lead to a reduction in the number of deaf-blind people seeking to end their lives.

So far I have argued that someone’s suicide should be reported and the reasons for her suicide should also be reported. However it would be a mistake to think all individuals who commit suicide can give reasons for doing so. Some individuals might commit suicide simply because they have a lack of reasons to go on living. Harry Frankfurt would class such persons as wantons (1). I have previously suggested such a person suffers from the unbearable lightness of simply being, see riots and the unbearable lightness of simply being. A wanton is someone moved by mere impulse and inclination and someone to whom nothing much matters. Such a person may well be prone to commit suicide. They may also be prone to becoming terrorists and other violence, see self respect and love. The reporting of suicides could well lead to such persons committing copy cat suicides. Moreover in such cases the reporting of suicides will not lead to any long term decrease in suicide committed by such people. Such people give us reason not to report suicide, or at least to do so in a very limited way.

In the above I have argued that, when someone has a reason to commit suicide, the reporting of her suicide and her attendant reasons, even if it leads to some copy cat suicides, is in the long term beneficial. However I have also suggested that for a certain class of suicidal persons such reporting is harmful. Should then suicide be fully reported? On balance I believe it should, I am however open to persuasion and comments are most welcome.

1. Frankfurt, 1999, Necessity, Volition, and Love. Cambridge University Press, page 106.