CHAPTER XVI

SUICIDE AND HOMICIDE

No book on religion and health would be complete without a discussion

of the effect of religious influence on these two very important

factors in modern mortality statistics, especially in our own

country,--suicide and homicide. One of the most disturbing features of

public health work is the occurrence of such a large number of deaths

every year in our great city life from murder and self-murder. It is

discouraging to have the death rate from nearly every form of disease

coming down while these are going up. Any factor which promises,

however modestly, to remove even to a slight degree this stigma from

our modern civilization is worthy of consideration. The moral factors

in life are most important in this regard and over these religion has

the most direct and potent influence.

One of the most disturbing features of our modern life is the fact

that in spite of the notable progressive increase of comfort in life

far beyond what people enjoyed in the past, there has been a steadily

mounting growth in the number of suicides every year in civilized

countries. Comforts and conveniences have become widely diffused, so

that the luxuries of the rich in the older time have become the

everyday commonplaces of the poor or the simple necessities of the

middle class, and life would {278} seem to be ever so much more easy

than it used to be. Yet more and more people find it so hard that they

are willing to go out of life by their own hands to meet untimely the

dark mystery of the future. It has become quite manifest that comfort

of body and peace of mind are by no means in such direct ratio to one

another as is usually thought, but rather the contrary. Our suicides

take place more frequently among the better-to-do classes than among

the poor who might possibly be expected to find life so hard that they

could not stand it any longer. Even chronic suffering does not cause

so many suicides as the various disappointments of life, most of which

are only transitory in their effect.

Perhaps the most disturbing feature of the suicide situation lies in

the fact that the average age of those who commit suicide every year

is constantly becoming younger. Suicide used to be the resort

particularly of the discouraged beyond middle life, but now it is

becoming ever more and more the mode of escape from an immediate

future of unhappiness which ever younger and younger folk foresee for

themselves. Disappointments in love have always been occasions for

suicide, but other causes have multiplied in recent years to an

alarming degree, and now high-school children with the suggestion of

sensational newspaper accounts of suicide in their minds turn to

self-murder over failures in examination or setbacks in school work or

over a scolding at home. Even below the age of fifteen suicides are

reported rather frequently, because children have been punished or

have been refused something that they had set their hearts on. The

generation is engaged in producing many oversensitive young folk who

cannot stand being disturbed in their hopes and aspirations.

{279}

Suicides have increased just in proportion to the decrease of

attention to religion and the absence of religious teaching and above

all of religious training, that is, of such practice of self-denial

and of mortification for religious motives as leads to formation of

character. When children and young folks are always given their own

way and are not taught that denying themselves is of itself a virtue

because it leads to strength of will power and enables one to stand

the inevitable hardships of later life, no wonder that their first

serious disappointments come to them as such disturbing misfortunes

that they can scarcely picture to themselves a time when they shall be

happy again. Above all a great many of them have no real belief in

immortality and therefore face the future life with no feeling as to

its mystery and no proper sense of their obligation toward a Creator

who gave them life to use to the best advantage possible and who wants

them to play the game of life fair, taking the ill with the good and

"carrying on." The lack of religious feeling has left them with

nothing to cling to in the midst of their trials, and though they may

have friends, all human beings are eminently alone, and we must go

through what is hard in life by ourselves. We never feel our

loneliness more than when some severe trial comes. We almost resent

the pity of others, and Emerson's phrase that we are "infinitely

repellent particles" becomes a very grave reality.

It is the easy custom of our time to blame nearly all the social ills

on what is called our present-day strenuous existence. There are a

great many people who seem to think that men never worked so hard as

they do now, though as a matter of fact in what concerns the

accomplishment of things worth while our generation is {280} sadly

backward. He unfortunately grows preoccupied with trivial narrow

concerns and keeps on working at them so continuously that we have

become very fussy folk because we have no variety of occupation to

relieve the strain of daily life. It must not be forgotten in this

regard that some of the men who have lived the longest have been

extremely hard workers, accomplishing so much in a number of lines of

thought and endeavor that it has seemed almost impossible to

understand how they did it, yet they have been healthy and hearty in

mind and body until fourscore years, and sometimes, like Ranke, the

great German historian, and Pope Leo XIII and Chevreul, the

distinguished French chemist, even beyond ninety years of age and

more. The strenuous existence is a good excuse, however, and a great

many people are sure that it is the overtiredness and the disturbance

of health and the depression which comes in connection with this that

causes suicide or at least contributes greatly to the increase of it

in our time.

