Kamikaze

Kamikaze (pronounced kah-mi-kah-zee or kah-muh-kah-zee)

(1) A member of a World War II era special corps in the Japanese air force charged with the suicidal mission of crashing an aircraft laden with explosives into an enemy target, especially Allied Naval vessels.

(2) In later use, one of the (adapted or specifically built) airplanes used for this purpose.

(3) By extension, a person or thing that behaves in a wildly reckless or destructive manner; as a modifier, something extremely foolhardy and possibly self-defeating.

(4) Of, pertaining to, undertaken by, or characteristic of a kamikaze; a kamikaze pilot; a kamikaze attack.

(5) A cocktail made with equal parts vodka, triple sec and lime juice.

(6) In slang, disastrously to fail.

(7) In surfing, a deliberate wipeout.

1945: From the Japanese 神風 (かみかぜ) (kamikaze) (suicide flyer), the construct being kami(y) (god (the earlier form was kamui)) + kaze (wind (the earlier form was kanzai)), usually translated as “divine wind” (“spirit wind” appearing in some early translations), a reference to the winds which, according to Japanese folklore, destroying Kublai Khan's Mongol invasionfleet in 1281.  In Japanase military parlance, the official designation was 神風特別攻撃隊 (Shinpū Tokubetsu Kōgekitai (Divine Wind Special Attack Unit)).  Kamikaze is a noun, verb & adjective and kamikazeing & kamikazed are verbs; the noun plural is kamikazes.  When used in the original sense, an initial capital is used. 

HESA Shahed 136 UAV.

The use of kamikaze to describe the Iranian delta-winged UAV (unmanned aerial vehicle, popularly known as “drones”) being used by Russia against Ukraine reflects the use of the word which developed almost as soon as the existence of Japan’s wartime suicide bomber programme became known.  Kamikaze was the name of the aviators and their units but it was soon also applied to the aircraft used, some re-purposed from existing stocks and some rocket powered units designed for the purpose.  In 1944-1945 they were too little, too late but they proved the effectiveness of precision targeting although not all military cultures would accept the loss-rate the Kamikaze sustained.  In the war in Ukraine, the Iranian HESA Shahed 136 (شاهد ۱۳۶ (literally "Witness-136" and designated Geran-2 (Герань-2 (literally "Geranium-2") by the Russians) the kamikaze drone have proved extraordinarily effective being cheap enough to deploy en masse and capable of precision targeting.  They’re thus a realization of the century-old dream of the strategic bombing theorists to hit “panacea targets” at low cost while sustaining no casualties.  Early in World War II, the notion of panacea targets had been dismissed, not because as a strategy it was wrong but because the means of finding and bombing such targets didn’t exist, thus “carpet bombing” (bombing for several square miles around any target) was adopted because it was at the time the best option.  Later in the war, as techniques improved and air superiority was gained, panacea targets returned to the mission lists but the method was merely to reduce the size of the carpet.  The kamikaze drones however can be pre-programmed or remotely directed to hit a target within the tight parameters of a GPS signal.  The Russians know what to target because so many blueprints of Ukrainian infrastructure sit in Moscow’s archives and the success rate is high because, deployed in swarms because they’re so cheap, the old phrase from the 1930s can be updated for the UAV age: “The drone will always get through”.

Imperial Japan’s Kamikazes

By 1944, it was understood by the Japanese high command that the strategic gamble simultaneously to attack the US Pacific Fleet at anchor in Pearl Harbor and the Asian territories of the European powers.  Such was the wealth and industrial might of the US that within three years of the Pearl Harbor raid, the preponderance of Allied warships and military aircraft in the Pacific was overwhelming and Japan’s defeat was a matter only of time.  That couldn’t be avoided but within the high command it was thought that if the Americans understood how high would be the causality rate if they attempted an invasion of the Japanese home islands, that and the specter of occupation might be avoided and some sort of "negotiated settlement" might be possible, the notion of the demanded "unconditional surrender" unthinkable.

HMS Sussex hit by Kamikaze (Mitsubishi Ki-51 (Sonia)), 26 July 1945 (left) and USS New Mexico (BB-40) hit by Kamikaze off Okinawa, 12 May 1945 (right).

Although on paper, late in the war, Japan had over 15,000 aircraft available for service, a lack of development meant most were at least obsolescent and shortages of fuel increasingly limited the extent to which they could be used in conventional operations.  From this analysis came the estimate that if used as “piloted bombs” on suicide missions, it might be possible to sink as many as 900 enemy warships and inflict perhaps 22,000 causalities and in the event of an invasion, when used at shorter range against landing craft or beachheads, it was thought an invading force would sustain over 50,000 casualties by suicide attacks alone.  Although the Kamikaze attacks didn't achieve their strategic objective, they managed to sink dozens of ships and kill some 5000 allied personnel.  All the ships lost were smaller vessels (the largest an escort carrier) but significant damage was done to fleet carriers and cruisers and, like the (also often dismissed as strategically insignificant) German V1 & V2 attacks in Europe, resources had to be diverted from the battle plan to be re-tasked to strike the Kamikaze air-fields.  Most importantly however, so vast by 1944 was the US military machine that it was able easily to repair or replace as required.  Brought up in a different tradition, US Navy personnel the target of the Kamikaze dubbed the attacking pilots Baka (Japanese for “Idiot”).

A captured Japanese Yokosuka MXY-7 Ohka (Model 11), Yontan Airfield, April 1945.

