Culture, Medicine, and Psychiatry

, Volume 32, Issue 4, pp 516–551 | Cite as

Too Lonely to Die Alone: Internet Suicide Pacts and Existential Suffering in Japan

Original Paper

Abstract

Most striking in the recent rise of suicide in Japan are the increase in suicide among young Japanese and the emergence of Internet suicide pacts. An ethnography of suicide-related Web sites reveals a distinctive kind of existential suffering among visitors that is not reducible to categories of mental illness and raises questions regarding the meaning of an individual “choice” to die, when this occurs in the context of an intersubjective decision by a group of strangers, each of whom is too afraid to die alone. Anthropology’s recent turn to subjectivity enables analyses of individual suffering in society that provide a more nuanced approach to the apparent dichotomy between agency and structure and that connect the phenomenon of suicide in Japan to Japanese conceptions of selfhood and the afterlife. The absence of ikigai [the worth of living] among suicide Web site visitors and their view of suicide as a way of healing show, furthermore, that analyses of social suffering must be expanded to include questions of meaning and loss of meaning and, also, draw attention to Japanese conceptions of self in which relationality in all things, including the choice to die, is of utmost importance.

Keywords

Internet Japan Loneliness Subjectivity Suicide Suffering 

References

  1. Bataille, Georges. 1993 The Accursed Share, Vols. 2 and 3: The History of Eroticism. New York: Zone Books.Google Scholar
  2. BBC News 2004 Have Your Say: Why Are Suicide Pacts on the Rise in Japan? Available at: http://news.bbc.co.uk/2/hi/talking_point/3737072.stm. Accessed October 15, 2004.
  3. Biehl, Joao, Byron Good, Arthur Kleinman 2007 Introduction: Rethinking Subjectivity. In Subjectivity: Ethnographic Investigations. Joal Biehl, Byron Good and Arhur Kleinman, eds., pp. 1–23. Berkeley: University of California Press.Google Scholar
  4. Borovoy, Amy 2006 The Hidden: Sheltering and Rehabilitating the Emotionally Distressed in Japan. San Jose, CA: American Anthropology Association.Google Scholar
  5. Carden, Randy, and Sheri Rettew 2006 Internet Chat Room Use, Satisfaction with Life, and Loneliness. Psychological Reports 98: 121–122.Google Scholar
  6. Csordas, Thomas 2002 Body/Meaning/Healing. Palgrave, UK: Macmillan.Google Scholar
  7. Davis, Winston Bradley 1992 Japanese Religion and Society: Paradigms of Structure and Change. Albany: State University of New York Press.Google Scholar
  8. Deci, E.L., and R.M. Ryan 2000 The ‘What’ and ‘Why’ of Goal Pursuits: Human Needs and the Self-Determination of Behavior. Psychological Inquiry 11: 227–268.CrossRefGoogle Scholar
  9. Desapriya, Ediriweera B.R., and Nobutada Iwase 2003 New Trends in Suicide in Japan. Injury Prevention 9: 284.CrossRefGoogle Scholar
  10. Desjarlais, Robert, Leon Eisenberg, Byron Good, and Arthur Kleinman 1995 World Mental Health: Problems and Priorities in Low-Income Countries. Oxford: Oxford University Press.Google Scholar
  11. DeVos, George A. 1973 Socialization for Achievement: Essays on the Cultural Psychology of the Japanese, ed. Berkeley: University of California Press.Google Scholar
