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In his new theory of suicidal behavior, Thomas Joiner proposes three factors that mark those most at risk of death: the feeling of being a burden on loved ones; the sense of isolation; and, perhaps chillingly, the learned ability to hurt oneself. He tests the theory against diverse facts taken from clinical anecdotes, history, literature, popular culture, anthropology, epidemiology, genetics, and neurobiology–facts about suicide rates among men and women; white and African-American men; individuals with anorexia, athletes, and physicians; members of cults, sports fans, and citizens of nations in crisis.
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