Although it’s uncertain, the first Kamikaze mission may have been an attack on the carrier USS Frankin by Rear Admiral Arima (1895-1944) flying a Yokosuka D4Y Suisei (Allied codename Judy) and the early flights were undertaken using whatever airframes were available and regarded, like the pilots, as expendable.  Best remembered however, although only 850-odd were built, were the rockets designed for the purpose.  The Yokosuka MXY-7 Ohka (櫻花, (Ōka), (cherry blossom)) was a purpose-built, rocket-powered attack aircraft which was essentially a powered bomb with wings, conceptually similar to a modern “smart bomb” except that instead of the guidance being provided by on board computers and associated electronics which were sacrificed in the attack, there was a similarly expendable human pilot.  Shockingly single-purpose in its design parameters, the version most produced could attain 406 mph (648 km/h) in level flight at relatively low altitude and 526 mph (927 km/h) while in an attack dive but the greatest operational limitation was the range was limited to 23 miles (37 km), forcing the Japanese military to use lumbering Mitsubishi G4N (Betty) bombers as “carriers” (the Ohka the so-called "parasite aircraft") with the rockets released from under-slung assemblies when within range.  As the Ohka was originally conceived (with a range of 80 miles (130 km)), as a delivery system that may have worked but such was the demand on the designers to provide the highest explosive payload, the fuel load was reduced, restricting the maximum speed to 276 mph (445 km/h), making the barely maneuverable little rockets easy prey for fighters and even surface fire.

Yokosuka MXY-7 Ohka.

During the war, Japan produced more Mitsubishi G4Ms than any other bomber and its then remarkable range (3130 miles (5037 km)) made it a highly effective weapon early in the conflict but as the US carriers and fighters were deployed in large numbers, its vulnerabilities were exposed: the performance was no match for fighters and it was completely un-armored without even self-sealing fuel tanks, hence the nick-name “flying lighter” gained from flight crews.  However, by 1945 Japan had no more suitable aircraft available for the purpose so the G4M was used as a carrier and the losses were considerable, an inevitable consequence of having to come within twenty-odd miles of the US battle-fleets protected by swarms of fighters.  It had been planned to develop a variant of the much more capable Yokosuka P1Y (Ginga) (as the P1Y3) to perform the carrier role but late in the war, Japan’s industrial and technical resources were stretched and P1Y development was switched to night-fighter production, desperately needed to repel the US bombers attacking the home islands.  Thus the G4M (specifically the G4M2e-24J) continued to be used.

Watched by Luftwaffe chief Hermann Göring (1893–1946; leading Nazi 1922-1945, Hitler's designated successor & Reichsmarschall 1940-1945), Adolf Hitler (1889-1945; Führer (leader) and German head of government 1933-1945 & head of state 1934-1945) presents test pilot Hanna Reitsch (1912-1979) with the Iron Cross (2nd class), Berlin, March, 1941 (left); she was later (uniquely for a woman), awarded the 1st-class distinction.  Conceptual sketch of the modified V1 flying bomb (single cockpit version, right).

The idea of suicide missions also appealed to some Nazis, predictably most popular among those never likely to find themselves at the controls, non-combatants often among the most blood-thirsty of politicians.  The idea had been discussed earlier as a means of destroying the electricity power-plants clustered around Moscow but early in 1944, the intrepid test pilot Hanna Reitsch suggested to Adolf Hitler (1889-1945; German head of government 1933-1945 & of state 1934-1945) a suicide programme as the most likely means of hitting strategic targets.  Ultimately, she settled on using a V1 flying bomb (the Fieseler Fi 103R, an early cruise missile) to which a cockpit had been added, test-flying it herself and even mastering the landing, a reasonable feat given the high landing speed.  As a weapon, assuming a sufficient supply of barely-trained pilots, it would probably have been effective but Hitler declined to proceed, feeling things were not yet sufficiently desperate.  The historic moment passed although in the skies above Germany, in 1945 there were dozens of what appeared to be "suicide attacks" by fighter pilots ramming their aircraft into US bombers.  The Luftwaffe was by this time so short of fuel that training had been cut to the point new recruits were being sent into combat with only a few hours of solo flying experience so it's believed some incidents may have been "work accidents" but the ad-hoc Kamikaze phenomenon was real.

According to statics compiled by the WHO (World Health Organization) in 2021, globally, there were an estimated 727,000 suicides and within the total: (1) among 15–29-year-olds, suicide was the third leading cause of death (2) for 15–19-year-olds, it was the fourth leading and (3) for girls aged 15–19, suicide ranked the third leading.  What was striking was that in middle & high income nations, suicide is the leading cause of death in the young (typically defined as those aged 15-29 or 15-34.  Because such nations are less affected by infectious disease, armed conflicts and accident mortality that in lower income countries, it appeared there was a “mental health crisis”, one manifestation of which was the clustering of self-harm and attempted suicides, a significant number of the latter successful.  As a result of the interplay of the economic and social factors reducing mortality from other causes, intentional self-harm stands out statistically, even though suicide rates usually are not, in absolute terms, “extremely” high.  Examples quoted by the WHO included:

Republic of Korea (ROK; South Korea): Among people aged 10–39, suicide is consistently the leading cause of death and that’s one of the highest youth suicide rates in the OECD (Organization of Economic Cooperation & Development, sometimes called the “rich countries club” although changes in patterns of development have compressed relativities and that tag is not as appropriate as once it was.

