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Suicide and suicidal behavior affect individuals of all ages, genders, races and religious groups in all countries, representing an important social issue. The major risk factor associated with suicide is depression. However, in some instances, suicide is not preceded by warning signs of mental disorders. Variations in the sociopolitical structures in the communities in U.S. may hold the explanation of variations on suicide rates. The objective of this study is to understand how suicide relates with variations in the community structure. Some specific socio-structural elements of a community have the potential to protect against distress by protecting individuals’ socio-psychological health. Specifically, variations in structural pluralism affect a community’s welfare because of the potential presence of dense networks of associations that create problem-solving capacity for the community. The problem solving capacity of communities results from pluralistic political structures with dense networks of associations, advocating civic welfare. As one of the consequences of influence on community’s welfare, the structural pluralism theory is tested here as a direct protection again suicide. To address this objective, county-level data are needed. Several data sources will be used to provide information essential for the analysis in this study. The suicide rates will be calculated from the Centers for Disease Control, National Center for Health Statistics’ Compressed Mortality File for the years of 1998-2002. To provide information on structural pluralism, data from the 2000 County Business Patterns will be used. The 2000 Census data and the Religious Congregations and Membership Study 2000 will be used to provide information on demographic characteristics.

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This study explores therapists' experience of working with suicidal clients. Using a Hermeneutic-phenomenological method informed by Heidegger [1889 – 1976] this study provides an understanding of the meaning of therapists' experiences from their perspective as mental health professionals in New Zealand. Study participants include thirteen therapists working as mental health professionals in District Health Boards from the disciplines of psychiatry, psychology and psychiatric nursing. Participants' narratives of their experiences of working with suicidal clients were captured via audio taped interviewing. These stories uncover the everyday realities facing therapists and provide an ontological understanding of their experiences working with suicidal clients in District Health Boards. The findings of this study identified three themes. All the participants experienced shock and surprise upon hearing their clients had committed suicide without presenting with signs and symptoms associated with suicidality in their assessment. All the participants experienced the responsibility of assessing suicidal clients and intervening to be a burden. Further, they suffered from guilt and fear of punishment in the aftermath of a client's suicide. They also found themselves in a professional and personal crisis as a result of their experiences and struggled to come to terms with events. This study has shown how these experiences could be understood by uncovering the perspectives therapists bring to working with suicidal clients. I have shown how mainstream prevention and intervention strategies follow on from the misrepresentation and misinterpretation of our traditional way of knowing what it means to be human. I show when therapists discover that phenomena are not necessarily what they appear to be they feel unsettled and confused about their responsibilities and what it means to live and die as a human being. The experience of being a therapist to a person who commits suicide has been revealed in this thesis to leave a profound legacy of guilt, doubt and fear. This thesis proposes that it may be time for the profession to care for its own that therapists in turn may not shy back from caring for and about the vulnerable other.

This study explores therapists' experience of working with suicidal clients. Using a Hermeneutic-phenomenological method informed by Heidegger [1889 – 1976] this study provides an understanding of the meaning of therapists' experiences from their perspective as mental health professionals in New Zealand. Study participants include thirteen therapists working as mental health professionals in District Health Boards from the disciplines of psychiatry, psychology and psychiatric nursing. Participants' narratives of their experiences of working with suicidal clients were captured via audio taped interviewing. These stories uncover the everyday realities facing therapists and provide an ontological understanding of their experiences working with suicidal clients in District Health Boards. The findings of this study identified three themes. All the participants experienced shock and surprise upon hearing their clients had committed suicide without presenting with signs and symptoms associated with suicidality in their assessment. All the participants experienced the responsibility of assessing suicidal clients and intervening to be a burden. Further, they suffered from guilt and fear of punishment in the aftermath of a client's suicide. They also found themselves in a professional and personal crisis as a result of their experiences and struggled to come to terms with events. This study has shown how these experiences could be understood by uncovering the perspectives therapists bring to working with suicidal clients. I have shown how mainstream prevention and intervention strategies follow on from the misrepresentation and misinterpretation of our traditional way of knowing what it means to be human. I show when therapists discover that phenomena are not necessarily what they appear to be they feel unsettled and confused about their responsibilities and what it means to live and die as a human being. The experience of being a therapist to a person who commits suicide has been revealed in this thesis to leave a profound legacy of guilt, doubt and fear. This thesis proposes that it may be time for the profession to care for its own that therapists in turn may not shy back from caring for and about the vulnerable other.

Approximately 44,965 people committed suicide in 2016 in the United States, and the rate has been rising for a decade and a half. Suicide has far-reaching consequences which affect not only the victim, but those close to the person as well. For every suicide, an estimated six people are futher traumatized, bringing the current loss survivor estimate to over 5 million. Additionally, suicide costs tax payers about 70 billion dollars annually. Despite outranking homicide as a leading cause of death, the long-standing stigma associated with suicide creates a barrier for open and effective communication about the issue. This paper investigates the changing attitudes about suicide across time, the impact of the interacting factors of gender, age, sexuality, and depression, current suicide myths, the trend of suicide by cop, and discusses future needs for research and effective intervention and prevention.