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The link is mental illness
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Each year in England and Wales there are 5500 suicides and deaths from undetermined external cause (these are mostly
suicides leading to an open verdict at inquest), and almost half are by methods involving physical injury.1 These methods are
diverse and include hanging, jumping from a height or in front of a
moving vehicle, burning, and firearms. They do, however, have common characteristics which allow comparison with suicides by
non-violent methods such as poisoning by overdose or car exhaust fumes.
Both violent methods and asphyxiation by exhaust fumes are
substantially more common in men (as are other types of violent
behaviour), in whom hanging is now the most common method of self
destruction.1 Violent suicides are associated with severe
mental illness such as schizophrenia and major affective
disorder,2 although mental disorder of some kind is found
in most suicides.3 Internationally the method of suicide
is also influenced by local factors including
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