IS /rt- CORNELL UNIVERSITY LIBRARY 924 091 024 525 DATE DUE "■HsBOjFSsew* IWLOflD PRMTEDMU.S.A Cornell University Library The original of this book is in the Cornell University Library. There are no known copyright restrictions in the United States on the use of the text. http://archive.org/details/cu31924091024525 In compliance with current copyright law, Cornell University Library produced this replacement volume on paper that meets the ANSI Standard Z39.48-1992 to replace the irreparably deteriorated original. 2001 00*11*11 Hmrmitg ptarg THE GIFT OF frvefotataen. W.I.WaMOwt* il4j,«taj>f u/xz/x^.. 97*4 Neurotic Books and News- papers as Factors in the Mortality of Suicide and Crime By Edward Bunnell Phelps, M.A., F.S.S. Editor, The American Underwriter, of New York City, and Author of "A Statistical Study of Infant Mor- tality," American Mortality Statistics for Nine Years," "Infant Mortality's Ur- gent Call for Action," "The Mortality of Alcohol," Etc. Address delivered at the 36th Annual Meeting of the American Acad- emy of Medicine, at Los Angeles, Cal., June 24, 191 1, and reprinted from the "Bulletin of the American Academy of Medicine," Vol. XII, No. 5 (issue of Oct., 191 1). '<0 NEUROTIC BOOKS AND NEWSPAPERS AS FACTORS IN THE MORTALITY OF SUICIDE AND CRIME- By Edward Bunnell Phelps, M.A., F.S.S.. editor, "The American Underwriter," of New York City. Printers' ink, like carbolic acid, has great potentialities for both good and evil, and both of the chemical compounds named have certain intimate relations with suicide and crime. Properly applied, both are prophylactic in their effects ; and yet, the one, the quicker-acting poison, is often employed as an instrument of suicide and crime, and the other — the slower-acting, insidious, poison — is not infrequently so misused as to make it- an incentive to both forms of killing. Carbolic finds its way into the hands of comparatively few people, except those who fully sense its dangers and act accordingly; whereas printers' ink now finds its way to practically every inhabitant of the civilized world — and in most cases its world-wide clientele purchases and dabbles with a fresh supply every day in the year. Looking squarely in the face the pernicious possibilities of printers' ink, if recklessly or malevolently employed, can there be the slightest question as to the relative powers for evil of the two agencies named, with their vastly differing range of operation? The "Statistical Abstract of the United States" places the total number of periodicals and newspapers published in this country in 1909, at 22,603, an( i th e latest expert estimates fix in round numbers on 60,000 as the approximate total of newspapers now published in the world at large, of which considerably more than one-half are published in English-speaking countries. Ac- cording to statistics compiled by the editor of "The Publishers' Weekly," the United States and Great Britain each turned out more than 10,000 books of one kind or another in 1909, and the annual output by the entire world of books, good, bad and in- different, now approximates 150,000. The total circulation of these 60,000 newspapers and 150,000 books nowadays annually published must be simply incalculable. As well try to count the sands of the sea. This much is certain, however; "the best sellers" of the present age, whether newspapers or books are con- sidered, unquestionably are those which cater to the lower in- stincts, and at small price provide the needed quantum of sensa- tion and spice for jaded appetites. However unfortunate this fact may be, a fact it obviously is, and at this particular epoch of yellowized journalism — and no less yellowized literature — newspapers and books of neurotic tendencies are on the very crest of the wave of profit-making prosperity. On the strength of more than a quarter-century's association at close quarters with printers' ink, and a somewhat wide acquaintance with the making of newspapers and books and with those who make them, I venture the preceding statement without the slightest fear of contra version. And it is with this appallingly large proportion of neurotic books and newspapers, and their close identification with suicide and crime as a factor in their mortality, that this paper undertakes to deal. THE FIRST AUTHORITATIVE WARNING OF THE DANGER. To the best of my knowledge, the first authoritative warning against the baneful suggestive influence of the publication by newspapers of the grewsome details of suicides and murders was sounded about seventy years ago by that eminent English statistician, Dr. William Farr, who for all but forty years was the statistical expert of the British Registrar-General's office, and was largely responsible for making the annual output of that office occupy its preeminent position in the domain of vital statistics bearing a governmental imprint. In the third annual report of the Registrar-General's office, published in 1841, Dr. Farr expressed this deliberate conclusion (pp. 79-82) : "Some plan for discontinuing, by common consent, the detailed, dramatic tales of suicide, murder, and bloodshed in the newspapers is well worthy the attention of their editors. No fact is better established in science than that suicide (and murder may per- haps be added) is often committed from imitation. A single paragraph may suggest suicide to twenty persons ; some particular, chance, but apt expression, seizes the imagination, and the dis- position to repeat the act, in a moment of morbid excitement, proves irresistible. Do the advantages of publicity counter- balance the evils attendant on one such death? Why should cases of suicide be recorded at length in the public papers, any more than cases of fever?" In his comments on "Statistics of Suicide, 1838," Dr. Farr had noted the fact that "M. Brouc, after an elaborate inquiry, lays it down as a 'social law,' that suicide is most common where education is mostdiffused ; that suicides and scholars increase in the same ratio. Modern educa- tion and literature, it is said, have led to an increase in the number of suicides It may be admitted that there is some rela- tion between the development of the intellect and self-destruction ; but the connection must be in a great measure indirect and accidental. If the progress of civilization is to be charged with the increase of suicide, we must therefore understand by it the increase of tailors, shoemakers, the small trades, the mechanical occupations, and the incidental evils to which they are exposed, rather than the advancement of truth, science, literature, and the fine arts." This reductio ad absurdum of the careless debiting of civilization with the increase in the suicide rate, which is even now often reiterated in various places, is an interesting demon- stration of the clear thinking of Dr. Farr, nearly three-quarters of a century ago, but his subsequent warning of the suggestive influence of newspapers on the suicide rate was much more important. Scores of writers have since commented on that subject — that phase of modern civilization, if you please so to term it — but perhaps no one of them all has been qualified to lend so much weight to his utterances as was, and is to this day, attached to the deliberate conclusion of one of the greatest of all the world's vital statisticians. The citation before this body of physicians, "specializing in medical sociology," of even the briefest extracts from various latter-day writers and speakers on the relations of newspapers with suicide and crime may strongly savor of carrying coals to Newcastle. In the case of an important matter which at best can be but a matter of opinion, however, the citation of the conclusions and utterances of many men of many minds plays an important part in shaping the general opinion, and I venture to round out the record with these concrete extracts from the copious literature on the subject, practically arranged in chronological order. In his paper on "The Causes of Crime," read before the National Conference of Unitarian and other Christian Churches, at Sara- toga, N. Y., September 17, 1874, ^ ie R- ev - Au g- Woodbury said: "To these (causes of crime), also, must be added the power of superstition, bigotry, and religious sentitnentalism, and also the pernicious influence of a vile literature. We have alluded to the influence of a vile literature, and particularly would we condemn those makers and venders of the miserable illustrated papers which are thrust upon us in almost every railway train, and whose trade seems to have been encroached upon of late even by journals which are respectable, in their profession, at least. ^ We hold all such and all members of society to a strict moral accountability." In passing to the next comment on the subject, it is worth while to note that the reverend speaker's criticism of the crime-purveying tendencies of supposedly re- spectable journals was made in 1874, almost forty years ago, when the sensational journalism of the present day was un- dreamed of. What would the speaker have had to say on the subject, could he then have had an advance copy of one of the sensational newspapers of 191 1, with perhaps one-half of its space given up to scare head-lines and stories of crime and suicide? Among the reports and papers published by the Howard As- sociation, of London, is a reproduction of Henry Ward Beecher's comment on "Crime and its Remedy," which apparently was issued about 1880. Under the sub-title of "Corrupt Literature," Mr. Beecher said: "I must mention also another thing that seems to me to stand ultimately connected with the dangers of the community: I mean the introduction of criminal news into our literature — not only into our novels, but in our daily food. Let a man become an atrocious criminal, and, under the pre- tense of giving news, our daily journals set forth his life contin- uously. I do not believe that it is possible for the mishaped young minds of the community to become conversant with the news of crime, in all its forms, and not be injured by it. Familiarity with vice takes away sensibility to vice. And yet gulf streams, vast currents, of criminal news sweep through your houses every day. What would you think if a man were to open a common sewer, and run out of the street through your back- yard all the feculent matter of society? Would it conduce to health, comfort and convenience? And yet to what an extent is the feculent news of the day run through your houses every morning and every evening in the newspapers? Can it be whole- some? Can it be wise? Can it be justifiable?" This being Mr. Beecher's view of the newspapers of the late 70's, or early 8o's, what would have been his view of the metropolitan "penny dreadfuls" of 1911? To answer that question, it would be neces- sary to secure one of the cheap newspapers of, say, the latter days of President Hayes' administration, lay it alongside of its 1911 counterpart on your library table, and compare notes. LATTER-DAY CONFIRMATION OF THE WARNING BY VARIOUS PSYCHOLOGICAL AUTHORITIES. It will be recalled that Dr. Farr had declared, in 1841, that "no fact is better established in science than that suicide (and murder may perhaps be added) is often committed from imita- tion." This sweeping statement of his was strongly confirmed, more than half a century later, in the chapter on "Suicide from Imitation" in the work on "Suicide and Insanity," by Dr. S. A. K. Strahan, published in London in 1893, from which I make this quotation (pp. 141, et seq.) : Suicide, from imitation, is much more common than might be expected. Many notable examples are to be found in ancient history, and even in the present day, it is by no means rarely met with. When self-destruction becomes epidemic, as it sometimes does, it very often depends, in a large degree, upon imitation. In suicide from imitation, we sometimes have it demonstrated, that, although dependent upon predisposition, it is, to a considerable