Only a little analysis of suicide statistics, however, is necessary to

make it very clear that it is not physical factors which contribute

most to the increase of suicide, but that it is the state of mind of

the individual. If the physical counted for much then it would be

confidently expected that suicides would be commonest in the winter

and least frequent in the summer, particularly in the pleasanter

months of the summer time. The statistics show, however, that the

month which has the most suicides is June. June is probably the

pleasantest month of the year in most ways in our climate. July is

likely to be very hot. May often has cold and rainy days at the

beginning, but June has often a succession of almost perfect days.

James Russell {281} Lowell sang, and it has been reechoed many times,

"What is so rare as a day in June", yet this is the month which more

people take to put themselves out of existence than any other. Brides

have chosen it as the favorite month for marriage because all nature

looks so lovely and in sympathy with their own joy and because there

are fewer rainy days in it than any other. Happy hearts are beginning

a new existence with the brightest possible prospects just when so

many others are voluntarily getting out of what seems a hopeless life.

December, which has so many gloomy days and which naturally is likely

to be so much more depressing than the succeeding months of the

winter, for the clear, cold days of January and February are bracing,

might on physical grounds be expected to be the month with most

suicides in it. Christmas with its celebrations and the announcement

of peace and joy to men of good will might be expected to lower the

number of suicides for the latter third of the month, but even the joy

of that occasion could scarcely be hoped to neutralize completely the

depressing effect of the weather. Just exactly the contradiction of

these anticipations is what happens. Suicides are least frequent in

December of any month in the year, and the last ten days of the month

have the most of them because it is not so much the individual's own

sense of hopelessness in life, complicated by physical suffering and

material trials of various kinds, that tempts to suicide, as the

contrast of the joy of those around him with his own feelings which

emphasize his depressed state of mind until he feels that he can stand

it no longer. June's gayety with its happy brides adds to the number

of suicides and the Christmas festivities have a like unfortunate

tendency. Gloomy weather has exactly the {282} opposite effect from

what would surely have been expected on the general principle that the

physical plays the most important role in the production of suicides.

This is brought out still more clearly by the careful review of the

effect of the weather on suicide which was made some years ago by

Professor Edmund T. Dexter [Footnote 13] of the University of

Illinois.

[Footnote 13: _Popular Science Monthly_, April, 1901.]

He followed out the records of nearly two thousand cases of suicides

reported to the police in the City of New York and placed beside them

the records of the weather bureau of the same city for the days on

which these suicides occurred. According to this, which represents not

any preconceived notions but the realities of the relationship of the

weather to self-murder, the tendency to suicide is highest in spring

and summer, and the deed is accomplished in the great majority of

cases on the sunniest days of these seasons. It is not at all a case

of heat disturbance of mind or tendency to heat stroke, for as has

been seen June is the month of most suicides and while it often has

some hot days it does not compare in this regard with July and August

or even September as a rule.

His conclusions are carefully drawn, and there is no doubt that they

must be accepted as representing the actual facts. All the world feels

depressed on rainy days and in dark, cloudy weather, but suicides

react well, as a rule, against this physical depression, yet allow

their mental depression to get the better of them on the finest days

of the year. Professor Dexter said:

"The clear, dry days show the greatest number of suicides, and the

wet, partly cloudy days the least; and {283} with differences too

great to be attributed to accident or chance. In fact there are

nearly one in three (31%) more suicides on dry than on wet days and

more than one in five (21%) more on clear days than on days that are

partly cloudy."

In reviewing the subject of suicide in my book on "Psychotherapy"

[Footnote 14] I suggested that this subject of depressed weather

conditions as the contributing cause of suicide might be carried still

further and the lack of the dispiriting influence of dark, damp

weather, as a suicide factor, could be seen very strikingly from the

suicide statistics of various climates.

[Footnote 14: D. Appleton & Co., New York, 1912.]

The suicide rate is not highest in the torrid or in the frigid zones,

but in the temperate zones. In the north temperate zone it is much

more marked than in the south temperate zone. Civilization and

culture, diffused to a much greater extent in the north temperate zone

than in the south, seem to be the main reason for this difference. We

make people capable of feeling pain more poignantly, but do not add to

their power to stand trials or train character by self-control to make

the best of life under reasonably severe conditions.

Severe physical suffering of any kind, provided it is shared by a

whole people, reduces the suicide rate. Famine, for instance, though

it might be expected that people facing starvation would surely take

the easier way, rather reduces the tendency to suicide. Earthquakes

followed by loss of life and intense suffering have the same effect.

