While it's true that suicide completers often differ from attempters, this doesn't invalidate the evidence showing that
Right but you miss the point here .
A suicide completer is choosing a more lethal means while a suicide attempter is choosing a less lethal means WHEN MORE LETHAL MEANS ARE AVAILABLE.
It’s not a function of availability. It’s a function of choice.
Without firearms in a. Korea ? Suicide completers simple choose another highly lethal means like . Hanging.
Because most people who survive a suicide attempt do not go on to die by suicide, removing access to the most lethal means—especially during moments of crisis—saves lives.
But those suicide attempters who survive are qualitatively different than those that complete suicide. That’s why they are in part less likley to attempt again.
And of course another major reason that suicide attempters are less likely to try again?
Is because they GET TREATMENT .
The point is not that attempters and completers are identical, but that delaying or interrupting an attempt dramatically reduces the risk of death, especially when the most lethal tools are not within reach.
Sure. But that’s only in the case of when someone has become suicidal.
That’s not the case in removing firearms from people who are not suicidal.
That’s a giant waste of resources that instead should go to improving access to mental health so people don’t develop suicidal ideation and make an attempt regardless of method.
Miller, Azrael, & Hemenway, 2004,
Annals of Internal Medicine
Harvard School of Public Health: Means Matter
Well , actually the planning can go on for some time.
That’s why one of the warning signs of an imminent attempt is a patient suddenly becoming better. At that point they have made the decision and have a plan in place and feel at peace.
Research shows that the time between deciding to die by suicide and acting on it can be astonishingly short—often under an hour. In one study, 24% acted within 5 minutes of the decision
1. Again that’s suicide attempters. Who are less likely to use firearms anyway. How do we know? Because they attempted and failed which is how we can ask them.
But we know suicide completers are different .
So assuming that those that choose a firearm are “ just as impulsive” is blatantly wrong.
2. The idea of “ impulsive” as “ acting on it”
After the decision was made?
That implies that they were not having suicide ideation for any time before that and that’s wrong.
Once a decision was made . And perhaps they had been thinking of slicing their arm for days or even weeks , when they decided to do it then they had a knife in their hand quick.
But that’s not REALLY impulsive. That person was having suicide ideation for some time most likley
It’s a bit of an issue in the medical field because the “ impulsivity” of suicide is a nice myth, that absolves medical professionals from liability if a patient commits suicide.
. Even people who plan may do so impulsively in response to acute emotional distress.
And again that planning would involve having a firearm or a rope etc
The argument that “means restriction doesn’t work” because countries like Japan and South Korea have
Not true. This assumption is based on the misdirected belief of the “ impulsivity ” which has been largely disproven.
There is simply no physiological mechanism that a firearm would cause more people to become suicidal.
Cultural and societal factors—such as work stress, stigma around mental illness, and social isolation—also play a massive role.
Exactly. The things that REALLY MATTER.
Clearly s Korea and Japan have spent huge amounts of time and resources on virtually eliminating guns from society and yet suicide rates are exceptionally
As far as it being a false dichotomy? BS. The gun control debate easily overrides any discussion of mental health in this country .
And the billions wasted on gun control could have gone to mental health access and treatment that would have prevented all suicides, not just those with a firearm .