El presente artículo tiene como objetivo reflexionar acerca de las herramientas teóricas y metodológicas que ofrece el análisis crítico del discurso para la comprensión del fenómeno del suicidio. En este sentido se proponen dos discusiones que son centrales para comprender esta relación. En primer lugar, se plantea una crítica sobre las formas de comprender la relación entre suicidio y los medios de comunicación desde la idea de la imitación. Posteriormente se discute la importancia de concebir el suicidio como una práctica (...) atravesada por construcciones sociales, políticas y culturales que no se limita de manera exclusiva la psicopatología. Finalmente se expone cómo el análisis crítico del discurso puede generar modos de comprender el suicidio que relativicen los discursos hegemónicos a que dan lugar ciertas exigencias de carácter epistemológico y tecno-científico. (shrink)

Suicidology, the scientific study of suicide and suicide prevention, constructs suicide as primarily a question of individual mental health. Despite recent engagement with suicide from a broader pu...

More than ever before it is clear that suicidology requires a serious re-thinking of its approach to understanding and responding to suicide. This is not simply because disciplines such as medicine...

This special issue of Social Epistemology represents a departure point from the traditional field of suicidology. Unlike its predecessor, critical suicidology, or more recently, critical suicide st...

No matter how hard we try to grasp it fully, something about suicide always remains out of reach or outside of knowledge, unspoken, shrouded by the privacy and singularity of the moment in which so...

This article offers a critique and reformulation of the concept of empathy as it is currently used in the context of medicine and medical care. My argument is three pronged. First, that the instrumentalised notion of empathy that has been common within medicine erases the term’s rich epistemological history as a special form of understanding, even a vehicle of social inquiry, and has instead substituted an account unsustainably structured according to the polarisations of modernity. I suggest that understanding empathy by (...) examining its origins within the phenomenological tradition, as a mode of intersubjective understanding, offers a different and profitable approach. Secondly, I argue that the appropriation of empathy in medicine means that, ironically, empathy can function as a technique of pastoral power, in which virtue, knowledge and authority remain with the doctor. And thirdly, empathy is in danger of being resourced as a substitute for equity and funding within health systems. I conclude however with hope for the productive possibilities for empathy. (shrink)

The impetus driving this article is the uncritical uses of ‘culture’ as an explanatory variable in public health research of ‘suicide’, regarding its conceptualization and operationalization as a mentally riddled phenomenon clamped in nomothetic and epidemiological nomenclature. This reduction of suicide to its presumed ‘evidence based’ figures and graphs under the guise of the lingo of culture requires and yields not only ‘thin’ understandings but also non-committal conclusions. Thus, ‘culture’ merely appears as a ‘thing’ made of shared norms and values (...) that arguably can be measured, computed, and even predicted in relation to tables of suicide rates. With the aim of critically un-disciplining and unleashing these two intersecting fuzzy concepts from the straits of their epistemological habitus, we set an alternative scene of relations between them that contribute to the re-conceptualization of both. ‘Suicide cultures’, a term we coined for highlighting temporal, agentive, performative, and social justice questions of suicide and culture, place the preoccupation with mortality and terminality at its core. This turn in the analysis of public health sheds a non-perfunctory light on the cultural parameters of counting of and accounting for the incidence of suicide in different social settings. (shrink)

Value judgements in research and political decision-making that exclude evidence for the social determinants of suicide suggest that evidence is not sufficient on its own to guide policy and practice, and that there is a lack of conceptual clarity with regard to decisions relating to the prioritization of problems, the allocation of resources, the translation of research into practice, as well as questions of responsibility for suicide prevention. In this work I seek to broaden conventional ethical debate about suicide through (...) the use of public health ethics frameworks. I argue that despite espousing a public health approach, current suicide prevention strategies are based largely on individual-level theorizing. This emphasis on the individual works to responsibilize individuals and communities for suicide prevention and directs attention away from public policy and systemic inequities. Given continued high rates of suicide, especially among disadvantaged social groups and communities, comprehensive government action is required to address the social and political determinants of suicide. Normative justification for action in realizing these ends is critical. I conclude by proposing one practicable form of action to make values and value judgements in suicide prevention explicit so that alternative forms of ethical and political recognition and responsibility are acknowledged. (shrink)

As one component of a broader social and normative response to the problem of suicide, scientism served to minimize sociopolitical and religious conflict around the issue. As such, it embodied, and continues to embody, a number of interests and values, as well as serving important social functions. It is thus comparable with other normative frameworks and can be appraised, from an ethical perspective, in light of these values, interests, and functions. This work examines the key values, interests, and functions of (...) scientism in suicidology and argues that although scientism has had some social benefit, it primarily serves to maintain political and professional interests and has damaging implications for suicide research and prevention. (shrink)

Suicide is complex; yet suicide research is dominated by ‘psy’ disciplines which can falter when seeking to explain social patterning of suicide rates, and how this relates to individual actions. This article discusses a multidisciplinary report which aimed to advance understandings of socioeconomic inequalities in suicide rates in the UK. Contrasts are drawn between health psychology and sociology. Important intersections are highlighted, including a lack of attention to socioeconomic inequalities, and an emphasis on adverse life experiences and emotions to understand (...) inequalities and suicide. There are also curious disconnects, both within and between relevant psychological and sociological perspectives. The article argues that there are significant gaps in existing theorization regarding suicide, which can only be addressed through meaningful inter-disciplinary collaborations between sociologists, psychologists and others. Current theorization in mainstream suicide research is limited by its failure to engage with enduring, yet vitally important sociological debates regarding structure and agency, nature and culture. (shrink)

In the spirit of Jennifer White’s comments, I am going to take a mildly optimistic stance. Though I too have experienced mainstream suicidology as excluding I think the limited underlying assumptions the field operates within and maintains are beginning to be effectively critiqued. The paper by Scott Fitzpatrick, Claire Hooker, and Ian Kerridge, Tom Widger’s response and Jennifer White’s subsequent comments bear witness to that. This ‘critical suiciology’, I believe, can facilitate the development of a ‘post-suicidology’ that has the potential (...) to be far more inclusive, creative, collaborative and critically engaged that the current field of study, and would draw on a broader range of interests and people. (shrink)