The American Psychiatric Association (APA) has updated its Privacy Policy and Terms of Use, including with new information specifically addressed to individuals in the European Economic Area. As described in the Privacy Policy and Terms of Use, this website utilizes cookies, including for the purpose of offering an optimal online experience and services tailored to your preferences.

Please read the entire Privacy Policy and Terms of Use. By closing this message, browsing this website, continuing the navigation, or otherwise continuing to use the APA's websites, you confirm that you understand and accept the terms of the Privacy Policy and Terms of Use, including the utilization of cookies.

×
Published Online:https://doi.org/10.1176/ajp.116.1.59

1. An analysis was made of the emotional content of notes left by 165 suicides in Philadelphia over a 5-year period. Over half the notes showed such positive affect as gratitude, affection, and concern for the welfare of others, while only 24% expressed hostile or negative feelings directed toward themselves or the outside world, and 25% were completely neutral in affect.

2. Persons aged 45 and over showed less affect than those under 45, with a concomitant increase in neutral affect.

3. Persons who were separated or divorced showed more hostility than those single, married, or widowed.

4. It is believed that these findings have certain implications for further understanding of suicide and ultimate steps toward prevention. The recognition that positive or neutral feelings are present in the majority of cases should lead to a more promising outlook in the care and treatment of potential suicides if they can be identified.

Access content

To read the fulltext, please use one of the options below to sign in or purchase access.