Published online by Cambridge University Press: 28 July 2009
Despite Durkheim's powerful argument that suicide is caused by social forces only (Durkheim 1966), recent studies have viewed suicide as resulting from a combination of psychological and environmental factors, as springing from the suicide's personality conjoined with his immediate social setting. ‘Suicide is both a personal and a social act’ (Reynolds and Farberow 1976: 33). Social forces alone cannot explain why only a few people commit suicide nor can psychological factors by themselves provide the necessary set of conditions for individual suicides. Certain syndromes are widespread: illness, loneliness, bereavement, shame lead to suicide in many parts of the world. But each society's structure and institutions determine the environmental setting and constellations involved in suicide. How does the society regard illness? Who will be lonely? In what relationships is loss most sharply felt? What constitutes shame? Social forces define the various trouble spots and categories and groups of people most at risk in the society. Their interplay with psychological factors outlines who will commit suicide.