extent, under the control of the will. For instance, in the case of the women of Miletus, who committed suicide in large numbers because their husbands and lovers were detained by the wars, the epidemic was put an end to by the edict that the bodies of all who committed suicide were to be carried naked through the streets. In the seventeenth century, a similar epidemic broke out among the women of Lyons, differing only from that of Miletus in there being no known cause for the outbreak. In this case the governor effectually checked the disorder by decreeing that the suicides' bodies were to be exposed naked in the market-place. Even the representation on the stage, of suicide under conditions ap- pealing forcibly to sympathy and imagination, has often been known to be followed by imitative self-destruction.S' Thus it is recorded by Legoyt, that after the drama "Chatterton," by M. de Vigny, was produced in Paris, many persons killed themselves in imitation of the hero. The same effect has been known to follow the performance of other dramas in which suicide, under strikingly pitiful or heroic circumstances, has been represented. How far the element of imitation enters into the suicides which occur from such places as Waterloo Bridge, Highgate Archway, and the Clifton Suspension Bridge it is impossible to say; but that it does have an influence is pretty certain. It is not too much to say that some, at least, of the sui- cides which followed that of Miss Moyes (1839) from the London Monu- ment, must have had a considerable element of imitation in them, just as those of the soldiers who hanged themselves, one after another, from the lintel of a certain doorway in the Hotel des Invalides had. In the latter instance the imitation was patent. No suicide had occurred in the insti- tution for more than two years, when a man was found one morning sus- pended from the lintel of a doorway. Within the fourteen days following, five men were found hanging from the same beam. The governor had the passage closed, and so soon as the identical method of suicide was rendered impossible, the epidemic disappeared as suddenly as it began. On page 39 of his book, Dr. Strahan discusses another factor of suicide which has a no less direct bearing upon the relation of sensational newspapers with self-killing, to wit, the craving of the prospective suicide for the notoriety which, as he has repeatedly seen, newspapers of this class give to many suicides. He says: "The individual who terminates his life merely that, like Eleazar, he may live in history or in the memories of his fellows as the doer of at least one heroic act, is generally but poorly qualified for legitimately distinguishing himself. He is cursed with an inordinate and all-consuming vanity which pre- ordains him to self-destruction, for suicide is almost the only mode of procedure open to him whereby he can satisfy the craving of his soul. His vanity is insatiable as the drunkard's thirst, and knowing that he can never legitimately gain the notoriety which is absolutely necessary for his happiness, he willingly quits an obscure life for a notorious death." In the work on "Criminology," by Mr. Arthur MacDonald, published in 1893, there is a chapter devoted to "Criminal Con- tagion," and under the sub-title of "Contagion from the Press," Mr. MacDonald says (p. 129): "This indirect contagion is as certain as the direct, which comes from surroundings, often from infancy. Aubry gives several cases in illustration." Aubry's book to which Mr. MacDonald alludes was entitled "La contagion du meurtre," and was published in Paris, the third edition which I have seen having been issued in 1895. In his very recent work on "Modern Theories of Criminality," Mr. C. Bernaldo de Quir6s quotes from Aubry's book at some length, in part as follows: "Long before the discovery of the nature of virulent diseases, it was known that two elements were indispensable for a man in good health to catch cholera, for instance, directly or indirectly, from a patient. There was needed a virus — microbes we would say to-day; but neither the virus nor the microbes can always act. Members of the same family may be subjected to the same regime of life for several days, and yet two, three, four of them will be infected, while the others will not, although exposed to the same causes and to the contact of their ill or dead relatives. Why is this? It is because the virulent element has not found in them a pre- pared soil in which to develop and thrive; while in the others the soil was of the most favorable and the germs multiplied and soon caused more or less serious disorders. When it is a question of moral contagion, crime for instance, do things happen other- wise? Not in the least. We shall find the same process, with the only difference that we can analyze the various elements instead of examining them under the microscope or cultivating them in gelatine." Mr. de Quiros then continues: "In his (Aubry's) opinion, the agencies that prepare the ground are: (a) direct heredity; (b) unbalanced nervous system ; (c) certain anatomical deformities or conformations still badly defined. The agencies which trans- mit the contagion, either singly or combined with one another, are : (a) home education (guilty family) ; (b) prison ; (c) reading of novels and periodicals containing accounts of crimes; (d) the spectacle of capital executions." Lombroso, by the way, confirms this theory of Aubry's, that predisposition is one of the important factors in the making of criminals, saying in his work on "The Female Offender" (p. 201, New York edition of 1895): "It is true that, as in hypnotism, the subject only responds to the suggestions which are in harmony with his character; and the women who are induced by another will than their own to commit offences have certainly had a latent tendency to crime." In an article in "The North American Review," in 1891, by William Mathews, I,L.D., on "Civilization and Suicide," various notable instances of imitative epidemics of suicide are cited, and the writer notes the fact that "in 1882, so many Parisians sought death by throwing themselves from the Vendome Column that the ascent was interdicted to the public. After Castle- reagh killed himself with a penknife in 1822, many more English- men killed themselves in the same way.* * * One of the inevi- table effects of cultivation is to make men dissatisfied with poverty and deprivation; to stimulate the demands for the comforts of life which the mass of toilers cannot attain." To quote from another magazine article, which was published in "The Westminster Review," under the title of "Crime in Current Literature, " in 1897, the anonymous author says (pp. 429-438, Vol. CXLVII) : "It has been carefully estimated that fully 80 per cent, of the yearly output of works that may be classified as purely fictional are exclusively stories of crime and criminals; and when it is recollected that the bulk of this body of writings is by second- and third-rate hands, it is not difficult to imagine the degree of its perniciousness on the minds and morals of the great novel-reading public." The anonymous author also comments at length on the deplorable prevalence of so-called "detective stories," and says that of nearly 800 weekly newspapers published in Great Britain, no fewer than 240 pub- lished (presumably in 1896-7) complete, or portions of, detective stories. In 1894 the late Col. Robert G. Ingersoll had done more than perhaps any other one man in this country has ever done to set people seriously thinking on suicide, by the publication in the New York "World," of August 7, 1894, of a long philosophical discussion over his autograph signature of the subject "Is Suicide a Sin?" — which, with its aftermath, is a very important phase of the subject of this paper, and is discussed at some length on subsequent pages. Notwithstanding this action of his in 1894, less than four years later (on February 1, 1898), in the course of an impromptu address to the members of the New Orleans Press Club, by whom he was being entertained, Col. Ingersoll said: "I am not so much opposed to what is called sensational- ism, for that must exist so long as crime is considered news, and believe me, when virtue becomes news it can only be when this will have become an exceedingly bad world. At the same time I think that the publication of crime may have more or less the tendency of increasing it. I read not long ago that if some heavy piece of furniture were dropped in a room in which there was a string instrument, the strings in harmony with the vibrations of the air made by that noise took up the sound. Now, a man with a tendency to crime would pick up that criminal feeling inspiring the act which he sees blazoned forth in all its details in the press. In that view of the matter it seems to me better not to give details of all offences." As an exceptionally comprehensive review of some of the principal suggestive influences, and especially those of books and newspapers, which move men to crime and suicide, and hence, as an appropriate ending for this symposium of extracts from many commentators, I now present the appended citations from the authoritative work by Dr. G. Frank Lydston on "The Diseases of Society (The Vice and Crime Problem)," published in 1904. Under the heading of "Suggestion and Crime — The Press, Evil Literature, and the Stage," Dr. Lydston says (pp. too, el sea.) : A SPECIALIST'S comprehensive analysis of the effects of PERNICIOUS "LITERARY" SUGGESTION- Suggestion as a cause of crime has not received the attention it deserves. The foundation of criminality being usually a neurosis — an unstable equi- IO librium of the centers of moral control and will — it is obvious that the con- ditions are favorable to the influence of suggestion. The various phases of suggestion in criminality may be classified as follows : i. Suggestion by mere association with criminals. 2 . Suggestion by the press and pernicious literature. 3. Active suggestion by specific criminal acts by vicious and depraved persons. 4. Hypnotism. 5. Suggestion imparted by the apparent safety and profit of a given form of vice or crime. Probably the most powerful factor of suggestion is the press, with its glaring sensational headlines and vivid accounts of murder, theft, and sui- cides. The neuropath reads of a great embezzlement followed by successful flight, or capture which he, in his superior wisdom, could have avoided; of a successful speculative coup ; of the murder of a guilty or suspected wife ; of a daring hold-up or burglary; of a suicide — and the suggestion is made. The result depends upon the environment and existing mental bias of the subject. Most of the suggestion results only in brain-pictures of himself committing similar deeds; only too frequently, however, the impulse to go and do likewise is too strong to be resisted. Literature of all grades has its effect in criminal suggestion. The dime novel of youth is -a dangerous element in its training. There is a "literary" disposition to lionize the des- perado that is disastrous to the morals of boys. Dick Turpin, Billy the Kid, the Earps, Wild Bill, Jesse James, and Cole Younger, are boyish ideals. The influence of the morbid and sensational in literature has been most pernicious. There is a moral or psychic contagium in certain books that is as definite and disastrous as that of the plague. The germs of psychopath)' — of mental ill health — are as potent in their way, and, as things go nowadays, as far-reaching in evil effects, as syphilis or leprosy. The average lay reader can but be injured by prurient realism; can only be made mentally and mor- ally sick by the vagaries of certain literary paranoiacs. The pubescent reader is in the greatest danger from unhealthful reading. He or she is in a condition of unstable equilibrium — adjustment to environment is not yet perfect ; the emotions are keyed to the highest pitch ; the centers of