Japan (no longer styled the “Empire of Japan although the head of state remain an emperor): Suicide is the leading cause of death among those aged 15-39 and while there was a marked decline in the total numbers after the government in the mid 1990s initiated a public health campaign the numbers did increase in the post-COVID pandemic period.  Japan is an interesting example to study because its history has meant cultural attitudes to suicide differ from those in the West.

New Zealand (Aotearoa): New Zealand has one of the highest youth suicide rates in the developed world, especially among Māori youth and although the numbers can bounce around, for those aged 15–24, suicide is often the leading or second leading cause of death.

Finland:  For those aged 15-24, suicide is always among leading causes of mortality and in some reporting periods the leading one.  Because in Finland there are there are extended times when the hours of darkness are long and the temperatures low, there have been theories these conditions may contribute to the high suicide rate (building on research into rates of depression) but the studies have been inconclusive.

Australia: Suicide is the leading cause of death for those in the cohorts 15–24 and 25–44 and a particular concern is the disproportionately high rate among indigenous youth, the incidents sometimes happening while they’re in custody.  In recent years, suicide has road accidents and cancer as the leading cause in these age groups.

Norway & Sweden: In these countries, suicide is often one of the top three causes of death among young adults and in years when mortality from disease and injury are especially low it typically will rise to the top.

Kamikaze Energy Cans in all six flavors (left) and potential Kakikaze Energy Can customer Lindsay Lohan (right).

Ms Lohan was pictured here with a broken wrist (fractured in two places in an unfortunate fall at Milk Studios during New York Fashion Week) and 355 ml (12 fluid oz) can of Rehab energy drink, Los Angeles, September 2006.  Some recovering from injuries find energy drinks a helpful addition to the diet.  The car is a 2005 Mercedes-Benz SL 65 (R230; 2004-2011) which earlier had featured in the tabloids after a low-speed crash.  The R230 range (2001-2011) was unusual because of the quirk of the SL 550 (2006-2011), a designation used exclusively in the North American market, the RoW (rest of the world) cars retaining the SL 500 badge even though both used the 5.5 litre (333 cubic inch) V8 (M273).

Given the concerns about suicide among the young, attention has in the West been devoted the way the topic is handled on social media and the rise in the use of novel applications for AI (artificial intelligence) has flagged new problems, one of the “AI companions” now wildly popular among youth (the group most prone to attempting suicide) recently in recommending their creator take his own life.  That would have been an unintended consequence of (1) the instructions given to the bot and (2) the bot’s own “learning process”, the latter something which the software developers would have neither anticipated nor expected.  Given the sensitivities to the way suicide is handled in the media, on the internet or in popular culture, it’s perhaps surprising there’s an “energy drink” called “Kamikaze”.  Like AI companions, the prime target for the energy drink suppliers is males aged 15-39 which happens to be the group most at risk of suicide thoughts and most likely to attempt suicide.  Despite that, the product’s name seems not to have attracted much criticism and the manufacturer promises: “With your Kamikaze Energy Can, you'll enjoy a two-hour energy surge with no crash.”  Presumably the word “crash” was chosen with some care although, given the decline in the teaching of history at school & university level, it may be a sizeable number of youth have no idea about the origin of “Kamikaze”.  Anyway, containing “200mg L-Citrulline, 160mg Caffeine Energy, 1000mg Beta Alanine, vitamin B3, B6 & B12, zero carbohydrates and zero sugar, the cans are available in six flavours: Apple Fizz, Blue Raspberry, Creamy Soda, Hawaiian Splice, Mango Slushy & Rainbow Gummy.

Suicide

Suicide (pronounced soo-uh-sahyd)

(1) The intentional taking of one's own life.

(2) By analogy, acts or behavior, which whether intentional or not, lead to the self-inflicted destruction of one's own interests or prospects.

(3) In automotive design, a slang term for rear doors hinged from the rear.

(4) In fast food advertising, a niche-market descriptor of high-calorie products deliberately or absurdly high in salt, sugar and fat.

(5) A trick in the game Diabolo where one of the sticks is released and allowed to rotate 360° round the diabolo until it is caught by the hand that released it.

(6) In Queensland (Australia) political history, as suicide squad, the collective name for the additional members of the Legislative Council (upper house) appointed in 1921 solely for the purpose of voting for its abolition.

(7) In sardonic military slang, as suicide mission, a description for an operation expected to suffer a very high casualty rate.

(8) A children's game of throwing a ball against a wall and at other players, who are eliminated by being struck.

(9) Pertaining to a suicide bombing, the companion terms being suicide belt & suicide vest.

(10) In electrical power, as "suicide cable (or cord, lead etc)", a power cord with male connections each end and used to inject power from a generator into a structing wiring system (highly dangerous if incorrectly used).

(11) In drug slang, the depressive period that typically occurs midweek (reputedly mostly on Tuesdays, following weekend drug use.

(12) In US slang, a beverage combining all available flavors at a soda fountain (known also as the "graveyard" or "swamp water".

(13) As "suicide runs" or "suicide sprints", a form of high-intensity sports training consisting of a series of sprints of increasing lengths, each followed immediately by a return to the start, with no pause between one and the next.