  12. DeVos, George 1985 Dimensions of the Self in Japanese Culture. In Culture and Self: Asian and Western Perspectives. A.J. Marsella, G. DeVos, and F.L. Hsu, eds., pp. 141–184. New York: Travistock.Google Scholar
  13. Doi, Takeo 2001 The Anatomy of Dependence. Tokyo: Kodansha International.Google Scholar
  14. Durkheim, Emile 1966 Suicide: A Study in Sociology. New York: Free Press.Google Scholar
  15. Frankl, Viktor 1992 Man’s Search for Meaning. Boston: Beacon Press.Google Scholar
  16. Ghetto 2006 Ghetto. Available at: http://www.cotodama.org. Accessed December 18, 2006.
  17. Good, Byron, Subandi, and Mary-Jo DelVecchio Good 2007 The Subject of Mental Illness: Psychosis, Mad Violence, and Subjectivity in Indonesia. In Subjectivity: Ethnographic Investigations. Joal Biehl, Byron Good, and Arhur Kleinman, eds., pp. 243–272. Berkeley: University of California Press.Google Scholar
  18. Guenther, Herbert V., and Leslie S. Kawamura 1975 Mind in Buddhist Psychology. Emeryville, CA: Dharma.Google Scholar
  19. Havens, Leston L., and S. Nassir Ghaemi 2005 Existential Despair and Bipolar Disorder: The Therapeutic Alliance as Mood Stabilizer. American Journal of Psychotherapy 59(2): 137–147.Google Scholar
  20. Hawkley, Louise C., Michael W. Browne, and John T. Cacioppo 2005 How can I Connect with thee? Let me Count the Ways. Psychological Science 16: 798–804.Google Scholar
  21. Hendry, Joy 1998 Introduction: The Contribution of Social Anthropology to Japanese Studies. In Interpreting Japanese Society: Anthropological Approaches. 2nd Edition. Joy Hendry, ed., pp. 1–12. London: Routledge.Google Scholar
  22. Hi-ho Kai-in Support 2007 Hikite yaku ni hikizurarete shūdan jisatsu: Jisatsu saito no kyōfu [Lured into Group Suicide by Recruiters: The Danger of Suicide Websites]. Available at: http://home.hi-ho.ne.jp/support/info/security/colum/column05.html. Accessed March 10, 2007.
  23. Ikizurasa kei no fōramu 2006 Ikizurasa kei no fōramu [The Forum about Difficulty in Living]. Available at: http://8238.teacup.com/hampen/bbs. Accessed December 1, 2006.
  24. Jaspers, Karl 1998 General Psychopathology. Baltimore: Johns Hopkins University Press.Google Scholar
  25. Jisatsusha no Sōgen 2006 Jisatsusha no sōgen [A Field for Suiciders]. Available at: http://www.cotodama.org/cgi-bin/ibbs/ibbs.cgi. Accessed December 24, 2006.
  26. Jisatsutaikougaiyou 2006 Ikiyasui Shakai no Genjitsu wo Mezashite [Aiming for the Society for Comfortable Living]. Available at: www8.cao.go.jp/jisatsutaisaku/sougou/taisaku/kaigi_2/data/s1.pdf. Accessed March 16, 2008.
  27. Karnick, Paula M. 2005 Feeling Lonely: Theoretical Perspectives. Nursing Science Quarterly 18: 7–12.Google Scholar
  28. Keisatsu Chou Seikatsu Anzen Kyokyu Chiiki ka 2005 Heisei 16 nen ni okeru jisatsu no gaiyou shiryou [Abstract Resources on Suicide in 2004]. June.Google Scholar
  29. Keyes, Corey 1998 Social Well-Being. Social Psychology Quarterly 61(2): 121–140.CrossRefGoogle Scholar
  30. Keyes, Corey 2002 The Mental Health Continuum: From Languishing to Flourishing in Life. Journal of Health and Social Behavior 43(2): 207–222.CrossRefGoogle Scholar
  31. Kierkegaard, Soren 1989 The sickness unto death. London: Penguin.Google Scholar
  32. Kinsella, Sharon 1994 Cuties in Japan. In Women, Media, and Consumption in Japan. Brian Moeran and Lisa Skov, eds., pp. 170–196. Honolulu: University of Hawaii Press.Google Scholar
