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Updated: Jul 10, 2026

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The Forced Swim Test as a Model of Depressive-like Behavior
Published on: March 2, 2015
Summary
Rational suicide, often presumed rare due to mental illness, may be more common. Planned, communicated suicides with non-violent means are likely undercounted in suicidology research.
Area of Science:
- Medical Ethics
- Psychiatry
- Sociology
Background:
- Suicidology commonly assumes 'rational' suicides are rare, attributing suicidal intent to compromised competence from mental illness.
- Netherlands and Flanders report thousands of annual euthanasia/assisted suicide cases where patient competence is medically confirmed.
Purpose of the Study:
- To reconcile the discrepancy between the presumed rarity of rational suicide and the high number of medically assisted deaths.
- To propose a framework for understanding different types of suicide based on planning, communication, and method.
Main Methods:
- Distinguishing between two types of suicide based on observable characteristics.
- Analyzing the implications of these distinctions for suicidology and suicide registration.
Main Results:
- Two distinct types of suicide are identified: one characterized by impulsive, uncommunicated, violent actions (presumed incompetence), and another with opposite characteristics (planned, communicated, non-violent).
- Suicides of the second type are likely underrepresented in suicidology data as they are often not registered as suicides.
Conclusions:
- The common view in suicidology may overlook a significant category of 'rational' suicides.
- Further research is needed to identify and study these 'invisible' suicides to gain a more comprehensive understanding of suicidal behavior.
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