1651: From the New Latin  suīcīdium (killing of oneself), from suīcīda and thought probably of English origin, the construct being the Latin suī (genitive singular of reflexive pronunciation of se (one’s self)) from suus (one’s own) + cīdium (the suffix forms cīda & cide) from caedere (to kill).  The primitive European root was s(u)w-o (one's own) from the earlier s(w)e and new coining displaced the native Old English selfcwalu (literally “self-slaughter”).  Suicide is a noun & verb, suicidal is a noun & adjective, suicider is a noun; the noun plural is suicides.  Pedantic scholars of Latin have never approved of the word because, technically, the construct could as well be translated as the killing of a sow but, in medieval times, purity had long deserted Latin and never existed in English.  The modern meaning dates from 1728; the term in the earlier Anglo Latin was the vaguely euphemistic felo-de-se (one guilty concerning himself).  It may be an urban myth but there was a story that a 1920s editor of the New York Times had a rule that anyone who died in a Stutz Bearcat would be granted a NYT obituary unless the death was a suicide.

Terry Richardson's (b 1965) suicide-themed shoot with Lindsay Lohan, 2012. 

The Legislative Council was the upper house of the state parliament in Queensland, Australia and a bastion of what might now be called the upper 1% of white privilege.  The Australian Labor Party (ALP) had long regarded the non-elected Legislative Council (and upper houses in general) as undemocratic and reactionary so in 1915, after securing a majority in the Legislative Assembly (the lower house) which permitted the party to form government, they sought abolition.  The Legislative Council predictably rejected the bills passed by the government in 1915 & 1916 and a referendum conducted in 1917 decisively was lost; undeterred, in 1920, the government requested the governor appoint sufficient additional ALP members to the chamber to provide an abolitionist majority.  In this, the ALP followed the example of the Liberal Party in the UK which in 1911 prevailed upon the king to appoint as many new peers as might be needed for their legislation to pass unimpeded through an otherwise unsympathetic House of Lords.  Ultimately, the king agreed but so shocking did the lords find the idea of their chamber being flooded with "jumped-up grocers" that they relented in their opposition.  In Queensland however, the new members of the Legislative Council duly took their places and on 26 October 1921, the upper house voted in favor of abolition, the new appointees known forever as "the suicide squad".  Despite the success, the trend didn't spread and the Commonwealth parliament and those of the other five states remain bicameral although the two recent creations, established when limited self-government was granted to the Northern Territory and Australian Capital Territory (ACT), both had unicameral assemblies.

Suicide doors

1928 Mercedes-Benz Nürburg (W08) with four rear-hinged doors.

It wasn’t until the 1950s the practice of hinging doors from the front became (almost) standardized.  Prior to that, they’d opened from the front or rear, some vehicles featuring both.  The rear-hinged doors became known as suicide doors because they were genuinely dangerous (in the pre-seat belt era), the physics of them opening while the car was at speed had the effect of dragging the passenger into the airstream.  Additionally, it was said they were more likely to injure people if struck by passing vehicles while being opened although the consequences of being struck by a car sound severe whatever the circumstances.

2021 Rolls-Royce Phantom VIII Tempus.

Still used in the 1960s by Lincoln, Ford and Rolls-Royce, they were phased out as post-Nader safety regulations began to be applied to automotive design and were thought extinct when the four door Ford Thunderbirds ceased production in 1971.  However, after being seen in a few design exercises over the decades, Rolls-Royce included them on the Phantom VII, introduced in 2003, the feature carried over to the Phantom VIII in 2017.  Like other manufacturers, Rolls-Royce has no fondness for the term suicide doors, preferring to call them coach doors; nomenclature from other marketing departments including flex doors and freestyle doors.  Engineers are less impressed by silly words, noting the correct term is rear-hinged and these days, mechanisms are included to ensure they can be opened only when the vehicle is at rest.  Encouraged by the reaction, Rolls-Royce brought back the rear-hinged door for their fixed (FHC) and drop-head (DHC) coupés although, despite the retro-touch, the factory seems now to call them simply coupés and convertibles.  

1971 Ford Thunderbird Landau.

In a nod to a shifting market, when the fifth generation Thunderbird was introduced in 1967, the four-door replaced the convertible which had been a staple of the line since 1955.  Probably the only car ever visually improved by a vinyl roof, the four-door was unique to the 1967-1971 generation, its replacement offered only as a coupé.  The decision effectively to reposition the model was taken to avoid a conflict with the new Mercury Cougar, the Thunderbird moving to the "personal coupé" segment which would become so popular.  So popular in fact that within a short time Ford would find space both for the Thunderbird and the Continental Mark III, changing tastes by the 1970s meaning the Cougar would also be positioned there along with a lower-priced Thunderbird derivative, the Elite.  Such was the demand for the personal coupé that one manufacturer successfully could support four models in the space, sometimes with over-lapping price-points depending on the options.  The four-door Thunderbirds are unique in being the only car ever built where the appearance was improved by the presence of a vinyl roof, the unusual semi-integration of the rear door with the C pillar necessitating something be done to try to conceal the ungainliness, the fake "landau irons" part of the illusion.

1966 Lincoln Continental convertible.

The combination of the suicide door, the four-door coachwork and perhaps even the association with the death of President Kennedy has long made the convertible a magnet for collectors but among American cars of the era, it is different in that although the drive-train is typical of the simple, robust engineering then used, it's packed also with what can be an intimidating array of electrical and hydraulic systems which require both expertise and equipment properly to maintain.  That need has kept a handful of specialists in business for decades, often rectifying the mistakes of others.  It was unique; after the even rarer Mercedes-Benz 300d Cabriolet D ceased production in 1962, Lincoln alone offered anything in the niche.  Introduced in 1961, the convertible was never a big seller, achieving not even four-thousand units in its best year and was discontinued after 1967, the two-door hardtop introduced the year before out-selling it by five to one.  The market had spoken; it would be the last convertible Lincoln ever produced.

