Suicide: Its History, Literature, Jurisprudence, Causation, and PreventionWestcott, W. Wynn (William Wynn)
Philosophy
Suicide: Its History, Literature, Jurisprudence, Causation, and Prevention
Westcott, W. Wynn (William Wynn)
Suicide
As a preventive of suicide in melancholia, the noted Avenbrugger
recommended that the patient should be made to drink a pint of cold
water every hour, whilst his feet were wrapped in flannel. Hufeland
also advised the ingestion of plenty of cold water for mania. The
eminent alienist Burrows recommended emetics, bleeding, and warm baths,
accompanied by cold douche to the head, as measures fitted to remove
the suicidal propensity. The means recommended by Brierre de Boismont
for avoiding the suicidal propensity in the insane were the persistent
use of morphia to ensure sleep, and the prolonged use of baths,
the continuous immersion of the body for four, five, or six hours.
Griesinger remarks that medication is of no use, and that mechanical
restraint does not remove the tendency, even if it renders the act
impossible for the time; nothing but constant watching is of any avail
until the inclination passes off.
It has been suggested by many physicians that bleeding would remove
the suicidal tendency in cases where it is associated with cerebral
irritation, congestion, or inflammation.
Several cases of cut-throat are on record, in which the patient, who
had just been raving, became sane after the bleeding which followed his
act: Dr. Southwood Smith mentions this, see “Philosophy of Health,”
vol. i., p. 109; and the elder Disraeli mentions that a surgeon
narrated such a case to him. See “Curiosities of Literature.” The case
of the late Sir Samuel Romilly was one example of this point; the
bleeding restored his senses, and he did all in his power to check the
hæmorrhage. See Wynter. “Borderlands of Insanity.”
Suicidal patients require most watching early in the morning; a good
lunch often dispels the tendency for the day. During convalescence from
mania, &c., relapses into suicidal condition are very common, and it is
frequently in these remissions that nurses become less watchful just
when they should be vigilant, and the act is committed.
When the tendency is the result of alcoholism, we are met by this
difficulty; restraint is needed, and yet no one has the power to
enforce restraint; the physician succeeds well enough in relieving
the alcoholic delirium and coincident risk of suicide, perhaps time
after time; but is powerless to prevent a succeeding attack. Unless a
sufferer can be induced to volunteer his entry into a retreat, there
are no means of saving him from himself. So long as a man is sensible
when sober, be it only for an hour a day, he is beyond the reach of
compulsory cure.
In the suicidal mania of parturition, on the other hand, the patient
is happy in being already, from her state, under the practical control
of her medical attendant, and hence such cases are almost always
restrained successfully.
Public-domain text, read in full here on John Shaqi.
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