The Mammoth Book of Journalism by Lewis Jon E
Author:Lewis, Jon E. [Lewis, Jon E.]
Language: eng
Format: mobi, pdf
Published: 0101-01-01T00:00:00+00:00
“The 1984 peak was followed
by a marked decline,” says
Postovalova,
“which
we
attribute to the recent anti-
alcohol campaign, since so
many suicides are committed
under the influence of drink. On
the other hand, the suicide rate
amongst adolescents and the
old has risen dramatically.
“Statistics fail to convey the
full picture. Let’s say there are
1,275 suicides in Moscow in
1987, 660 in Leningrad, and
210 in Izhevsk. Now it may
appear that things are very
much better in Izhevsk, but in
fact the situation is far more
alarming
there
than
in
Leningrad, where the rate is 15
per 100,000 of the population,
whereas in Izhevsk it’s as many
as 33 in every 100,000.
“Because the statistics have
been concealed for so long and
scientists haven’t had access to
them, there’s a lot that’s hard
to explain, and we have no
available data on people’s
social status, family situation,
ethnic origins, state of health,
or possible motivations for
killing themselves. Take the
1986 statistics for the Latvian
Republic, for instance, where
more than seventeen times
more twenty – to twenty-four-
year-old men commit suicide
than women. Women of the
same age in Tadjikistan in the
same year, however, are 1.6
times more likely than men to
commit suicide. Why is this? Or
consider Udmurtia, which leads
the autonomous republics with
41.1 suicides for every 100,000
of the population, almost the
same rate as in Hungary, which
has the highest suicide rate in
the world. But why Udmurtia?
Why
not
neighbouring
Mordovia, where the figures for
1986 were just 16.9?
“Then the suicide rate in the
countryside has now started to
exceed that in the towns. Why
is this? Which social groups are
most likely to commit suicide in
the cities? Only when we have
the full picture and can study it
as thoroughly as do our
Western counterparts can we
begin to give effective help to
those who need it.”
Lydia
Postovalova’s
Suicidology
Centre
is
attempting to find answers to
these and other questions. I
asked the Centre’s director,
Honoured Scientist of the USSR
Aina Ambrumova, to tell me
about its work.
“We’re the centre of a
complex
of
social
and
psychological welfare offices, a
telephone help-line, and the
Soviet Union’s first crisis clinic.
This clinic is very different from
the usual psychiatric hospital.
We try here to identify people
with suicidal tendencies, and to
work with those who have
already attempted suicide. We
have
already
had
some
success.
Repeated
suicide
attempts have sharply declined
in Moscow thanks to us, and all
the evidence points to the high
probability of these second
attempts, especially in the first
year.
“But we still have a lot of
problems. The telephone help-
line, for instance. For a long
time it was referred to very
grudgingly as a bourgeois
invention, of no possible use to
any Soviet citizen, so it’s hardly
surprising if not as many people
know about it as we would like.
It operates twenty-four hours a
day, seven days a week, and
we very much hope that
Moscow’s example will be
followed
by
other
towns,
especially
places
like
Sverdlovsk and Arkhangelsk,
where the situation is especially
worrying.
“But the clinic is our proudest
achievement.
People
in
psychological
distress
come
here voluntarily and talk to
experienced psychiatrists, and
they
leave
feeling
quite
different about things . . .”
The clinic is indeed very cosy,
with
comfortable
furniture,
discreet lighting, nice curtains,
and none of the doctors
wearing white coats. It has only
thirty beds, and when you
consider all the thousands of
people trying to kill themselves,
thirty beds does seem an
awfully small number, even
with
nice
curtains
and
comfortable furniture. But thank
goodness even for them.
It is seven o’clock. Psychiatrists
Poleev and have spent the day
teaching their patients to live,
and now their working day is
over and we sit talking over
glasses of tea.
“You think people commit
suicide because they don’t want
to live?” Alexander Poleev asks
me. “Nothing of the sort! Many
of them want to live more than
you or I.
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