Lincoln Continental concept, Los Angeles Motor Show, 2002.

Interest in the Lincoln Continental had been dwindling since the down-sizing of the early 1980s and the nameplate suffered a fourteen year hiatus between 2002-2016.  Unfortunately, the resuscitation used as its inspiration the concept car displayed at the 2015 New York International Auto Show rather than the one so admired at Los Angeles in 2002.  The LA concept might not have been original but was an elegant and balanced design, unlike what was offered in NYC fifteen years later: a dreary mash-up which looked something like a big Hyundai or a Chinese knock-off of a Maybach.  The public response was muted.

Lincoln Continental concept, New York Motor Show, 2015.

By 2019, it seemed clear the thing was on death-watch but Lincoln surprised the industry with a batch of eighty longer-wheelbase models with suicide doors to mark the eightieth anniversary of the Continental’s introduction in 1939.  Although there were cynics who suggested turning a US$72K car into one costing US$102K was likely aimed at the Chinese market where a higher price tag and more shiny stuff is thought synonymous with good taste, the anniversary models were sold only in the home market.

2019 Lincoln Continental Eightieth Anniversary Edition.

The retro gesture proved not enough.  After building a further one-hundred and fifty (non-commemorative) suicide door versions for 2020, it was announced production would end on 30 October 2020 and the Continental would not be replaced.  Not only was the announcement expected but so was the reaction; the market having long lost interest in the uninspiring twenty-first century Continentals, few expressed regret.  The name-plate however, one of the most storied in the Ford cupboard, will doubtless one day return.  What it will look like is unpredictable but few expect it will match the elegance of what was done in the 1960s.

Evelyn McHale: The most beautiful suicide.

The photograph remembered as “the most beautiful suicide” was taken by photography student Robert Wiles (1909-1991), some four minutes after the victim's death.  Evelyn Francis McHale (1923–1947) was a bookkeeper who threw herself to her death from the 86th-floor observation deck of New York's Empire State Building, landing on a Cadillac limousine attached to the General Assembly of the United Nations (UN) which was parked on 34th street, some 200 feet (60 m) west of Fifth Ave.  The police would later find he last note which read: “I don’t want anyone in or out of my family to see any part of me. Could you destroy my body by cremation?  I beg of you and my family – don’t have any service for me or remembrance for me.  My fiance asked me to marry him in June.  I don’t think I would make a good wife for anybody. He is much better off without me.  Tell my father, I have too many of my mother’s tendencies.”  It's reported her mother suffered from “an undiagnosed and untreated depression”.

Psychache

Psychache (pronounced sahyk-eyk)

Psychological pain, especially when it becomes unbearable, producing suicidal thoughts.

1993: The construct was psyche- + ache.  Psychache was coined by US clinical psychologist Dr Edwin Shneidman (1918-2009) and first appeared in his book Suicide as Psychache: A Clinical Approach to Self-Destructive Behavior (1993).  The prefix psych- was an alternative form of psycho-.  Psycho was from the Ancient Greek ψῡχο- (psūkho-), a combining form of ψυχή (psukhḗ) (soul).  Wit was used with words relating to the soul, the mind, or to psychology.  Ache was from the Middle English verb aken & noun ache (noun), from the Old English verb acan (from the Proto-West Germanic akan, from the Proto-Germanic akaną (to ache)) and the noun æċe (from the Proto-West Germanic aki, from the Proto-Germanic akiz), both from the primitive Indo-European heg- (sin, crime).  It was cognate with the Saterland Frisian eeke & ääke (to ache, fester), the Low German aken, achen & äken (to hurt, ache), the German Low German Eek (inflammation), the North Frisian akelig & æklig (terrible, miserable, sharp, intense), the West Frisian aaklik (nasty, horrible, dismal, dreary) and the Dutch akelig (nasty, horrible).  Historically the verb was spelled ake, and the noun ache but the spellings became aligned after Dr Johnson (Samuel Johnson (1709-1784)) published A Dictionary of the English Language (1755), the lexicographer mistakenly assuming it was from the Ancient Greek ἄχος (ákhos) (pain) due to the similarity in form and meaning of the two words.  As a noun, ache meant “a continuous, dull pain (as opposed to a sharp, sudden, or episodic pain) while the verb was used to mean (1) to have or suffer a continuous, dull pain, (2) to feel great sympathy or pity and (3) to yearn or long for someone or something.  Pyscheache is a noun

Psychache is a theoretical construct used by clinical suicidologists and differs from psychomachia (conflict of the soul).  Psychomachia was from the Late Latin psӯchomachia, the title of a poem of a thousand-odd lines (circa 400) by Roman Christian poet Prudentius (Aurelius Prudentius Clemens; 348-circa 412), the construct being the Ancient Greek Greek psukhē (spirit) + makhē (battle).  The fifth century poem Psychomachia (translated usually as “Battle of Spirits” or “Soul War”) explored a theme familiar in Christianity: the eternal battle between virtue & vice (onto which can be mapped “right & wrong”, “good & evil” etc) and culminated in the forces of Christendom vanquishing pagan idolatry to the cheers of a thousand Christian martyrs.  An elegant telling of an allegory familiar in early Christian literature and art, Prudentius made clear the battle was one which happened in the soul of all people and thus one which all needed to wage, the outcome determined by whether the good or evil in them proved stronger.  The poem’s characters include Faith, Hope, Industry, Sobriety, Chastity, Humility & Patience among the good and Pride, Wrath, Paganism, Avarice, Discord, Lust & Indulgence in the ranks of the evil but scholars of literature caution that although the personifications all are women, in Latin, words for abstract concepts use the feminine grammatical gender and there’s nothing to suggest the poet intended us to read this as a tale of bolshie women slugging it out.  Of interest too is the appearance of the number seven, so familiar in the literature and art of Antiquity and the Medieval period as well as the Biblical texts but although Prudentius has seven virtues defeat seven vices, the characters don’t exactly align with either the canonical seven deadly sins, nor the three theological and four cardinal virtues.  In modern use, the linguistic similarity between psychache and psychomachia has made the latter attractive to those seduced by the (not always Germanic) tradition of the “romance of suicide”.

