"In some cases the nerves give way altogether: mental alienation sets in; at last the wretch finds in a madhouse that repose which life would not afford him. Others terminate their unendurable situation by the desperate act of suicide. How many unexplained cases of suicide in young men ought to be ascribed to this cause! "I do not think I am far wrong when I maintain that at least half of the suicides of young men are due to this one circumstance. Even in cases where no merciless blackmailer persecutes the Urning, but a connection has existed which lasted satisfactorily on both sides, still in these cases even discovery, or the dread of discovery, leads only too often to suicide. How many officers, who have had connection with their subordinates, how many soldiers, who have lived in such relation with a comrade, when they thought they were about to be discovered, have put a bullet through their brains to avoid the coming disgrace! And the same thing might be said about all the other callings in life. "In consequence of all this, it seems clear that if, as a matter of fact, mental abnormalities and real disturbances of the intellect are commoner with Urnings than in the case of other men, this does not establish an inevitable connection between the mental eccentricity and the Urning's specific temperament, or prove that the latter causes the former. According to my firm conviction, mental disturbances and morbid symptoms which may be observed in Urnings ought in the large majority of instances not to be referred to their sexual anomaly; the real fact is that they are educed in them by the prevalent false theory of sexual inversion, together with the legislation in force against Urnings and the reigning tone of public opinion. It is only one who has some approximate notion of the mental and moral sufferings, of the anxieties and perturbations, to which an Urning is exposed, who knows the never-ending hypocrisies and concealments he must practise in order to cloak his indwelling inclination, who comprehends the infinite difficulties which oppose the natural satisfaction of his sexual desire--it is only such a one, I say, who is able properly to wonder at the comparative rarity of mental aberrations and nervous ailments in the class of Urnings. The larger proportion of these morbid circumstances would certainly not be developed if the Urning, like the normal man, could obtain a simple and facile gratification of his sexual appetite, and if he were not everlastingly exposed to the torturing anxieties I have attempted to describe."