ideation are plastic. As the psychic twig is bent at this time, the cerebral tree is indeed inclined. Many a life has been ruined by psychic wounds — wounds from infected and infective ideas at this critical period. Certain determining factors in the etiology of suicide must always be taken into consideration. Chief among these are too intense mental and physical strain, the greed and excitement of speculation, alcoholism, morbid literature and plays, financial disappointments and disasters, disappointed hopes and ambitions of all kinds, grief, thwarted love, jealousy, physical suffering, domestic misery, suggestive newspaper accounts of self-murder, and true insanity. Behind the majority of cases is a varying and often unknown degree of neuropsychic degeneracy. The element of suggestion in the literature alluded to — which literature is itself the product of degeneracy — is sufficiently plain. It is especially disastrous in the case of neuropsychic degenerates (p. 190). That vanity is a prominent feature of the psychology of the criminal ha been noted by numerous observers. Ellis remarks: "Their vanity witnesses at once to their false estimate of living and of themselves, and to their ego- tistic delight in admiration." The great criminal is the genius of the crime class, and he has all of the defects of the true genius without any of his ad- mirable qualities. One of these defects, as already observed, is a morbid degree of self -appreciation (pp. 507-8). Of course the collection of extracts from notable commenta- tors on the pernicious influence of neurotic books and news- papers which I have assembled is but a mere drop in the bucket of adverse comment now available. But it suffices to indicate the substantial unanimity of opinion on the subject on the part of all thoughtful observers and students of social problems. If any competent writer on the subject has seriously dissented from the general consensus of opinion, a fairly comprehensive examination of the bibliography of suicide and crime has failed to discover the fact. In so far as a general accord of intelligent people as to the truth of any particular charge may be regarded as actual proof, the charge against books and newspapers of the sensational type may therefore be said to be proven; a mathe- matical, or statistical, demonstration of either the truth of the charge or the merest approximate measure of the evil results of the pernicious influence in question is an entirely different matter, and practically impossible. In comparatively rare cases, by means of written or printed evidence, or confessions on the part of the actual, or would-be, suicide or murderer, the direct responsibility of printers' ink for the suicide or crime may now and then be conclusively proven. But by no means always do men themselves know the moving cause for their own acts, and only in very few cases will they, or can they, reveal that cause to others. When the acts under investigation are of a criminal nature, it is practically useless to expect the perpe- trators to state the true reasons which led them to commit the crimes, even if they could state them. And in the rare cases when men under criminal charges do pretend to make partial confessions, or a clean breast of their crimes, their alleged revela- tions are more or less tinged, consciously or unconsciously, with false statements. In general, therefore, neither the case itself nor the approximate measurements of the case against suggestive books and newspapers can be reduced to a demonstration in the form of actual figures. The practically universal increase in the mortality of suicides of late years, however, can be demon- strated by official figures of at least comparative accuracy; and as this increase historically parallels that in the number and percentage of sensational, crime-inciting, books and newspapers, at least a semblance of positive evidence of the relations of the two is thereby afforded — though not for a moment, of course, can the open-minded student of the painfully complex problem of the increase in suicide forget the fact that the suggestion of printers' ink is but one of the many factors involved. The statistics of criminology are not only open to the general suspicion of inaccuracy which rests against the great bulk of governmental statistics — except in fields where exact official figures are necessarily available — but are conceded to be fraught with errors and weaknesses peculiar to them, owing to constantly changing conditions and serious discrepancies in the methods of keeping criminal records. These objections not only obviously apply to any attempted comparisons of the criminal statistics of different cities, or countries, but even to comparisons of the criminal records of the same city, or country, at different periods and under different administrations. For instance, "Bulletin" 20 of the Bureau of the Census, issued in 1905, and giving the "Sta- tistics of Cities Having a Population of over 25,000 — 1902 and 1903," records the number of arrests for drunkenness in Boston in 1903 as 27,792, and that in St. Louis in the same year as 5,201. Both the population and police force of St. Louis were substantially identical with those of Boston in point of number in that year, but on the strength of the statistical record the number of arrests for drunkenness in Boston was more than five times as large as that in St. Louis, although the number of retail liquor saloons in Boston was but 783 as compared with the 2,581 licensed in St. Louis. That is to say, in so far as published official records '3 of the Bureau of the Census go to show, sedate and semi-Puri- tanical Boston, with less than one-third as many saloons as St. I,ouis, apparently had within its borders in 1903 more than five times as much drunkenness as did the Missouri metropolis ! Almost innumerable other proofs of the incomparability of many phases of criminal statistics might be cited, but, fortunately, as this paper deals only with the actual mortality of suicide and crime, the criminal statistics appended hereto are restricted to actual deaths recorded as due to homicide, and hence are fairly comparable f Probably in most, if not all, cases, the re- corded numbers of deaths due to suicide or homicide are below the actual figures; but it is entirely safe to assume that the re- corded numbers never exceed the actual numbers. •'"In any event, therefore, the official figures are not open to the charge of ex- aggeration, and if the standards of the several bureaus of vital statistics whose figures are compared are fairly uniform the rela- tive showing of their figures is not materially misleading. To be sure, there has been so pronounced an improvement in the registration of vital statistics in many sections of this country of late years, that the apparent increase in the mortality of both suicide and homicide is probably to some extent due to the in- creased percentage of registration of deaths in these classes, as the Bureau of the Census has pointed out. But, with this warning, the official figures are presented in the tables attached to this paper, and are the only obtainable means of studying the mortality of suicide and crime. All things considered, the returns of the Registrar- General, of England and Wales, probably rank as the most complete and accurate vital statistics now obtainable for any country. The annual returns in question have been compiled and published for nearly seventy-five years, now deal with a total population of more than 35,000,000, and, largely through the pioneer work of the first statistician of the Registrar-General's office, Dr. Farr, are laid out on sound lines, and are, for the most part, justly comparable from year to year. With the single exception of those of the Commonwealth of Massachusetts, we have no vital statistics for this country, or any part of it, which begin 14 to compare in point of both antiquity and comprehensiveness with those of the British Registrar-General's office, and I have therefore commenced this statistical inquiry into the mortality of suicide and crime — in part at least undoubtedly due to the poisonous influence of printers' ink — with the study of the mor- tality on these lines in England and Wales, appended to this paper in Table I. THE COMPLETE SUICIDE AND HOMICIDE RATES OF ENGLAND AND WALES AS A BASIS OF COMPARISON. Those who are interested in detailed figures can find them in this case by referring to the table in question, but it will suffice in this connection to state that the tabulation presents the figures for deaths, both male and female, by suicide and homicide, and the rates per 1,000,000 population in each case, for the years 1889 to 1908, inclusive, and also by the two decades therein involved. In the decade, 1889-1898, the total number of sui- cides registered in England and Wales was 25,891, as against 33,292 in the decade, 1899-1908, and the numbers of suicides per 1,000,000 of population in the two decades were respectively 86.3 and 99.0, the suicide rate for the latter decade, therefore, apparently being higher by 14.72 per cent. Probably many people will be surprised to learn that in the case of deaths charged to homicide there apparently has been a slight decrease, rather than an increase, in England and Wales in the decade ending with 1908 as compared with that ending with 1898, in the later decade the homicides having numbered but 2,986, and in the earlier decade 3,040. The ratios per 1,000,000 of population were, in 1889-1898, 10.1, and in the decade 1899-1908 only 9.0, thus recording a decrease of 10.89 P^ cent. The decrease in number was restricted to male deaths from homicide, but in the case of both male and female deaths from this cause there was a small decrease in the ratio per 1,000,000 of sex popula- tion. The returns for the Registration Area of the United States (for ten years) present a very different showing in the matter of homicides, and as these are the only official homicide records for any considerable part of the population of this country for 15 any real stretch of time now available, they would seem to con- firm the common impression that the crime of murder, as well as various other crimes, is steadily increasing on this side of the Atlantic. Possibly the fact that the population of England and Wales is racially much more homogeneous than is that of this country, and in some ways much more stable, may, in part at least, account for the apparent decrease in murders in Great Britain. Presumably if there is any change in the registration of deaths due to homicide, the change would be in the direction of a more, and not less, perfect registration, and the apparent decrease may therefore be accepted at its face value. With the material increase in civilization, and the gradual subjection of the primeval animal instincts of man, a decrease in the crime of killing would seem in the natural order of things, unless certain material changes in modern congested and intensified life were to counterbalance the normal decrease in the crime of murder. I think it may fairly be assumed, however, that the mere fact of a decrease of 10.89 per cent, in the ratio of deaths by homicide per 1,000,000 population in the latter decade in England and Wales by no means disproves the common belief of intelligent observers that the suggestive sensationalism of certain types of modern books and newspapers tends to incite men to crime. Might there not, very probably, have been an even greater de- crease in the British homicide rate in the decade ending with 1908, as compared with the previous decade, but for the ever- present pernicious influence of printers' ink? On one side of the argument are the civilizing influences of modern life which obviously trend toward a reduction of crime; on the other side of the argument, are certain unsocializing influences, conspicuous among which is that of suggestive books and newspapers, which trend toward an increase in