A pioneer in the field of suicidology, Dr Shneidman’s publication record was indicative of his specialization.

Dr Edwin Shneidman (1918-2009) was a clinical psychologist who practiced as a thanatologist (a practitioner in the field of thanatology (the scientific study of death and the practices associated with it, including the study of the needs of the terminally ill and their families); the construct of thanatology being thanato- (from the Ancient Greek θάνατος (thánatos) (death)) +‎ -logy.  The suffix -ology was formed from -o- (as an interconsonantal vowel) +‎ -logy.  The origin in English of the -logy suffix lies with loanwords from the Ancient Greek, usually via Latin and French, where the suffix (-λογία) is an integral part of the word loaned (eg astrology from astrologia) since the sixteenth century.  French picked up -logie from the Latin -logia, from the Ancient Greek -λογία (-logía).  Within Greek, the suffix is an -ία (-ía) abstract from λόγος (lógos) (account, explanation, narrative), and that a verbal noun from λέγω (légō) (I say, speak, converse, tell a story).  In English the suffix became extraordinarily productive, used notably to form names of sciences or disciplines of study, analogous to the names traditionally borrowed from the Latin (eg astrology from astrologia; geology from geologia) and by the late eighteenth century, the practice (despite the disapproval of the pedants) extended to terms with no connection to Greek or Latin such as those building on French or German bases (eg insectology (1766) after the French insectologie; terminology (1801) after the German Terminologie).  Within a few decades of the intrusion of modern languages, combinations emerged using English terms (eg undergroundology (1820); hatology (1837)).  In this evolution, the development may be though similar to the latter-day proliferation of “-isms” (fascism; feminism etc).

Death and the College Student: A Collection of Brief Essays on Death and Suicide by Harvard Youth (1973) by Dr Edwin Shneidman.  Dr Shneidman wrote many papers about the prevalence of suicide among college-age males, a cross-cultural phenomenon.

Dr Shneidman was one of the seminal figures in the discipline of suicidology, in 1968 founding the AAS (American Association of Suicidology) and the principal US journal for suicide studies: Suicide and Life-Threatening Behavior.  The abbreviation AAS is in this context used mostly within the discipline because (1) it is a specialized field and (2) there are literally dozens of uses of “AAS”.  In Suicide as Psychache: A Clinical Approach to Self-Destructive Behavior (1993) he defined psychache as “intense psychological pain—encompassing hurt, anguish, and mental torment”, identifying it as the primary motivation behind suicide, his theory being that when psychological pain becomes unbearable, individuals may perceive suicide as their only escape from torment.

Although since Suicide as Psychache: A Clinical Approach to Self-Destructive Behavior appeared in 1993 there have been four editions of American Psychiatric Association's (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM), “psychache” has never appeared in the DSM.  That may seem an anomaly given much in the DSM revolves around psychological disturbances but the reason is technical.  What the DSM does is list and codify diagnosable mental disorders (depression, schizophrenia, bipolar disorder etc), classifying symptoms and behaviors into standardized categories for diagnosis and treatment planning.  By contrast, psychache is not a clinical diagnosis; it is a theoretical construct in suicidology which is used to explain the subjective experience of psychological pain that can lead to patients taking their own lives.  It thus describes an emotional state rather than a psychiatric disorder.

Lindsay Lohan and her lawyer in court, Los Angeles, December, 2011.

Despite that, mental health clinicians do actively use the principles of psychache, notably in suicide risk assessment and prevention and models have been developed including a number of “psychache scales”, self-reporting tools used to generate a metric measuring the intensity of psychological pain (categorized with headings such as shame, guilt, despair et al).  The approaches do in detail differ but most follow Dr Shneidman’s terminology in that the critical threshold is the point at which the patient’s pain becomes unbearable or inescapable and the objective is either to increase tolerance for distress or reframe troublesome thoughts.  Ultimately, the purpose of tools is to improve suicide risk assessments and reduce suicide rates.

DSM-5 (2013).

Interestingly, Suicidal Behavior Disorder (SBD) was introduced in Section III of the DSM-5 (2013) under “Conditions for Further Study”.  Then, SBD chiefly was characterized by a self-initiated sequence of behaviors believed at the time of initiation to cause one’s own death and occurring in the last 24 months.  That of course sounds exact but the diagnostic criteria in the DSM are written like that and the purpose of inclusion in the fifth edition was to create a framework so systematically, empirical studies related to SBD could be reviewed so primary research themes and promising directions for future research could be identified.  Duly, over the following decade that framework was explored but the conclusion was reached there seemed to be little utility in the clinical utility of SBD as a device for predicting future suicide and that more research was needed to understand measurement of the diagnosis and its distinctiveness from related disorders and other self-harming behaviors.  The phase “more research is required” must be one of the most frequently heard among researchers.

