The “Medical Times and Gazette,” 1872, in referring to two similar deaths from suicide, those of Mr. Justice Willes and Hugh Miller the Geologist, insisted also on the necessity of procuring sleep and rest for worried men, and so did good service.
Alcohol.
Without doubt the habitual use of alcohol to excess is a very fertile suicide prompter, and it is found that the stronger the form of alcohol used, the more often crime and suicide are produced; such are as rare when the light wines are drunk, as they are frequent among spirit drinkers.
Lunier, Ann. Med. Psychol., 1872, calculating the results in 79 departments, states that the amount of crime in France is in direct proportion to the consumption of alcohol, and so are the rates of lunacy and suicide. As a mean of the estimates of many observers, about one-eighth of all suicides are directly caused by alcohol. It produces suicide in several ways; in a fit of drunkenness, during delirium tremens, by causing mania or melancholia, or by leading to complete imbecility.
Suicides due to alcoholic poisoning, and alcoholic mind failure, are indeed seen among those who are too rich to require to work at all, or to be regularly at work; but the greatest amount of disease and death due to alcohol exists among the poor, and especially among the poor of our great cities; a very large number of these spend almost the whole of their small earnings in poisonous drinks. The radical remedy for suicide caused by this form of indulgence is doubtless the improvement of the intellectual and moral status, the cultivation of habits of thrift, economy, and foresight. If the humble mechanic could only be led to the conviction of the paramount necessity of assuring himself against accidents, disease, and old age, and of avoiding the degradation of becoming chargeable during such misfortunes to the means of others who have provided such store, he would neglect the gross indulgences of the sot, for the self-esteem and honour arising from a consciousness of having worked while it was yet day, and laid up a store for the evil hours which do so surely come.
The drink question is one, however, which is now so frequently brought to our notice, by our worthy teetotal and temperance friends, that I am sure I need not occupy much space in discussing the amount of self-destruction caused by alcohol, directly or indirectly, through debauchery, loss of money, position, or self-respect.
Heredity.
The influence of Hereditary Predisposition is one of surpassing interest, but is also another of those causes of which it is very difficult to procure accurate statistics; and very few countries have as yet given any data in connection with it.
Relations of suicides are apt to be very reticent of confessing to lunacy in their families, and it is hereditary mental failure, lunacy, epilepsy, dipsomania, &c., which are the forerunners of a future death by suicide.
In Bavaria alone has an effort been made to estimate hereditary influence; from 1857-66, we are told it was shewn to exist in 13 per cent. of all voluntary deaths, since then in 18 per cent.