crime. Even though in the case of England and Wales there be a slight apparent decrease in so far as the one crime of consummated murder is concerned, that mere fact proves no error in the common rating of the powers for evil of evil books and newspapers. Proving a negative is hard work in almost all cases, and in this case is simply impossi- ble. A decrease in the number and ratio of murders in a land i6 having as many sensational books and newspapers as does Great Britain certainly does not prove that those books and newspapers were not really responsible for quite a number of the murders which did occur. As a matter of fact, it will be recalled, in that same country in that same period there was a pronounced in- crease in both the number and ratio of suicides — in the case of both sexes, by the way — and in all probability the evil influences in question are more intimately related to the suicide rate than to the homicide rate. In the case of the United States, or any considerable part of it, about the only vital statistics of real importance yet obtainable are those of the Registration Area for the last ten years. The decennial census taken in 1900 was the twelfth in the history of this counrty, to be sure, but so materially have the registra- tion methods of a good-sized section of the country been improved under the intelligent direction of the Division of Vital Statistics of the Bureau of the Census in recent years that the figures of the previous decennial censuses are scarcely worthy of serious comparison with those presented in the annual mortality statistics of the Bureau for the last ten years. The permanent Bureau of the Census was not established by Act of Congress until 1902, and in that year in the case of certain States, and cities of some other States, having a population aggregating only 40.6 of the total population of Continental United States were the registra- tion returns of deaths of sufficient apparent accuracy to warrant the inclusion of those States and cities of other States in the so- called Registration Area whose figures are presented in the annual Mortality Statistics of the Bureau of the Census. By 1909 there had been the necessary improvement in the registra- tion methods of enough other States and cities to increase the Registration Area — or list of States and cities of other States whose mortality records are satisfactory — to an area having 55.3 per cent, of the total population of Continental United States, thus increasing the Registration Area by more than one-third in point of population in eight years — this gain of more than 36 per cent, in population of course including the normal gain in the population of the States and cities which were included 17 in the area in 1902. Thus rapidly expanding as the Registration Area of this country is, until it now includes considerably more than one-half of the total population, the so-called annual Mor- tality Statistics of the United States actually deal with approxi- mately only one-half of its total population, instead of covering as do the vital statistics of England and Wales every city, town and hamlet. In other words, by no means complete vital statis- tics for this country are yet obtainable by years, and thus it is, unfortunately, that in practically all the international compila- tions of vital statistics those of one of the largest and most im- portant of nations are omitted. THE INCOMPLETE RECORDS OF THE UNITED STATES. I have considered it not only advisable, but necessary, to make perfectly clear the limitations of the suicide and homicide mor- tality figures for the United States which are presented in the appended tables, before taking up and briefly summarizing in the text the showings of the tables in question, and comparing them with those for England and Wales, and other countries. Nominally tracing the increased mortality of the United States in the case of suicides and homicides, in reality they deal only with the mortality of 18 States and 54 cities in nonregistration States (those included in the figures for 1909) as a maximum. From the annual Mortality Statistics of the Bureau of the Cen- sus the mortality figures for suicides for the nine years, 1900- 1908, and the mortality figures for homicides for the ten years, 1 900- 1 909, have been compiled and are presented in detail in Table II. The complete report for 1909 is not available at this writing, and although the advance bulletin for 1909 does present the total figures for both suicides and homicides in that year it does not contain the necessary detail as to suicides by ages and sexes requisite for comparison with such details for the nine previous years included in Table II. For that reason, the table does not present the suicide returns for 1909, although it does contain the homicide returns for that year. Owing to the more or less continuous change in the conforma- tion of the Registration Area from year to year, comparisons i8 of the number of suicides and homicides reported would be not only useless but positively misleading. The comparison of the ratios of both to the varying population included in the Registra- tion Area from year to year is reasonably fair — at least in the case of suicides — however, although material increase in the urban population therein included undoubtedly operates in the direc- tion of at least a slight abnormal increase in both ratios to popula- tion. Making allowance for these drawbacks, it appears that in the entire Registration Area the rate of suicides per 1,000,000 of population in the four years, 1905-1908, was 163 as compared with a ratio of only 131 in the five years, 1900-1904, thus making the suicide rates for the Registration Area of the United States for the nine years, 1900-1908, total up 147, as compared with a suicide rate of only 93 per 1,000,000 population, in England and Wales for the twenty years ending with 1908. This means that, in so far as can now be ascertained , the suicide rate of this coun- try is more than half again as high as that of Great Britain. And in cities and rural districts alike, it seems to be steadily increasing from year to year, with only very rare exceptions. In the regis- tration cities of the country it increased from 146 per 1,000,000 population in the five years ending 1904 to 185 in the next four years, and in the rural districts of the Registration Area in the same periods the increase was from 90 to 123. In the cities the increase amounted to more than 25 per cent., and in the rural districts to nearly 40 per cent. Why these pronounced increases in the narrow space of four years? What part in the increase did neurotic books and newspapers play? The apparent increase in the rural districts is particularly puz- zling. It seems to be generally agreed that the American farmer, as a class, has never been so prosperous as in recent years. Auto- mobiles, telephones, a vastly improved farming equipment, and various other fixtures of thoroughly modernized life have now come within his reach. In the west, at least, as a class he has changed from a borrower to a lender. Instead of working on the farms, his sons and daughters in large numbers now go to college. None of the penalties of the congested life of the cities is imposed on him. But, nevertheless, at last reports 19 the apparent percentage of deaths due to suicide in the case of men in agricultural pursuits was exceptionally high. Why? Does the sensationalism of the daily newspapers, which reach the agri- cultural class to a larger extent at present than ever before, have anything to do with the greatly increased suicide rate among them? It may be recalled that in the article on "Civili- zation and Suicide," by William Mathews, U,.D., in the "North American Review," in 1891, from which I quoted on a previous page, the statement was made that "one of the inevitable effects of cultivation is to make men dissatisfied with poverty and deprivation; to stimulate the demands for the comforts of life which the mass of toilers cannot attain." Is it possible that the great amount of space now devoted by cheap and sensational newspapers to the possessors of great wealth, and their doings, and also to the details of suicides, tends first to make dissatisfied the ruralite who sees these papers, and, secondly, to imprint on his mind the suggestion of suicide? In Table III a summary of the relative importance of suicide as the cause of death at various age periods in a number of occupations in the Regis- tration Area in 1908 is presented, and the excess of the ratio of deaths from suicide to deaths from all causes among the farm- ing community is shown by this abstract from that table : »5 «o 34 35 to 44 45 to 54 55 to 64 Occupations years. years. years. years. Average ratios of deaths by suicide to deaths from all causes in case of males in all specified occupations 100.0% 100.0% 100.0% 100.0% Ratios of deaths by suicide in case of farmers, planters and farm laborers 107.9% 100.0% 113.2% 104.0% The perverted use of printers' ink may or may not have some- thing to do with the puzzling excess in the ratio of deaths by sui- cide to total deaths from all causes in the case of the agricultural community of the Registration Area, but that it has a great deal to do with the alarming increase in the suicide death rate in the Registration Area at large, in my judgment there is little room for question. It has been suggested in some quarters, I believe, that the large influx of immigrants of late years possibly accounts in part for the rapid rise in the suicide rate in the United States, but an examination of the figures for suicide mortality classified by birthplace of mothers in the case of the Eleventh and Twelfth Censuses — for 1890 and 1900 — does not sustain that proposition. The great bulk of the increase in this country's foreign-born population in the decade 1890-1900 was due to the large increase in immigrants from Italy, Russia and Poland, no less than 787,496 of the total increase of 1,091,729, or 72.1 per cent., tracing back to these countries. The suicide rates among peoples of these countries are exceptionally low, and by far the largest proportion of suicides of foreign-bom residents of the United States is to be found among the German-born contingent. In the Census-year 1900 the German-born popula- tion of this country was actually smaller, by about 120,000, than in 1890, and consequently the marked increase in the number and ratio of suicides in recent years cannot be explained on the basis of an increase in the population hailing from the country whose people are proverbially inclined toward suicide. THE COINCIDENTAL INCREASE IN THE SUICIDE RATE AND DAILY NEWSPAPER CIRCULATION IN THE UNITED STATES. In the light of a casual study of the suicide rates of this country as recorded in the returns for the Tenth, Eleventh and Twelfth Censuses, I can see no indications that the increase in this coun- try's suicide rate is to be accounted for by the large immigration of recent years; apparently the explanation rests somewhere in purely local conditions. According to the figures given in the reports of the Twelfth Census the number of daily newspapers published in the United States had increased from 254, in 1850, to 2,226, in 1900, and the daily circulation of these newspapers in the half century in question had increased from 758,454 to 15,102,156. On the assumption that the average family numbers five persons, these figures mean that in 1850 the daily newspapers of the United States circulated only one copy for each six families, and that by 1900 they had so increased their combined circula- tion as to place at least one copy in the hands of every family in the land each day. Taking into account the fundamental 21 change in the character of the pabulum served up by the average daily newspaper of these twentieth century days as compared with that supplied by the few dailies published in ante-bellum times, the introduction of startling