Suicide is the third major killer of young people in the Western world, and in the closing decades of the twentieth century it reached epidemic proportions: around the world there has been a frightening surge in suicides committed by children, adolescents and young adults. Kay Redfield Jamison is herself a survivor of a nearly lethal suicide attempt which came after years of battling manic depression. Her survival marked the beginning of a life’s work to investigate mental illness and self-inflicted death, and she is now an internationally recognized authority on the depressive illnesses. In “Night Falls Fast” Dr. Jamison dispels the silence and shame that surround the subject of suicide and provides a better understanding of the suicidal mind and a chance to recognize the person at risk. She brings to the book not only wide scientific knowledge and clinical experience but also great compassion. In tracing the network of reasons underlying the phenomenon, she gives us astonishing examples and a startling look at the journals, drawings and farewell notes of people who have chosen to kill themselves. She also provides vivid insight into the most recent findings from hospitals and laboratories across the world; the critical biological and psychological factors that interact to cause suicide; and the new strategies being evolved to combat them. “Night Falls Fast” is a sensitive and penetrating analysis that helps us to comprehend the profound and disturbing sense of loss created in those left behind. It is the first major book on the subject in a quarter of a century and stands to become a classic account of one of the most devastating and destructive causes of death of our time. ‘An important, moving and informative book’ – “Guardian”. ‘For anyone in any way connected with a potential suicide this book is essential reading: that means all of us’ – “The Times”. ‘This is a lyrical, beautifully argued, deep and deeply troubling book’ – “Evening Standard”. ‘A profound and impassioned book which will stand as the authoritative study of suicide for many years’ – William Styron.”Suicide is a particularly awful way to die: the mental suffering leading up to it is usually prolonged, intense, and unpalliated,” writes Kay Redfield Jamison. “There is no morphine equivalent to ease the acute pain, and death not uncommonly is violent and grisly.” Jamison has studied manic-depressive illness and suicide both professionally–and personally. She first planned her own suicide at 17; she attempted to carry it out at 28. Now professor of psychiatry at Johns Hopkins School of Medicine, she explores the complex psychology of suicide, especially in people younger than 40: why it occurs, why it is one of our most significant health problems, and how it can be prevented. Jamison discusses manic-depression, suicide in different cultures and eras, suicide notes (they “promise more than they deliver”), methods, preventive treatments, and the devastating effects on loved ones. She explores what type of person commits suicide, and why, and when. She illustrates her points with detailed anecdotes about people who have attempted or committed suicide, some famous, some ordinary, many of them young. Not easy reading, either in subject or style, but you’ll understand suicide better and be jolted by the intensity of depression that drives young people to it. –Joan Price
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