Thomas Joiner

20 years old at this point and out of date with current research, though I doubt that it was on the pulse of the research at the time, as the author's biases steer him towards conclusions that have some support but are vastly overstated. Central to his theory is that pain is a stepping stone toward the ability to commit suicide, but this isn't always in terms of explicit self-harm but also just having experienced pain (for example a very tortured case is made for that of Reimer's botched show more gender reassignment and attempt at realignment leading to suicide based on painful surgeries, it should be obvious there's a sea of confounding issues there), and even tattoos - in being painful - is some type of self harm (more than 20 year old social stereotypes about who gets tattoos and why might be the cause of that whopper). Having gotten absolutely stuck on this idea he reformulates even risk seeking behavior like skydiving to a progressive desensitization to death, because of "habituation to injury".

The central idea that (many) suicides are a progressive escalation, and that means, motive and opportunity conspire to make certain cases more or less lethal and likely has wide support. The overlap between risk seeking, drug use and suicides also seems present in the wide data but in formulating a definite causality this book really falls on its face.

Joiner's own work on "thwarted belongingness and perceived burdensomeness" (The Interpersonal Theory of Suicide link to paper) seems much more fruitful in searching for suicide prevention methodology. show less

An interesting look at what, exactly, are the distinguishing characteristics of those who die by suicide, according to the author's theory. (If you wanted to make this book into a drinking game, you could take a shot every time he writes "my theory", but then you'd be so drunk after the first chapter you'd never finish the book.)

This book sort of crosses, and recrosses again, the fine line between overly scientific and oriented towards the layperson. At times I found the book very show more accessible, and at times there were sentences riddled with words I've never seen before in my life.

At any rate, you won't find much about mental illness in here, which sort of makes sense, considering that the author is trying to tease out why people kill themselves, and not everybody with a mental illness actually carries out a suicide attempt or dies by one. But still, I found it maybe a bit shortsighted that therapy methods were mentioned briefly, and antidepressants were almost lost in three paragraphs. So, I'm not sure what the author really recommends that one does if one has all of the warning signs for suicide. Go to therapy? I guess? It was hard to tell, ultimately, what his recommendations are. And that's where I think this book really falls short. show less

The book was pretty repetitive (kept bringing up the same examples over and over again) and I wish it had a better table of contents. But Joiner definitely knows his stuff and he writes in a very engaging way, with appropriate intensity and details. I think I agree with everything he said about the various myths. I would recommend this to suicidal people, their families and friends, and anyone who's just interested in the subject. If I commit suicide, I might will my diaries to Dr. Joiner show more for his research. show less

I really enjoyed this book. It brings up some interesting points on gender roles, male stoicism, and the long term effects they can have.

For the review in the context of my blog, go here: http://wp.me/p382tY-OS