headlines in type proportioned to the sensation-making possibilities of the suicides, murders, robberies, embezzlements, or other crimes with which they deal, the preponderance of so-called "news" of this character, and — last, but by no means least — the lurid pictures and diagrams attached to articles of this class by the "penny dreadfuls," surely the tremendous upward move in point of number and circula- tion, and the even more pronounced downward move in point of character, of American daily journalism at large must be reck- oned with as one of the foremost local conditions to which we must look for at least partial explanation of the increase in sui- cides and crimes in this country. The corresponding upward and downward moves in the field of book publication, too, doubt- less play their part in the increase in the mortality of suicide and crime, but the sensationalism of degenerate daily journalism is a much more ubiquitous and insidious factor, * Vv ' In his keenly-analytical work on "The Diseases of Society (The Vice and Crime Problem)," quotations from which have been included in previous pages of this paper, Dr. G. Frank Lydston clearly states an obvious truth in these words: "The pubescent reader is in the greatest danger from unhealthful reading. He or she is in a condition of unstable equilibrium — adjustment to environment is not yet perfect; the emotions are keyed to the highest pitch; the centres of ideation are plastic. As the psychic twig is bent at this time, the cerebral tree is in- deed inclined." It seems to me that these few words compre- hensively summarize the principal power for evil of neurotic books and newspapers— namely, that of injecting their poison into the ultra-sensitive tissue of young minds in the formative state. Doubtless the poison of suicidal and homicidal sugges- tion has its effect on many more or less degenerate adult minds, but its power for evil surely must be vastly greater in the field of youth— with "the pubescent reader," as Dr. Lydston so suc- cinctly puts it. 22 For many and divers manifest reasons, I think it may safely be assumed that the female sex at the adolescent age stands in much more danger of being influenced by pernicious reading than do boys on the threshold of manhood. Whether or no this presumptive fact, and the greater freedom of young women at that age in the United States than in foreign countries, are in any way responsible for the striking difference in the per- centages of female suicides at the early ages in this country and Great Britain must necessarily be a matter of opinion. But a fact it is— and a decidedly noteworthy fact — that the percent- age of female suicides between ages 15 and 25 in this country is almost, if not quite, twice as high as that in England and Wales. In the mother country and in this country — and in a general way throughout the civilized world — the ratios of female sui- cides to total suicides do not materially differ. In England and Wales in the twenty years ending with 1908 the ratio of female suicides to total suicides was 25.03 per cent., and in the Regis- tration Area of the United States for the nine years ending with 1908 the ratio was 23.62 per cent. But, when the female suicides are studied by age-groups, a surprising variation is noted. In the Registration Area of this country, in the nine years ending with 1908 no less than 25.54 P er cent, of all female suicides Were committed between ages 15-24, inclusive, whereas in England and Wales in recent years the ratio of female suicides at those years to total female suicides has been scarcely one-half as large. As shown by one of the appended tables dealing with the suicide figures of old New York (Manhattan and the Bronx) for the forty years ending with 1908, the ratio of female suicides between ages 15 and 24, inclusive, in the metropolis has averaged 22.2 per cent, for that long period, so that it would seem probable that through- out the United States very close to one in every four female suicides occurs under age 25 — in fact, in so far as the suicide figures of the Tenth, Eleventh and Twelfth Censuses may be taken seriously, they show just about that ratio for all three Census years, to wit, 1880, 1890 and 1900. It may, therefore, be accepted as an established fact that about one in every four female sui- cides in the United States kills herself before arriving at age 23 25, whereas in England and Wales only about one in eight so dies at that early age. Do the sensational newspapers' neurotic accounts of suicides — often set off with pictures of the suicides, weapons used, and in short, a veritable chamber of horrors — have anything to do with this startling female suicide rate at the early, impression- able, ages in this country? Personally, I firmly believe that they do. And so, probably, do the mawkish works of fiction which often kill off their heroes or heroines by suicide. According to the annual Mortality Statistics of the Bureau of the Census for 1908, as presented in one of the appended tables, the highest percentage of female suicides between ages 15 and 19 in the case of occupied females is among, first, laundresses, and, secondly, bookkeepers, clerks and copyists, and between ages 20 and 24 among servants, dress-makers and seamstresses — in other words, among the very classes of Women who, for the most part, would naturally read cheap newspapers and cheap books, if any at all. As I have previously mentioned, in his book on "Suicide and Insanity," Dr. S. A. K. Strahan calls attention to the fact that "the individual who terminates his (or her) life merely that, like Eleazar, he (or she) may live in history or in the memories of his (or her) fellows as the doer of at least one heroic act, is generally but poorly qualified - for legitimately distinguishing himself (or herself)." Many other specialists also have noted the craving of neuropathic minds for cheap notoriety — even at the price of suicide. It is easily believable that the wretched little shop-girl, or laundress, or seamstress, or other mere child of a woman, working for a pittance, and seeing no real future ahead of her, would be powerfully influenced by the amount of space and pictures which the yellow journals often give to suicides, and gradually formulate the morbid idea that by killing herself she not only could end all her troubles, but have her name in big headlines, and maybe her picture, flashed on the journal- istic screen before her fellows, and thus, as she sees it, be famous for a day or so among them — as she sees no reason to hope that she otherwise ever could be. It is not improbable that this 24 hypothetical explanation would actually have applied to many a poor working girl's suicide. In Table II, appended to this paper are presented the official figures of the Bureau of the Census for the reported number of homicides in the Registration Area of the United States for each year of the decade ending with 1909. I have worked out, and attached to that table, the apparent ratios of homicide per 1,000,000 population for each of the several years in ques- tion, and also the comparative ratios for the two quinquennial periods, 1900-1904 and 1905-1909. Could these returns be taken at their face value, the homicide ratio would seem to have in- creased with scarcely an exception from 21 per 1,000,000 popu- lation in 1900 to 59 per 1,000,000 in 1909 — although in both 1907 and 1908 the ratios were higher than in 1909, respectively being 65 and 67 per 1,000,000. It is possible, if not probable, that there has been an actual increase in the number of murders per 1,000,000 population in the Registration Area in the last decade, although the bulk of homicide statistics worthy of serious consideration apparently indicates a decrease, rather than an increase, in the crime of murder in civilized countries in recent years. In any event, it is utterly improbable that the ratio of homicides to population in the Registration Area of the United States in 1905- 1909 was all but one and one-half times again as high as that for the previous five years, as would be the case if the official figures were to be taken literally. The comments of the Bureau of the Census on this subject, in its annual Mor- tality Statistics for 1908 (p. 76), are illuminating, and are as fol- lows : Deaths from violent causes in which no specific statement of suicide or homicide is given are always tabulated as accidental. With a more careful statement it is evident that some of these deaths would be tabulated as suicides and some as homicides, and the large increase of the death rate from the latter cause from the annual average for the five-year period 1901 to 1905 (2.9 per 100,000 population) to that for 1908 (6.7 per 100,000 popula- tion) is largely, ij not entirely, due to greater precision in the statement of the cause of death. It is unfortunate that this should be so, because the people of the United States are very anxious for precise information in regard to the increase or decrease of suicide or homicide as causes of death, but it 25 should be remembered that the publication of annual mortality reports for the United States was begun less than a decade ago, and that the prelimi- nary work for the education of the reporting physicians, coroners, and others, and for the adoption of uniform blanks and instructions and other requisites for uniform and comparable returns is dependent upon the cooperation of State and city authorities, which cooperation time is required to bring about. Accurate mortality statistics cannot be created in a year or two, but the returns are improving in precision and in a reasonable time their results will be fully dependable, or as much so as those of any other country. UNIFORMITY OF RISE AND FALL IN THE SUICIDE AND HOMICIDE RATES OF MASSACHUSETTS AND ENGLAND AND WALES. All things considered, perhaps the vital statistics of Massa- chusetts are the most reliable now available for any part of this country; they certainly do cover a longer stretch of years than do any other American mortality returns which have been com- piled on an annual basis; and probably they are most fairly sus- ceptible of comparison with the vital statistics of the Registrar- General's office for England and Wales. For these reasons I have compiled from the annual reports of the Secretary of the Massachusetts Commonwealth, on births, marriages and deaths in Massachusetts, the suicide and homicide figures for the twenty- five years ending with 1909, and present them in Table IV. In brief, this tabulation shows that the suicide rate per 1,000,000 population in Massachusetts has steadily increased year by year, with very few exceptions, from 93 in 1885 to 140 in 1909, and that the homicide rate per 1,000,000 population was 36 in 1909 as compared with 23 in 1885. When the returns are analyzed by five-year periods, however, of course much safer conclusions are obtainable, and it then appears that the suicide ratios per 1,000,000 population by five-year periods were in order, 87, 104, 117, 121 and 135, and the homicide ratios 24, 27, 27, 24 and 30. As stated, the Massachusetts returns are fairly com- parable with those for England and Wales, and if for that purpose those for the twenty years ending with 1908 are divided in two ten-year groups and comparison then made with the cor- responding returns for similar ten-year periods in England and Wales' experience, the showing is as follows: 26 Decade, 1889-1898. Decade, 1899-1908. Suicide rate Homicide rqte Suicide rate Homicide rate Countries. per 1,000,000. per 1,000,000. per 1,000,000. per 1,000,000. England and Wales. ... 