

“The hypothesis of this book is that suicide epidemics appear wherever a culture based on mutual aid, respect, and belonging suddenly gives way to world of anonymous market transactions, individualism, and formal institutions, and, at the same time, a demonstrative love culture is weak.” (p.115)
Helen C. Epstein’s short but powerful book presents the latest research into suicide. It’s no secret that the Holidays trigger a spike in suicides. But in Chapter 5, “What is Haunting America’s Veterans”, I learned the vast majority of veterans who had taken their lives were abused as children. In Chapter 3, “Russia’s Traumatic Transition”, I learned that half the men in Russia are alcoholics–and that greatly increases the rate of suicides.
Many people who commit suicide suffer from depression…but only 1% of depression sufferers resort to suicide. “The age-adjusted suicide rate in the U.S. was 14.1 per 100,000 in 2023, after reaching 14.2 per 100,000 in 2022. In 2023, men died by suicide at a rate 3.8 times higher than women, and white males accounted for the majority of suicide deaths. The highest age-specific rates were for those aged 85 and older (22.7 per 100,000) and the lowest were for those aged 10–14 (2.3 per 100,000).”
Why Live documents the attempts to deal with suicide as a societal problem. Epstein suggests capitalism, transactional social interactions, and rigid working conditions that steal all creativity and purpose from a job contribute to the problem of suicide. No job, living in poverty, debts, poor health, and a sense of powerlessness makes suicide an attractive option. GRADE: A
TABLE OF CONTENTS:
INTRODUCTION — 8
CHAPTER ONE: The Inuit: The Highest Suicide Rate in the World — 27
CHAPTER TWO: Sturm und Drang in Micronesia — 42
CHAPTER THREE: Russia’s Traumatic Transition –56
CHAPTER FOUR: Deaths of Despair in America’s Heartland — 74
CHAPTER FIVE: What is Haunting American’s Veterans? — 87
CHAPTER SIX: The Arts of Endurance — 100
CONCLUSION — 115
FURTHER READING — 135
ACKNOWLEGEMENTS — 139
NOTES — 140