It might possibly be thought that this would be true only among less

well educated people, the orientals or perhaps certain of the South

Americans where lack of education made them less poignantly sensitive

to physical {284} suffering than among the more refined people in our

western civilization, but the earthquake at San Francisco demonstrated

very clearly the effect upon average Californians who, I suppose, must

be considered to have been rather a little above than below the

general run of Americans in what we are accustomed to call

civilization and education. Before the catastrophe, suicides were

occurring in that city on an average of twelve a week. After the

earthquake, when, if physical sufferings had anything to do with

suicide, it might be expected that the self-murder rate would go up,

there was so great a reduction that only three suicides were reported

in two months. Some of this reduction was due to inadequate records,

but there can be no doubt that literally a hundred lives were saved

from suicide by the awful catastrophe that leveled the city. Men and

women were homeless, destitute and exposed to every kind of hardship,

yet because all those around them were suffering in the same way,

every one seemed to be reasonably satisfied. Evidently a comparison

with the conditions in which others are has much to do with deciding

the would-be suicide not to make away with himself, for by dwelling

too much on his own state he is prone to think that he is ever so much

worse off than others.

If life were always vividly interesting, as it was in San Francisco

after the earthquake, and if all men worked and suffered as the San

Franciscans did for a few weeks, suicide would not end more than ten

thousand American lives every year, as it does now. The one hope for

the man who is contemplating suicide is to get him interested in

others, to arouse him to the realization of the fact that there are

others suffering even more than himself, but above all to get him to

feel that he can relieve the {285} suffering of others. Selfishness is

the root of suicide, usually pathological in its utter preoccupation

with self as the most important thing in the universe, but often only

the result of a fostering of self-interest and a failure to train the

mind to think of other people, which is of the very essence of

religion.

It is not when things are made easy for mankind, but on the contrary

when they are passing through times of difficulty and severe stress

that the suicide rate goes down. War always brings a striking

reduction in the number of suicides. Our Spanish-American War reduced

the death rate from suicide in this country over forty per cent

throughout the country and over fifty per cent in Washington itself,

where there was most excitement with regard to the war. This was true

also during the Civil War. Our minimum annual death rate from suicide

from 1805 (when statistics on this subject began to be kept) to the

present time was one suicide to about twenty-four thousand people,

which occurred in 1864, when our Civil War was in its severest phase.

There had been constant increase in our suicide rate every year until

the Civil War began, then there was a drop at once and this continued

until the end of the war. In New York City the average rate of suicide

for the five years of the Civil War was nearly forty-five per cent

lower than the average for the five following years. In Massachusetts,

where the statistics were gathered very carefully, the number of

suicides for the five-year period before 1860 was nearly twenty per

cent greater than for the five-year period immediately following,

which represents the preliminary excitement over the war and the

actual year of the war. This experience in America is only in

accordance with what happens everywhere. Mr. George Kennan in his

article on {286} "The Problems of Suicide" [Footnote 15] has a

paragraph which brings this out very well. He says:

[Footnote 15: _McClure's Magazine_, June, 1908.]

"In Europe the restraining influence of war upon the suicidal

impulse is equally marked. The war between Austria and Italy in 1866

decreased the suicide rate for each country about fourteen per cent.

The Franco-German War of 1870-1871 lowered the suicide rate of

Saxony eight per cent, that of Prussia 11.4 per cent, and that of

France 18.7 per cent. The reduction was greatest in France, because

the German invasion of that country made the war excitement there

much more general and intense than it was in Saxony or Prussia."

Above all the sense of patriotic duty, the recognition of the fact

that there are things in life worth more than life itself, lifts men

out of the depression into which they have permitted themselves to be

plunged as a consequence of their utter absorption in themselves and

their own narrow interests.

Old-fashioned religion has a distinct effect in the reduction of the

suicide rate, and all over the world the orthodox Jews who cling to

their old-time belief and above all to their orthodox practices and

mode of life have undoubtedly the lowest suicide rate of any people in

the world. This is true, though almost needless to say a great many

Jews, not only in the foreign countries but here in our own great

cities, have to live under circumstances that are the most trying that

it is possible to imagine. A great many of them live in slums, doing

intensely hard work in sweat shops--though, thank God, these are fewer

now than they used to be--and yet the Jews cling to life in the midst

of trials that would seem almost impossible for human nature to bear.

The Jewish {287} suicide rate is the lowest everywhere in spite of

racial differences, for after all there are German Jews and Portuguese

Jews and Russian Jews who have lived among the respective peoples

after whom they are called for centuries and who might therefore be

expected to take on the characteristics which their environments have

brought. There is a very great difference in the suicide rate between

the orthodox and unorthodox Jews, that is, those who have given up the

beliefs and religious practices of their forefathers. It is in favor

of the orthodox Jews, though of course the record is complicated by

the prosperity of those who have given up their religion. Wealth and

speculation greatly favor the occurrence of suicide.