86 10 99 9 Massachusetts 109 27 126 26 Apparently the experience of Massachusetts with both suicide and homicide surprisingly tallied with that of England and Wales, in so far as ten-year increases or decreases are concerned, though showing a suicide rate more than one-quarter again as large, and a homicide rate almost three times as large, the Massachu- setts suicide rate for the later decade showing an increase of 15.6 per cent, over that for the earlier decade, as compared with an increase of 14.7 per cent, in the suicide rate of England and Wales measured by the same decades, and a decrease of 3.7 per cent, in the homicide rate per 1,000,000 population, as compared with a decrease of 10.9 per cent, in England and Wales. This remarkable correspondence in the rise or fall of suicide and homicide rates in two English-speaking communities on different sides of the Atlantic, one of which has a population almost twelve times as large as the other — especially in view of the fact that it rests on precisely similar compilations for identical periods of no less than ten years each — can only be regarded as fairly indicative of the actual tendency of the times in the case of both suicide and homicide rates in English-speaking countries. That being the case, there would seem to be practic- ally no reason to question that, making full allowance for slight changes in registration methods and consequent improvement in accuracy of returns, the suicide rate is steadily going up, and the homicide rate slowly going down — the latter showing tally- ing with the statement of the Bureau of the Census which I have cited on a previous page to the effect that "the large increase of the death rate from the latter cause (homicide) is largely i'l not entirely due to greater precision in the statement of the cause of death." That is to say, there is at least some reason for hoping, if not believing, that the apparent increase of nearly one and one-half times in the homicide rate of the Registration Area of the United States in 1905- 1909 as compared with 1900- 1904 2 7 is really due to improvement in registration methods, and does not indicate any actual increase whatsoever in the homicide rate in this country. However encouraging this possible assumption may be, it cannot be overlooked that the suicide rate of Massachusetts is more than one-quarter again as large, and the homicide rate nearly three times as large, as are the corresponding rates of England and Wales. Again, why this unfortunate American lead? How large a share of the responsibility for it rests on the cheap books and newspapers of this country, and how much larger would the apparent decrease in the homicide rate of Massa- chusetts have been but for that same omnipresent pernicious influence? I have appended, in Table V, a compilation of the suicide figures of "Old New York" — that is to say, for the population of the Boroughs of Manhattan and the Bronx — for the forty- four years ending with 1909, and in Table VI supplement those figures with the total number and ratio of suicides in 18 70- 1909 by years with an analysis of the suicides classified by sexes and ages, and their several ratios appended. In a general way, these tables may be summarized at this point in the single state- ment that they show that the suicide rates per 1,000,000 popula- tion in Manhattan and the Bronx for the four decades beginning with 1870 and ending with 1909 have respectively been 132, 149, 191 and 215, thus materially exceeding those for the Regis- tration Area, or the Registration Cities, of the United States, and all but doubling those of Massachusetts in the latter two decades, when the New York rates were respectively 191 and 215, as against rates of 109 and 126 for Massachusetts. The figures in Table VI are interesting for their tracing by decades of the relative suicide mortality of females under age 25, and thus affording specific evidence as to the suicide rate at the earlier ages among girls and young women in the metropolis of the country, which has not only the largest and most heterogeneous population of any city on the Western Continent but is palpably the city in which by far the largest number of young women are in daily contact with the most sensational papers in America, > 28 and in almost daily contact with the largest volume of cheap, pernicious literature. Those who are interested in the details of this study of an interesting phase of the subject may possibly find considerable light on it in the tables in question, which, in a nutshell, show that 22.2 per cent, of all the female suicides in Manhattan and the Bronx in the forty years ending with 1909 died at their own hands before reaching the age of 25 years — or, more specifically, between the ages of 15 and 25. For how many of these 586 self-inflicted deaths in mere childhood were neurotic books and sensational newspapers responsible ? There is no telling . The final table in the series, Table VII, presents the suicide rates per 1,000,000 of population for some of the leading European countries for the last fifty years of the nineteenth century, by ten-year periods, and has been compiled from Gustav Sundbarg's "Apercus Statistiques Internationaux (Onzieme Annee, 1908). It shows that the increase in the suicide rate has practically been both universal and continuous. POSSIBLE STARTING-POINTS FOR THE NEUROTIC BOOK AND NEWS- PAPER LITERATURE OF MODERN TIMES. It would be an exceedingly difficult matter, in fact impossi- ble, to put one's finger on the particular book whicb set the pace for the modern school of neurotic literature specializing, so to speak, in suicide and crime. In his "Principles of Sociology," Herbert Spencer declared that "a complete outline of the original external factors implies a knowledge of the past which we have not got, and are not likely to get. We must infer that it is hope- less to trace back the external factors of social phenomena to anything like their first forms." Prurient literature dates back to the "time whereof the memory of man runneth not to the contrary." Boccaccio's "Decameron" was written nearly seven hundred years ago, and yet the bulk, if not all, of its stories have been proven mere re- writes of the stories of previous ages. Per- haps the dual suicide of Romeo and Juliet, which Shakespeare immortalized more than three hundred years ago, might be re- garded as the foremost precedent for modern stage tragedies with suicidal endings, and probably Goethe's "Leiden des jungen 29 Werther" ("The Sorrows of Young Werther"), which made its appearance in 1774, might be characterized as the most conspic- uous pioneer in the comparatively modern field of fiction tainted with suicidal philosophy. This "mawkish, sentimental novel," as it has aptly been characterized, dealt with the supposed thoughts and experiences of a morbid youth who had fallen in love with "Charlotte," who marries another man; and finally in love-sick despair "Werther" sends his servant to her husband, borrows the pistols whose possibilities he has often discussed with the husband, and kills himself. Perhaps the immediate prompting of the book was the suicide of a young friend of Goethe's, by name Jerusalem, but there is no question that in "young Werther" Goethe was really picturing himself at that stage of his life, and the "Charlotte" of the story was the wife of his friend Kestner. In his defense it may be said that he was but twenty-five when he put this pessimistic philosophy of his youth in writing, but the unfortunate production became extremely popular through- out Europe, made him famous, and scattered broadcast the poison of the philosophy completely summarized in this sentence which Carlyle quotes from "The Sorrows of Young Werther": "And then, hemmed in as he [man] is, he ever keeps in his heart the sweet feeling of freedom, and that this dungeon — can be left when he likes." It might almost be said that this pessimistic production of neurotic youth founded a new school of fiction— and an exceedingly per- nicious one — which has appallingly expanded in the last 137 years. As one writer puts it: "D'Annunzio is finding infinite pleasure in dissecting moral rottenness and preaching the glory of self-slaughter. Pessimism is rampant in the works of Hart- mann, Schopenhauer, Ibsen, Maeterlinck and Nietzsche. All these have the ills and miseries of life as their leading theme. While they do not preach suicide, their writings tend to instill disgust with life." In addition to these, and many other writers of real ability who really have preached, directly or indirectly, in novels or philosophical works, the doctrine of suicide, there has been a veritable shoal of talentless imitators. And, as Dr. Lydston remarks: "The average lay reader can but be injured 30 by prurient realism; can only be made mentally and morally sick by the vagaries of certain literary paranoiacs." vv For at least half a century, and perhaps longer, there have been sporadic instances of prurient, and crime-inspiring, periodicals, but the new school of so-called American "yellow journalism" dates back only about twenty-five years. In 1883, Joseph Pulitzer purchased the semi-moribund New York "World," at once set out to make it sensational and thereby attract atten- tion and business to it, and regalvanize it as it were; and thus, in the judgment of all competent observers, was laid the corner- stone of modern "yellow journalism." It is entirely possible that conditions were ripe for the creation of a new school of jour- nalism on these lines, and very probably some one else would have blazed the path had not Mr. Pulitzer done so. As jour- nalistic history reads, however, his priority of claim is indisputable. The "World" soon began to attract general attention throughout the country, especially envious attention among the publishers of many other newspapers, obviously was coining money, and, one by one, newspapers in all sections of the country conceived the idea that the Biblical moral — sadly misapplied in this case — "go and do thou likewise," suggested the only means of winning out in the sharp newspaper competition of the times. Then William Randolph Hearst came along, purchased from Mr. Pulitzer's brother, Albert Pulitzer, the New York "Journal," gradually garnered in "the bright young men" of the "World's" staff most proficient in the art of newspaper-thrilling perform- ance, and promptly out-Pulitzered Pulitzer. Thus it was, in brief, that the sensational type of American newspapers of the present day was spawned, and hatched broadcast, North, South, East and West. To be sure, by no means all established American newspapers succumbed to the business temptation; fortunately, there is still a minority of clean, wholesome, daily newspapers in this country, which do not regard the selection and handling of the news of the day in such a way as to create a series of con- tinuously-intensifying daily thrills as the indispensable require- ment for a great or successful newspaper. But, unfortunately, the newspapers of this old-school type, decently brought down 3i to date, are now in a decided minority, and the neurotics, with their daily avalanches of big-type headlines, mawkish pictures and painfully-padded stories of crimes and suicides, are unques- tionably in the journalistic saddle. J At the head of the blank accompanying the invitation for the preparation of this paper, I note this request: "If you know of any suicide, murder, rape, abortion, or other crime against the person, attempted or consummated, that in your judgment was due to accounts of similar crime in the newspapers, state number of cases, specifying crime, and date as nearly as possi- ble." A careful research of newspaper files for the last twenty- five years undoubtedly would reveal hundreds of such cases, but it is child's play to bother with minnows when whales are right at hand. The most comprehensive case of the kind of which I am personally aware was the publication in the New York "World" of Tuesday, August 7, 1894, of a long article by Col. Robert G. Ingersoll under the heading: "Is Suicide a Sin?" This fair-and-square launching of a discussion of the supposed pros and coris of suicide began on the last column of the front page — for many years recognized by metropolitan editors as the proper starting-point for the leading article of each issue — occupied about two and one-half columns of space, and had beneath it a fac-simile of the autograph signature of Col. Inger- soll. It naturally attracted wide-spread attention, and in the "World" of August oth, there appeared about 2 1 / i columns of letters under the heading: "Is Suicide a Sin or Not?" In at least ten subsequent issues the "World" gave a great deal of space to further discussion of the subject, and my examination of the files has revealed considerably more than thirty columns of matter on the subject within two weeks, by way of aftermath for Col. Ingersoll 's original article. COE. INGERSOEL'S UNFORTUNATE BROADSIDE DEFENSE OF SUICIDE. In the early stages of the discussion the "New York Times" had raised question as to whether Col. Ingersoll had ever said what he was reported to have said, or written, but in the "World" of August 31st there was published the fac-simile of an autograph 32 letter from Col. Ingersoll, in which he said: "The article was written by me, and every word in it about suicide was published exactly as written." In its issue of August 28th, the "Times" had announced: "The publication of the original article in the newspaper and the series in its wake have been followed by- an unprecedented number of suicides," and three days later (in its issue of September 1st) added this statement: In view of Col. Ingersoll's voluntary statement that he was the author of the letter, it is interesting to review some of the sentiments to which he subscribes?