In the usually manner in which the APA allowed the DSM to evolve, what the DSM-5s tentative inclusion of SBD did was attempt to capture suicidality as a diagnosis rather than a clinical feature requiring attention.  SBD was characterized by a suicide attempt within the last 24 months (Criterion A) and that was defined as “a self-initiated sequence of behaviors by an individual who, at the time of initiation, expected that the set of actions would lead to his or her own death”.  That sounds uncontroversial but what was significant was the act could meet the criteria for non-suicidal self-injury (ie self-injury with the intention to relieve negative feelings or cognitive state in order to achieve a positive mood state (Criterion B) and cannot be applied to suicidal ideation or preparatory acts (Criterion C).  Were the attempt to have occurred during a state of delirium or confusion or solely for political or religious objectives, then SBD is ruled out (Criteria D & E).  SBD (current) is given when the suicide attempt occurred within the last 12 months, and SBD (in early remission), when it has been 12-24 months since the last attempt.  It must be remembered that while a patient’s behavior(s) may overlap across a number of the DSM’s diagnosises, the AMA’s committees have, for didactic purposes, always preferred to “silo” the categories.

DSM-5-TR (2022).

When in 2022 the “text revision” of the DSM-5 (DSM-5-TR) was released, SBD was removed as a condition for further study in Section III and moved to “Other Conditions That May Be a Focus of Clinical Attention” in Section II. The conditions listed in this section are intended to draw to attention of clinicians to the presence and breadth of additional issues routinely encountered in clinical practice and provide a procedure for their systematic documentation.  According to the APA’s editorial committee, the rationale for the exclusion of SBD from the DSM-5-TR was based on concerns the proposed disorder did not meet the criteria for a mental disorder but instead constituted a behavior with diverse causes and while that distinction may escape most of us, within the internal logic of the history of the DSM, that’s wholly consistent.  At this time, despite many lobbying for the adoption of a diagnostic entity for suicidal behavior, the APA’s committees seem still more inclined to conceptualize suicidality as a symptom rather than a disorder and despite discussion in the field of suicidology about whether suicide and related concepts like psychache should be treated as stand-alone mental health issues, that’s a leap which will have to wait, at least until a DSM-6 is published.

How to and how not to: Informatie over Zorgvuldige Levensbeëindiging (Information about the Careful Ending of Life, 2008) by Stichting Wetenschappelijk Onderzoek naar Zorgvuldige Zelfdoding (The Foundation for Scientific Research into Careful Suicide) (left) and How Not to Kill Yourself: A Phenomenology of Suicide (2023) by Clancy Martin (right).

Informatie over Zorgvuldige Levensbeëindiging (Information about the Careful Ending of Life, 2008) was published by a group of Dutch physicians & and researchers; it contained detailed advice on methods of suicide available to the general public, the Foundation for Scientific Research into Careful Suicide arging “a requirement exists within society for responsible information about an independent and dignified ending of life.”  It could be ordered only from the foundation’s website and had the advantage that whatever might be one’s opinion on the matter, it was at least written by physicians and scientists and thus more reliable than some of the “suicide guides” which are sometimes found on-line.  At the time research by the foundation had found that despite legislation in the Netherlands which permit doctors (acting within specific legal limits) to assist patient commit suicide, there were apparently several thousand cases each year of what it termed “autoeuthanasia” in which no medical staff directly were involved.  Most of these cases involved elderly or chronically ill patients who refused food and fluids and it was estimated these deaths happened at about twice the rate of those carried out under the euthanasia laws.  Since then the Dutch laws have been extended to included those who have no serious physical disease or are suffering great pain; there are people who simply no longer wish to live, something like the tragic figure in Blue Öyster Cult’s (Don't Fear) The Reaper (1976) © Donald Roeser (b 1947):

Came the last night of sadness
And it was clear she couldn't go on
Then the door was open and the wind appeared
The candles blew then disappeared
The curtains flew then he appeared
Saying don't be afraid

There is a diverse literature on various aspects of suicide (tips and techniques, theological & philosophical interpretations, cross-cultural attitudes, history of its treatment in church & secular law etc) and some are quite personal, written variously by those who later would kill themselves or those who contemplated or attempted to take their own lives.  In How Not to Kill Yourself: A Phenomenology of Suicide (2023) by Canadian philosopher Clancy Martin (b 1967), it was revealed the most recent of his ten suicide attempts was “…in his basement with a dog leash, the consequences of which he concealed from his wife, family, co-workers, and students, slipping back into his daily life with a hoarse voice, a raw neck and series of vague explanations.”

BKA (the Bundeskriminalamt, the Federal Criminal Police Office of the FRG (Federal Republic of Germany (the old West Germany)) mug shots of the Red Army Faction's Ulrike Meinhof (left) and Gudrun Ensslin (right).