It is well known that Roman Catholics the world over have much less

tendency to suicide than their Protestant neighbors living in the same

communities. It is true that where the national suicide rate is high,

many Catholics also commit suicide, but there is a distinct

disproportion between them and their neighbors. The suicide rate of

Protestants in the northern part of Ireland, as pointed out by Mr.

George Kennan, is twice that of Roman Catholics in the southern part.

He discusses certain factors that would seem to modify the breadth of

the conclusion that might be drawn from this, but in the end he

confesses that their faith probably has most to do with it and that,

above all, the practice of sacramental confession must be considered

as tending to lessen the suicide rate materially. It is the readiness

to give their confidence to some one on the part of these patients,

for that is what they really are, that seems to the physician the best

hope of helping them to combat their impulse, and Mr. Kennan's opinion

is worth recalling for therapeutic purposes:

"In view of the fact that the suicide rate of the {288} Protestant

canton in Switzerland is nearly four times that of Catholic cantons,

it seems probable that Catholicism, as a form of religious belief,

does restrain the suicidal impulse. The efficient cause may be the

Catholic practice of confessing to priests, which probably gives

much encouragement and consolation to unhappy but devout believers

and thus induces many of them to struggle on in spite of misfortune

and depression."

It is not surprising that in countries where attendance at church and

adhesion to religious organizations has dropped very seriously, the

suicide rate should be higher than in countries where the great mass

of the people are still faithful churchgoers, take their religious

duties very seriously and therefore are subjected to the deepest

influence of religion over the heart and mind at regularly recurring

intervals. They find consolation in their suffering, advice in their

trials, strength for their difficulties and a fount of hope almost for

their despair. Above all they are deterred by the thought of another

world than this and the possibility of punishment in it, if they have

not had the courage and the manly strength of soul to face their

difficulties in this.

It has come to be the custom rather to minimize the effect of

deterrent motives on human beings and to say that men cannot be scared

into doing good or avoiding evil, and it is quite true that a policy

of frightfulness pursued out of mere malice to effect a human purpose

will have exactly the opposite effect over the great majority of

mankind, but when men realize that they are bringing punishment on

themselves by their own acts, and that those acts are unjustifiable on

any rational grounds, they have a very different feeling as a rule

with regard to punishments that may be impending over them for their

conduct. It {289} is quite one thing to be unjustly punished and

resent it and quite another to feel that the punishment we are

incurring has justice in it, though we may not be quite able to

understand all the significance of it or plumb its mystery entirely.

Shakespeare has Hamlet discuss that whole question in his soliloquy so

well that it deserves to be quoted here:

"... And by a sleep, to say we end

The heart-ache, and the thousand natural shocks

That flesh is heir to,--'t is a consummation

Devoutly to be wished. To die,--to sleep:--

To sleep, perchance to dream:--ay, there's the rub;

For in that sleep of death what dreams may come,

When we have shuffled off this mortal coil,

Must give us pause. _There's_ the respect,

That makes calamity of so long life:

For who would bear the whips and scorns of time,

The oppressor's wrong, the proud man's contumely,

The pangs of despised love, the law's delay,

The insolence of office, and the spurns

That patient merit of the unworthy takes,

When he himself might his quietus make

With a bare bodkin? Who would fardels bear,

To grunt and sweat under a weary life,

_But that the dread of something after death,--

The undiscovered country, from whose bourn

No traveller returns,--puzzles the will

And makes us rather bear those ills we have

Than fly to others that we know not of?_

Thus conscience does make cowards of us all."

We have come to resent somewhat the suggestion of deterrent motives as

helpful for the doing of good, and the dread of punishment as unworthy

of men, but the religious beliefs of a hereafter of suffering for the

coward who dares not face the trials of life are still and have always

been {290} valuable in keeping people up to their duty. The war

restored some of the sadly needed old-fashioned attitude toward

punishment as a help to discipline, and we are now more in sympathy

with old-fashioned religious ideas in the matter.

There has been an even greater increase of homicide than of suicide

and for very similar reasons. Our homicide rate here in America is a

disgrace to a civilized country. Ambassador Andrew D. White, whose

long experience in European countries made his opinion of great value,

declared that for homicide we were the worst country in the world,

with more killings of human beings to our credit than even

vendetta-ridden Corsica. This is not due to any persistence of "wild

west" conditions but obtains in the east as well as in the west.