**'^mong other things, he^set forth these ideas in his original communication, which was published on Aug. 7 : "The old idea was that God made us and placed us here for a purpose, and that it was our duty to remain until He called us. The world is outgrowing this absurdity. "Why should the poor wretch stay and suffer? A little morphine would give him sleep — the agony would be forgotten, and he would pass unconsciously from happy dreams to painless death. "Why should a man sentenced to imprisonment of life hesitate to still his heart? The grave is better than the cell. Sleep is sweeter than the ache of toil. The dead have no masters. "So the poor girl, betrayed and deserted, the door of home closed against her, the faces of friends averted, no hand that will help, no eye that will soften with pity, the future an abyss filled with monstrous shapes of dread and fear, her mind racked by fragments of thoughts like clouds broken by storm, pursued, surrounded by the serpents of remorse, flying from horrors too great to bear, rushes with joy through the welcome door of death. "Undoubtedly there are many cases of perfectly justifiable suicide — cases in which not to end life would be a mistake, sometimes almost a crime. "As to the necessity of death, each must decide for himself. And if a man honestly decides that death is best — best for him and others — and acts upon the decision, why should he be blamed? "Certainly the man who kills himself is not a physical coward. It seems certain that the man who commits suicide, who 'does the thing that stops all other deeds, that shackles accidents and bolts up change,' is not lacking in physical courage. "To the hopelessly imprisoned — to the dishonored and despised — to those who have failed, who have no future, no hope — to the abandoned, the broken- hearted, to those who are only remnants and fragments of men and women — how consoling, how enchanting is the thought of death." These amazing utterances of Col. Ingersoll's might be said to be a repetition of the neurotic philosophy of "The Sorrows of Young Werther," raised to the nth power. Coming, as they did, from a man whose words were as widely read as were Col. 33 IngersoU's— no matter how emphatically people might differ with his opinions — published in a great metropolitan newspaper with a tabulation running into hundreds of thousands, and followed at close range with column after column of comment and discussion, could any sane man for a moment doubt that the millions of people who read them included a considerable number of neurotics, or degenerates, having a predisposition to suicide, who, as a result, sooner or later took their lives under this sug- gestion, which their unbalanced brains must have regarded as almost mandatory? This manifestation of the poisonous power of misused printers' ink would not necessarily come immediately however, but might spread out thin over many months or years. As Lydston has said: "The result [of suggestion] depends upon the environment and existing mental bias of the subject." Even the man predisposed to suicide who read every word of the Ingersollian discussion of suicide may not at that time, or maybe not for years after, have been in just the mental condition requisite to screw his courage up to the act of self-killing. He may have treasured the clippings of the discussion, and frequently reread and pondered on them^or, on the other hand, he may not have clipped a single line of the printed matter, but have done even worse, that is to say, have sunk deep in his memory the most insidious points of Col. Ingersoll's sophistry, and repeatedly brought them out for mental reexamination whenever in par- ticularly pessimistic humor. There is a great difference between those two poisons, prussic acid and misused printers' ink; both are deadly in their effects, but the first is instantaneous in its action, and the second is much more apt to prove slow-acting. The "New York Times" was decidedly inaccurate in its hasty statement of August 28, 1894, to the effect that "the publication of the original article [of Col. Ingersoll's] in the newspaper and the series in its wake have been followed by an Unprecedented number of suicides." Col. Ingersoll's original article on suicide was published in the New York "World" of August 7th, or only twenty-one days prior to the publication of the above comment in the "Times." Presumably the commentator was referring to "an unprecedented number of suicides" in the city in which 34 the article by Col. Ingersoll was published, and in that event if its statement was correct it should be readily susceptible of positive proof by the vital statistics of the Bureau of Records of the Department of Health of the City of New York. I have carefully examined the records in question by weeks, and as will be noted by the transcript herewith appended they not only do not prove the truth of the "Times's" statement, but manifestly disprove it. In 1894, the City of New York consisted of the present Boroughs of Manhattan and the Bronx, and here is a complete record of the number of suicides in the City of New York by Weeks for the last five months of the year 1894 and the years immediately preceding and following : a * V ■ Subsequent weeks — or fraction of week — in order for 05 rrl 4!° & m balance of the year. "fi u at V «3 S.S S» 6. H 1893 9 7 4 4 3 14 13 7 6 6 7 9 7 9 5 4 9 7 11 4 7 5 157 I894 5 *q 3 7 7 5 11 6 3 7 8 8 10 9 2 5 4 7 2 3 7 5 1 134 1895 6 6 5 7 11 6 4 5 4 6 9 8 6 10 6 5 8 10 6 4 11 9 1 153 The week in 1894 in which Col. Ingersoll's original article ap- peared ended August 1 ith.and I have starred (*) it in the preceding tabulation. The aggregate of recorded suicides in the City of New York in that week was 9, in the corresponding week of the previous year numbered 7, and in the corresponding week of the following year numbered 6. Obviously there was no more than the ordi- nary weekly fluctuation in those corresponding weeks of August in the three years in question. If the totals for the four weeks immediately following in each case are compared, it will be found that in those four weeks in 1893 there were 25 suicides, and in the four weeks in question in 1895 there were 29 suicides, as compared with 22 suicides in the four weeks of 1894, immediately following the week in which Col. Ingersoll's article appeared. Even the total number of suicides in New York for the balance of the year 1894 was smaller than the total for the corresponding period in either 1893 or 1895. Manifestly, therefore, there was 35 no foundation for the "Time's" statement to the effect that the original article and the attendant series of articles "have been followed by an unprecedented number of suicides," at least not in the city in which the articles appeared. That many of the suicides in subsequent months or years were directly or indirectly due to Col. Ingersofl's unfortunate promulgation of his pernicious sophistry is doubtless true. In fact, in no less than five subsequently published interviews which appeared in various newspapers he was practically called upon to defend himself on that charge. In the last of that series of interviews, published in the Chicago "Inter-Ocean," in March, 1897, the discussion of this phase of the subject was put in the form of question and answer, and included this question and answer : Question. Since you expounded your justification of suicide, Colonel, I believe you have had some cases of suicide laid at your door? Answer. Oh, yes. Every suicide that has happened since that time has been charged to me. I don't know how the people account for the suicides before my time. I have not yet heard of my being charged with the death of Cato, but that may yet come to pass. I was reading the other day that the rate of suicide in Germany is increasing. I suppose my article has been translated into German. "~ In so far as specific cases of suicides directly traceable to the Ingersoll discussion in 1894 are concerned, I have noted but two alleged in the current files of other New York newspapers, though doubtless an exhaustive examination of all the files would discover some others. In its issue of August 27, 1894, the "New York Times" refers to the suicide on August 24th of a Mrs. Emma R. Gould, of Brooklyn, and says: "She had read Col. Ingersoll's article [of August 7th] on suicide, and every line that was printed in comment." This statement apparently is a mere matter of assertion, and no proof of its accuracy accom- panied it. The "Times" also stated that Julius De Marcus, who had killed Juliette Founder, a married woman, in Central Park, on August 21st, and then killed himself, was found to have in his pockets a clipping from the "World"— presumably one of an article from the suicide series. But these sporadic and isolated cases of suicide in which there is printed or written evidence that 36 the self-killing was a matter of imitation or suggestion, are merely confirmatory proofs of an obvious and well known fact. One swallow does not prove a summer; neither does one case in per- haps a hundred suicides prove the perniciously-suggestive power of printers' ink. There are many much more comprehensive, and much more convincing, proofs. It seems to me that the case against the vicious influence of neurotic books and newspapers in materially contributing to the mortality of suicide and crime has long since been conclusively proven, and that no further evidence is necessary. By way of a final contribution to the records of the case, however, I have thought it might be Worth while to cite just a few of the scores of cases of suggestive newspaper discussion in extenso of suicide which I have come across in my casual examination of the files of metropolitan Sunday editions and so-called "magazine-sec- tions" of certain great daily newspapers for several years. The following headlines are those appearing over so-called "special articles," in several cases printed in lurid colors, and often accom- panied by garish pictures. In my notes I have the dates of these articles and the names of the papers in which they appeared, but I think the newspapers in question already have quite enough on their hypothetical consciences, and as no useful purpose would be served by naming the offender in each case, I have omitted names. Here are a few of the exhibits from the literary chamber of horrors of sensational American journalism for the last fifteen or twenty years, in each case the headlines being quoted verbatim et literatim: "That Pathetic Mystery of Suicide on the Eve of Marriage — What Secret Hides Behind the Re- curring Tragedies of Self-Destruction at the Brink of Nuptial Union, Even where Every Known Promise Is for a Happy Future ;" "That Frightful Scream Haunted Me;" "The City of the Suicide Germ;" "Chain of Suicides Strangely Arise from Love Match;" "The Desire for Life Decreasing;" "What We Say to the Des- perate;" "To Solve the Sad Puzzle of Suicide;" "Does Death End All?" What would, what must, be the effect of mere headlines and grewsome pictures on this order, let alone the reading of the 37 articles, on neurotic minds predisposed to suicide? Can there be but one answer to that question? Table I. 1 — Suicides and Homicides in England and Wales for the Twenty Years, 1889-1908, and Their Ratios per 1,000,000 of Popula- tion, Classified by Sexes, Years and Decennial Periods. Suicides. Homicides. Total deaths by both causes Suicides. Homicic Males. Females. Males. Femal es. ies. •0 O «S ix u a 9 55 u V a 3 6 Number. Ratio. u u a 3 55 6 a 3 55 Ratio. Number . 