Tuesday, April 30, 2013

Suicide -- Nature or Nurture?

Does suicide run in families?
Why might suicide run in families?
 


Some observers think that there may be a more accepting attitude in families where this has happened.Or that it is more tolerated as being something of a family trait.
This is what scientists call the 'nurture' effect. (Actually, I doubt scientists call it that among themselves, but it's the general population understanding of what scientists call it. They probably refer to it ad "Environmental Effects of X on Y")


There may be something to this. If the inevitability is accepted,does that make it acceptable?
If a child grows up being told how much he is just like the charming, entertaining Uncle Waldo -- such a card! -- will he grow up to be another Uncle Waldo?
What if, after the show is over and the lights have gone down, Uncle Waldo couldn't live with his image or his heartbreak -- if Uncle Waldo committed suicide, will Uncle Waldo's relative then get a free pass to do the unthinkable?

It may help the surviving family to think so. There may be an easing of grief and guilt by blaming it on family history.
Family history may be to blame that symptoms went unacknowledged.. The reason why no help was sought, because the story is more lively than the backstory. Because the entertainment has more 'body' than the ending.

But how much of that is Nature. Depression is a physically caused illness that affects the mind. Depression runs in families. So far as I know, specific genes have not been found, but there have been indications of gene markers, whatever they are.

I liken the nature of the disease depression to the disease diabetes.
If your family has a history of late 30/ early 40s young adults sinking into coma a coma, is it acceptable to shrug and say, "Oh well, he's just like Uncle Waldo"?
Of course not.
When the coma happens, or the despair -- it's time to look for medical answers. They do exist.
In the case of the diabetic, it's easily diagnosed and usually easily treated.
Depression is not as easy, but there are treatments and therapies. Just as the diabetic needs to adjust dosages and behaviors, so does the depressed patient.


But if the diagnosis and treatments can't be adjusted quickly enough, in either case, the  sufferer will die as a function of his disease.
Not because he is just like Uncle Waldo, but because he suffered from the same (genetically influenced) disease.

I suppose, like most things, it is a combination of the two effects. Not nature vs nurture, but nature&nurture. Plus individuality.

What I would like to do is to urge anyone with suicide as a family trend, is to learn and be alert to the signs of this disease (or any related illness). Don't watch and worry -- that would be enough to make a sane person crazy -- but be aware.

It's not just the family history -- it's the family future.

1 comment:

  1. It is the nature of the individual. That's my opinion. It's in the nature of how that individual decides to deal/handle their life. One can choose to give into the depression and let it take the wrong course. Or one can choose to recognize depression for what it is and choose to fight against it in a positive way. I choose the positive life. Thank you, Ruth, for posting...

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