Indeed our large cities are by far the worst in this regard. New York

and Chicago have many times as many murders annually as London has,

though there is no very great difference in the composition of the

population of these cities, for all of them house large numbers of

foreigners of all kinds and they have about the same sort of slums and

very nearly the same social conditions. Poverty is worse in London and

if anything that ought to add to the homicide rate. Reverence for

human life has very largely broken down, and the taking of it is not

considered to be anything like the serious crime that it was even a

few years ago.

This increase in homicide in civilized countries, like the increase in

suicide, has come after the serious breakdown of religion. That the

rise in the homicide rate is not a question of the familiar fallacy

_post hoc ergo propter hoc_, "after this therefore because of this",

is the opinion of a number of men who have a right to have opinions

{291} on this subject, and who insist that it is the obliteration of

religious feeling with its emphatic insistence on the awfulness of the

crime of murder that has largely served to make homicide the very

common event that it is.

One powerful factor in this matter is undoubtedly the failure to

punish murder properly, and as far as may be adequately, that has

developed in recent years in this country. Very few murderers are

executed. Less than five per cent altogether of those who have

committed deliberate murder are ever executed, and in some States it

is actually only two per cent. When but two out of every hundred men

who take life deliberately lose theirs, it is easy to understand that

men, in times of intense anger, will not have the restraint which

would otherwise be exerted over them by the fear of prompt loss of

life under disgraceful circumstances for themselves. Many a man will

take his chances of having a long prison term for murder shortened by

executive clemency or a pardon board who would hesitate very much over

the thought of having to die himself by prompt legal measure. I have

heard a distinguished jurist say that they execute nine out of ten of

their murderers in England, while we execute a little more than two

out of every hundred on the average of ours, so that there is little

reason for wonder why we have ten times as many murders.

The real reason for this decrease in the number of executions and the

growth of the opposition on principle to capital punishment in this

country is the increasing obscuration of the belief in immortality.

People have become afraid to do the irretrievable act of sending a man

out of life because, thinking only in terms of this life, they feel he

should have a chance for reform here and above all because they

hesitate to think that men ever {292} have the right to deprive

another of existence, for if there is no other world than this, the

end of physical life means annihilation. If life is but the portal to

eternity, however, at longest a brief period of trial before entering

upon another and much more important stage of existence, then the

execution of a criminal done with all the dignity of the law, exacting

a compensation as adequate as possible for a wrong that has been done,

instead of being a dreadful thing has a very definite nobility about

it. Of course, if there is no other world, the question of execution

becomes a very different consideration,--the obliteration of a fellow

human being. This feeling is often not consciously reflected upon, yet

it is effective in suggesting conclusions and ruling the mental

attitude.

The old religious orders had a tradition that certain men, because of

the circumstances in which they died and above all the fact that they

had sufficient warning as to the end of life and the chance to prepare

themselves for eternity, were predestined to heaven, though they might

have to go through a great deal of suffering, quite as Dante foresaw,

before getting there. Among these the most prominent classes were men

and women afflicted with an incurable disease which it was recognized

would surely bring on a fatal conclusion with but a few months' or

years' delay, and then those who were condemned to death had their

weeks and months of preparation in prison for that event. This intense

belief in a hereafter made the outlook on both murder and execution a

very different thing from what it is without it.

Sentimentality reigns now where the sentiment of justice formerly

ruled. A man who has committed an ugly sex crime capped with murder or

who has often, after making her life miserable for months or years,

{293} murdered a poor wife in cold-blooded deliberateness, will be the

subject of sentimental compassion during his trial from a crowd of

silly women who will send flowers to his cell to lighten his solitude

and who, if they can obtain permission, will visit him in the death

house. They forget all that his victim suffered and the necessity for

producing a definite effect upon the minds of others who might have

the temptation to follow in his path, and whose minds are of a caliber

that they can only be deterred by holding up adequate punishment

before them.

The gradual diminution of the place of religion in life has given rise

to an unfortunate phase of popular psychology with regard to the

effect of punishment in general on human beings. The wisest writings

that we have, the Holy Scriptures, which even those who might deny

their direct divine inspiration would confess readily to contain the

most marvelous knowledge of man and his ways to be found in

literature, have insisted particularly on the deterrent effect of

punishment held up before men and the reforming value of it when

properly inflicted.

Probably nowhere in modern social life is a revival of religion more

needed to save men from unfortunate tendencies in their natures than

in what concerns the estimation of the value of human life and the

prevention of a further increase in our awful statistics of suicide

and homicide. Religion is almost more needed for this than for the

so-called social diseases.

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Religion And Health · 第 16 / 19 章