1889 1626 Il8 544 37 159 12 131 9 2170 76 290 10 1890 1635 117 570 38 160 II 126 9 2205 77 286 10 1891 1863 132 620 41 158 II 157 10 2483 85 315 11 1892 1907 133 676 44 153 II 147 10 2583 88 300 10 1893 1940 135 659 43 185 13 152 10 2599 87 337 II 1894 2052 141 677 44 162 II 136 9 2729 91 298 10 1895 2071 I4O 726 46 165 11 150 10 2797 92 315 10 1896 1979 132 677 42 154 10 147 9 2656 86 301 10 1897 2090 139 702 44 159 11 132 8 2792 90 291 9 1898 2166 I42 7'i 44 162 II 145 9 2877 91 3°7 10 Decade 1889-1898 19. 329 133 6,562 42 1,617 II 1.423 9 5 '5.891 86 3, 040 10 1899 2121 138 723 44 143 9 148 9 2844 89 291 9 1900 2166 139 730 44 139 9 139 8 2896 90 278 9 1901 2318 147 803 48 161 10 175 10 3121 96 336 10 1902 2460 154 807 47 131 8 166 10 3267 99 297 9 1903 2640 164 871 51 137 8 158 9 35i 1 105 295 9 i.904 2523 154 822 47 176 11 151 9 3345 99 327 10 I9°5 2683 163 862 49 133 8 169 10 3545 104 302 9 1906 2655 159 797 45 140 8 144 8 3452 100 284 8 1907 2632 156 901 5° 139 8 126 7 3533 101 265 8 1908 2844 166 934 51 152 9 159 9 3778 107 311 9 Decade 1899-1908 25. 042 154 8,2 5 C . 48 1. 45i 9 1.535 9 33. 292 99 2, 986 9 Totals, Twenty Years, 1889-1908 44.371 I44 14, 812 45 3,068 10 2,958 9 59. 18; ( 93 6,026 10 1 Compiled from the seventy-first annual report of the Registrar-General of births, deaths and marriages in England and Wales (1908), pp. 34. et seq '. 38 Table III. 1 — Relative Importance op Suicide as a Cause of Death at Certain Age-Periods for Each Occupation as Compared with Its Average Importance for the Same Age-Periods in All Specified Occu- pations in the Registration Area of the United States in 1908. „ , 25-34 35-44 45-54 55-°4 Male occupations. years. years. years. years. Bankers, brokers and officials of companies ... 223.7 2 10 . 3 2 10 . 5 108 . o Butchers 202.6 110. 3 34.2 108.0 Bakers and confectioners 184.2 117. 9 144.7 116. Collectors, auctioneers and agents 173-7 1538 184.2 96.0 Saloon keepers, liquor dealers, bartenders, and restaurant keepers 160.5 io 7-7 II 5& 168.0 Lawyers 155-3 202.6 142 . 1 108.0 Public Entertainment 147 .4 105 .1 1 10 . 5 156 .0 Tailors 142.1 125.6 160.5 160.0 Servants 134.2 125.6 86.8 156.0 Iron and steel workers 128.9 100. o 65.8 132.0 Mercantile and trading 126.3 x 35-9 "3.2 100. o Merchants and dealers 126.3 J 56-4 no. 5 80.0 Personal service, police and military 126.3 IJ S -4 io 7 -9 80.0 Machinists I2 3-7 130.8 147.4 116.0 Barbers and hairdressers 115.8 117. 9 86.8 100. o Manufacturing and mechanical industry n 5 . 8 102. 6 no. 5 116. o Professional service 113. 2 153 . 8 107 .9 84 . o Engineers and surveyors 113.2 105. 1 134.2 76.0 Engineers and firemen (not locomotive) no. 5 51 .3 76.3 40.0 Plumbers, and gas and steam fitters no. 5 71.8 60.5 120.0 Farmers, planters and farm laborers io 7-9 100. o 113. 2 104.0 Clerical and official 100. o 130.8 131 .6 96.0 Boot and shoe makers 100. o 84.6 105.3 140.0 Average, all Specified Occupations 100. o 100. o 100. o 100. o Compositors, printers and pressmen 100. o 89.7 50.0 88.0 Gardeners, florists, nurserymen and vine- growers 100. o 107.7 81.6 124.0 Carpenters and joiners 97-4 125.6 163.2 140.0 Painters, glaziers and varnishers 94-7 I 38-5 no. 5 92.0 Mill and factory operatives (textiles) 92.1 94-9 118. 4 100. o Agriculture, transportation and other outdoor 92.1 79.5 89.5 100. o Draymen, hackmen, teamsters, etc 92. 1 66.7 63.2 108.0 Policemen, watchmen and detectives 89 . 5 120 . 5 81.6 84 .0 Bookkeepers, clerks and copyists 86.8 117. 9 102.6 112. o Sailors, pilots, fishermen and oystermen 86.8 94-9 71 . 1 48.0 Physicians and surgeons 73.7 115. 4 55-3 96.0 Laboring and servant 73.7 76.9 68.4 76.0 1 Compiled from the Bureau of the Census's annual report of mortality statistics for 1903 (pp. 322. et scq.). 39 Table III— (Continued). „ . ., »5-34 35-44 45-54 55-64 Male occupations, years, years, years. years. Blacksmiths 68.4 112. 8 123.7 1320 Laborers (not agricultural) 65.8 69.2 68.4 68.0 Miners and quarrymen 57.9 4T.0 36.8 80.0 Clergymen 52.6 71.8 63.2 32.0 Steam-railroad employees 52.6 48.7 52.6 56.0 Masons (brick and stone) 47.4 82.1 89.5 100.0 , ,. "5-19 20-24 25-34 35-44 45-54 55-«4 Female occupations. years. years, years. years. years, years. Laundresses 116. 7 79.3 ... 23.5 81.8 100. o Bookkeepers, clerks and copy- ists H3-9 5i-7 82.6 35.3 281.8 Dressmakers and seamstresses. 105.6 113. 8 95.7 123.5 109. 1 114.3 Servants 100. o 117. 2 95.7 82.4 72.7 71.4 Average, all Specified Oc- cupations 100. o 100. o 100. o 100. o 100. o 100.0 Teachers in schools 75.9 113. o 111.8 118. 2 257.1 Table IV. 1 — Suicides and Homicides in Massachusetts for the Twenty- five Years, 1885-1909, and Ratios per 1,000,000 Population, Classi- fied by Years and Five-Year Periods. Suicides. Homicides. Years and Ratio Ratio periods. Number, per 1,000,000. Number. per 1,000,000. Population. 1885 181 93 45 23 1,942,141 1886 157 79 47 23 1,998,174 1887 173 84 52 25 2,055,821 1888 190 90 52 25 2,115,131 1889 199 9 1 5 1 2 3 2 . ^G. '53 Five-Year Period, 1885-1889 900 87 247 24 1890 196 88 35 l6 2.238,943 1891 187 82 60 26 2,288,911 1892 273 117 72 3i 2,339,994 1893 290 121 76 32 2,392,217 1894 270 no 68 28 2,445,605 1 Compiled from annual reports of Massachusetts Secretary of the Commonwealth. 4° Table IV- -{Continued) Suicides. Homicides. Years and Ratio Ratio periods. Number, per 1,000,000. Number. per 1,000,000. Population. Five- Year Period, 1890-1894 I, 216 104 311 27 3° 1895 281 112 74 j:,SOO, 183 1896 318 124 74 29 2,558,437 1897 285 IO9 70 27 2,618,048 1898 331 124 79 29 2,679,048 1899 319 Il6 57 21 2,741,470 Five-Year Period, 1895-1898 1.534 322 117 354 27 1900 "5 61 22 2,805,346 1901 382 134 65 23 2, 843, 927 1902 324 112 76 26 2,883,030 1903 367 126 74 25 2,922,671 1904 353 119 66 22 2,962,857 Five-Year Period, 1900-1904 1,748 121 342 24 1905 369 123 67 22 3,003,680 1906 344 "3 86 28 3,044,980 1907 462 150 96 31 3, 086, 687 1908 470 150 107 34 3, 129, 128 1909 444 140 114 36 3,172,153 Grand Totals, for Twenty- Five Years, 1885-1909 7, 487 Five-Year Period, 1 905- 1 909 2, 089 1900-1904 1, 748 1895-1899 1,534 1890-1894 1, 216 1885-1889 900 135 470 121 117 104 87 342 354 3" 247 30 24 27 27 24 115 1,724 27 4 1 Tabus V. 1 — Suicides in Former New York City (Boroughs op Man- hattan and the Bronx) for the Forty-Four Years, 1866-1909, and Ratio per 1,000,000 Population por Each Year. Suicides. Suicides. Ratio per Ratio per Year. Number. 1,000,000. Population. Year. Number, , 1,000,000. Population. 1866. . . 54 70 767,979 1889 244 156 1,566,801 1867. . . 82 101 808, 489 1890 239 148 1,612,559 1868.. . 98 115 851. 137 1891 300 181 1,659.654 1869. . . 102 114 896, 034 1892 241 141 I, 708, 124 1870. . . 101 107 943.300 1893 314 179 1,758,010 1871.. . 114 119 955.921 1894 331 183 I. 809, 353 1872.. . • 144 149 968, 710 1895 376 201 1,873, 201 1873... 118 120 981,671 1896 384 201 1,906,139 1874. . . 180 175 1,030,607, 1897 436 225 1.940.553 1875... • 155 148 1.044,396 1898 463 234 1.976,572 1876. . . • 150 139 1.075.532 1899 433 215 2,014,330 1877.. . 148 134 1. 107, 597 1900 500 243 2,055,714 1878. . 142 124 1, 140,617 1901 470 222 2, Il8, 209 1879.. 117 IOO 1, 174,621 1902 477 219 2, 182,836 1880. . 152 126 1,209, 196 1903 521 232 2,249,680 1881.. -166 133 1,244,511 1904 567 244 2,318.831 1882.. ■ • 199 155 1, 280, 857 I9<55 422 177 2,390,382 1883.. l6l 122 1,318,264 1906 442 178 2,484,432 1884. . . . 229 169 1, 356, 764 1907 442 174 A54 1 , 084 1885.. 207 148 1,396,388 1908 644 246 2,620,447 1886. . - • 223 155 1. 437. 170 1909 572 212 2,702,633 1887.. • • 235 159 1.479.143 Total suicides and average ratio per 1888.. 247 162 1, 522, 341 1,000,000 population, 1 2,342—178. 1 Compiled from the records in the annual report of the Board of Health of the De- partment of Health of the City of New York for the year ending December 31. 1908 (Vol. II, pp. 1043 and 1128-9), and the Department of Health's advance summary of total number of deaths by the principal causes in 1909. 42 Table VI. 1 — An Analysis by Ten-Year Periods of the Total Number op Suicides in the Former City of New York (Boroughs of Man- hattan and the Bronx) Recorded in the Forty Years Ending with 1908, Classified by Sexes and Age-Groups, and the Ratio of the Suicides in Each Age-Group to the Total Number of Suicides of that Sex by Ten- Year Periods. Suicides recorded in the decade, 1869-1878, inclusive. Total for both sexes Male. Female. Ratio to Number, total. °3 10.7 50.2 33-4 5-4 77-5 0.2 10.6 463 34-8 8.1 80.6 2 54 153 77 19 3°5 1 83 166 105 20 375 0.7 17.7 50.2 25.2 6.2 22-5 0.3 22 . I 44-3 28.0 5-3 19.4 Number. 5 166 680 427 76 1.354 4 249 888 649 146 i,936 Ratio to total. 0.4 12-3 50.2 31-5 5-6 100. o 0.2 12 .9 45-9 33-5 7-5 100. o Suicides recorded iu the decade, 1889-1898, inclusive. Ratio Age-Groups. Number, to total. Under 15 years .... 3 15-24 years 112 25-44 years 527 45-64 years 350 65 years and over . . 57 All ages 1, 049 Suicides recorded in the decade, 1879-1888, inclusive. Age-Groups. , Under 15 years. . . 3 15-24 years 166 25-44 years 722 45-64 years 544 65 years and over. . 126 All ages 1, 561 Age-Groups. Under 15 years. ... 4 15-24 years 258 25-44 years 1, 229 45-64 years 915 65 years and over. . 189 AU ages 2,595 Age-Groups. Under 15 years. ... 2 15-24 years 392 25-44 years 1,783 45-64 years 1, 246 65 years and over . . 269 All ages 3, 692 1 Compiled from the annual report of the Board of Health of the Department of Health of the City of New York for the year ending December 31. 1908 (Vol. II, pp. 1 128-9). 9 47 35 7 1 188 382 129 33 o. 1 25-7 5 2 -i 17.6 4-5 5 446 1,611 1,044 222 o. 1 13-4 48.4 3i-4 6.7 78.0 733 22 .0 3,328 Suicides recorded in the decade, 1899-1908, inclusive. 10.6 48 33 261 631 268 66 21.3 5i-5 21.8 5-4 2 653 2,414 i,5H 335 13-3 49.1 30.8 6.8 75-i i, 226 24.9 4,918 100. o 43 Table VI— (Continued). Recapitulation. Total suicides recorded in the forty years, 1869-1908. O.z 4 0.2 16 O.I 10.4 586 22 .2 1. 514 i3-i 47-9 1.332 5°-5 5.593 48.5 34-3 579 21 .9 3.634 31-5 7.2 138 5-2 779 6.8 Age-Groups. Under 15 years. ... 12 15-24 years 928 2 5-44 years 4, 261 45-64 years 3,055 65 years and over . . 641 All ages 8,897 77-i 2,639 22.9 11,536 100. o Table VII. 1 — A Resume op the Suicide Experience op Some of the Leading European Countries in the Latter Half of the Nineteenth Century, Summarized by Decades in Ratios Per 1,000,000 Popula- tion. Countries. 1851-1860. 1861-1870. 1871-1880. 1881-1890. 1891-1900. France 105 130 157 205 239 Denmark 279 269 256 255 234 Switzerland ... ... 226 219 German Empire ... ... 209 207 Austria ... 134 161 158 Sweden 64 80 87 107 128 Belgium 60 55 82 114 124 England... 66 70 77 89 Scotland 37 40 55 60 Italy ... 38 49 60 Norway 101 81 73 67 60 The Netherlands ... ... 55 56 Finland 42 37 31 39 48 Russia ... ... 30 32 Ireland ... 18 23 29 The German Empire, by sections. 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