A patient of Falret had well-marked suicidal delirium. So urgent were
the symptoms, that he was placed under restraint and carefully watched.
Active cathartics were administered, and Falret states that the
largest tape-worm he ever saw was evacuated. The idea of suicide soon
vanished, and the man was restored in perfect health to his friends and
family.[58]
Foderé examined the bodies of three persons in one family who fell
by their own hands, and in the three cases considerable disease was
discovered in the intestinal canal, which had been irritating the brain
and disturbing its manifestations.
In the instances just referred to, the indication of physical disease
of the _primæ viæ_ were but trifling during life.
Disease of the stomach and liver frequently incite to suicide; hepatic
affections notoriously disturb the equilibrium of the mind. Many a case
exhibiting an inclination to suicide has been cured by a few doses of
blue pill. The physician should direct his attention to the condition
of the uterine function and the state of the skin. During the puerperal
state, a tendency to suicide is often manifested.
A lady, shortly after her accouchement, expressed, with great
determination, her intention to kill herself. Her bowels had not been
properly attended to, and a brisk cathartic was given. This entirely
removed the suicidal disposition.
Any irregularity in the action of the uterine organ may give rise to
the same inclination. Under such circumstances, emmenagogues will do
much good.
German writers dwell much upon the connexion between suicide and
derangement of the cutaneous secretion. That this function should also
be attended to there cannot be a doubt, although we cannot call to
mind any cases of suicide which could be directly traced to suppressed
perspiration.
In some cases, a blister applied and kept open in the neighbourhood of
the head has effected much good. In other instances, issues have been
beneficial, particularly in persons subject to cerebral congestion.
There is, however, a condition of brain accompanying the suicidal
disposition which may be denominated a state of _cerebral irritation_,
in which bleeding or depletion would be injurious. In such cases,
friction on the spine, and the administration of anti-spasmodics,
gentle aperients, and alteratives, will be serviceable.
Sufficient attention is not paid to those precursory symptoms which
indicate the existence of a disposition to suicide. In two-thirds of
the cases that occur, the act is preceded by premonitory signs, which,
if attended to, will prevent the developement of the propensity.
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