The song (Don't Fear) The Reaper also made mention of William Shakespeare's (1564–1616) Romeo and Juliet (1597) and in taking her own life (using her dead lover’s dagger) because she doesn’t want to go on living without him, Juliette joined the pantheon of figures who have made the tragedy of suicide seem, to some, romantic.  Politically too, suicide can grant the sort of status dying of old age doesn’t confer, the deaths of left-wing terrorists Ulrike Meinhof (1934–1976) and Gudrun Ensslin (1940–1977) of the West German Red Army Faction (the RAF and better known as the “Baader-Meinhof gang”) both recorded as “suicide in custody” although the circumstances were murky.  In an indication of the way moral relativities aligned during the high Cold War, the French intellectuals Jean-Paul Sartre (1905–1980) and Simone de Beauvoir (1908–1986) compared their deaths to the worst crimes of the Nazis but sympathy for violence committed for an “approved” cause was not the exclusive preserve of the left.  In July, 1964, in his speech accepting the Republican nomination for that year’s US presidential election, proto-MAGA Barry Goldwater (1909–1998) concluded by saying: “I would remind you that extremism in the defense of liberty is no vice!  And let me remind you also that moderation in the pursuit of justice is no virtue!”  The audience response to that was rapturous although a few months later the country mostly didn’t share the enthusiasm, Lyndon Johnson (LBJ, 1908–1973; US president 1963-1969) winning the presidency in one of the greatest landslides in US electoral history.  Given the choice between crooked old Lyndon and crazy old Barry, Americans preferred the crook.

Nor was it just politicians and intellectuals who could resist the appeal of politics being taken to its logical “other means” conclusion, the Canadian singer-songwriter Leonard Cohen (1934-2016) during the last years of the Cold War writing First We Take Manhattan (1986), the lyrics of which were open to interpretation but clarified in 1988 by the author who explained: “I think it means exactly what it says.  It is a terrorist song.  I think it's a response to terrorism.  There's something about terrorism that I've always admired.  The fact that there are no alibis or no compromises.  That position is always very attractive.”   Even in 1988 it was a controversial comment because by then not many outside of undergraduate anarchist societies were still romanticizing terrorists but in fairness to the singer the coda isn’t as often published: “I don't like it when it's manifested on the physical plane – I don't really enjoy the terrorist activities – but Psychic Terrorism.”

First We Take Manhattan (1986) by Leonard Cohen

They sentenced me to twenty years of boredom

For tryin' to change the system from within

I'm coming now, I'm coming to reward them

First we take Manhattan, then we take Berlin

 

I'm guided by a signal in the heavens

I'm guided by this birthmark on my skin

I'm guided by the beauty of our weapons

First we take Manhattan, then we take Berlin

 

I'd really like to live beside you, baby

I love your body and your spirit and your clothes

But you see that line there moving through the station?

I told you, I told you, told you, I was one of those

 

Ah you loved me as a loser, but now you're worried that I just might win

You know the way to stop me, but you don't have the discipline

How many nights I prayed for this, to let my work begin

First we take Manhattan, then we take Berlin

 

I don't like your fashion business, mister

And I don't like these drugs that keep you thin

I don't like what happened to my sister

First we take Manhattan, then we take Berlin

 

I'd really like to live beside you, baby

I love your body and your spirit and your clothes

But you see that line there moving through the station?

I told you, I told you, told you, I was one of those

First We Take Manhattan performed by Jennifer Warnes (b 1947), from the Album Famous Blue Raincoat (1986). 

Whatever they achieved in life, it was their suicides which lent a lingering allure to German-American ecofeminist activist Petra Kelly (1947–1992) & the doomed poet American poet Sylvia Plath (1932-1963) and the lure goes back for millennia, the Roman Poet Ovid (Publius Ovidius Naso; 43 BC–17 AD) in his Metamorphoses telling an ancient Babylonian tale in which Pyramus, in dark despair, killed herself after finding her young love lifeless.  Over the centuries it’s been a recurrent trope but the most novel take was the symbolic, mystical death in Richard Wagner's (1813–1883) Tristan und Isolde (1865).  Mortally wounded in a duel before the final act, Tristan longs to see Isolde one last time but just as she arrives at his side, he dies in her arms.  Overwhelmed by love and grief, Isolde sings the famous Liebestod (Love-Death) and dies, the transcendent aria interpreted as the swansong which carries her to join Tristan in mystical union in the afterlife.  This, lawyers would call a “constructive suicide”.

Austrian soprano Helga Dernesch (b 1939) in 1972 performing the Liebestod aria from Wagner’s Tristan und Isolde with the Berlin Philharmonic under Herbert von Karajan (1908–1989).

While she didn’t possess the sheer power of the greatest of the Scandinavian sopranos who in the mid-twentieth century defined the role, Dernesch brought passion and intensity to her roles and while, on that night in 1972, the lushness of what Karajan summoned from the strings was perhaps a little much, her Liebestod was spine-tingling and by then, Karajan had been forgiven for everything.  Intriguingly, although Tristan und Isolde is regarded as one of the great monuments to love, in 1854 Wagner had written to the Hungarian composer Franz Liszt (1811–1886) telling him:

“As I have never in life felt the real bliss of love, I must erect a monument to the most beautiful of all my dreams, in which, from beginning to end, that love shall be thoroughly satiated.  I have in my head ‘Tristan and Isolde’, the simplest but most full-blooded musical concepion; with the ‘black flag’ which floats at the end of it I shall cover myself to die.”

It’s not known whether Listz reflected on this apparent compositional self-medication for psychache after in 1870 learning from his morning newspaper his daughter Cosima (1837-1930) was to be married to Wagner (then 24 years her senior) but because she’d been for some seven years conducting an adulterous affair with the German the news may not have been unexpected.  He was aware Cosmia’s daughter (Isolde Beidler (1865–1919)) had been fathered not by her then husband (the German conductor Hans von Bülow (1830–1894)) but by Wagner and her second marriage proved happier than the first so there was that.