  33. Kitanaka, Junko 2006 Society in Distress: The Psychiatric Production of Depression in Contemporary Japan. Ph.D. dissertation. McGill University.Google Scholar
  34. Kleinman, Arthur 1986 Social Origins of Distress and Disease: Depression, Neurasthenia and Pain in Modern China. New Haven, CT: Yale University Press.Google Scholar
  35. Kleinman, Arthur 1988 Illness Narratives: Suffering, Healing and the Human Condition. New York: Basic Books.Google Scholar
  36. Kleinman, Arthur 1991 Rethinking Psychiatry: From Cultural Category to Personal Experience. New York: Free Press.Google Scholar
  37. Kleinman, Arthur 2006 What Really Matters: Living a Moral Life amidst Uncertainty and Danger. Oxford: Oxford University Press.Google Scholar
  38. Kleinman, Arthur, and Byron Good 1985 Culture and Depression: Studies in the Anthropology and Cross-Cultural Psychiatry of Affect and Disorder. Berkeley: University of California Press.Google Scholar
  39. Kleinman, Arthur, Veena Das, and Margaret Lock 1997 Social Suffering. Berkeley: University of California Press.Google Scholar
  40. Kokoro no Hanazono 2006 Kokoro no Hanazono [Flowerbed of the Heart]. Available at: http://bbs1.nazca.co.jp/12/asiato01/. Accessed December 22, 2006.
  41. Kondo, Dorinne 1990 Crafting Selves. Chicago: University of Chicago.Google Scholar
  42. Kraus, Linda A., Mark H. Davis, Doris Bazzini, Mary Church, and Clare M. Kirchman 1993 Personal and Social Influences on Loneliness: The Mediating Effect of Social Provisions. Social Psychology Quarterly 56: 37–53.Google Scholar
  43. LaFleur, William 1992 Liquid Life: Abortion and Buddhism in Japan. Princeton, NJ: Princeton University Press.Google Scholar
  44. Lebra, Takie Sugiyama 1976 Japanese Patterns of Behavior. Honolulu: University of Hawaii Press.Google Scholar
  45. Lebra, Takie Sugiyama 1984 Japanese Women: Constraint and Fulfillment. Honolulu: University of Hawaii Press.Google Scholar
  46. LeTendre, Gerald K. 2000 Learning to Be Adolescent: Growing Up in U.S. and Japanese Schools. New Haven, CT: Yale University Press.Google Scholar
  47. Lock, Margaret 1986 Plea for Acceptance: School Refusal Syndrome in Japan. Social Sciences and Medicine 23(2): 99–112.CrossRefGoogle Scholar
  48. Lock, Margaret 1988 A Nation at Risk: Interpretations of School Refusal in Japan. In Biomedicine Examined. Margaret Lock. Deborah. R. Gordon, eds., pp. 377–414. Dordrecht, Boston, London: Kluwer Academic.Google Scholar
  49. Long, Susan 2001 Negotiating the “Good Death”: Japanese Ambivalence about New Ways to Die. Ethnology 40(4): 271–289.CrossRefGoogle Scholar
  50. Long, Susan 2005 Final Days: Japanese Culture and Choice at the End of Life. Honolulu: University of Hawaii Press.Google Scholar
  51. Lopata, Helena Znaniecki 1969 Loneliness: Forms and Components. Social Problems 17: 248–262.Google Scholar
  52. Machizawa, Shizuo 2003 Hikikomoru Wakamonotachi [Withdrawn Youths]. Tokyo: Daiwa Shobo.Google Scholar
  53. Mahon, Noreen E., Adela Yarcheski, Thomas J. Yarcheski, Barbara L. Cannella, and Michele M. Hanks 2006 A Meta-Analytic Study of Predictors for Loneliness During Adolescence. Nursing Research 55: 308–315.Google Scholar
  54. Martina, Camille, and Nan L. Stevens 2006 Breaking the Cycle of Loneliness? Psychological Effects of a Friendship Enrichment Program for Older Women. Aging & Mental Health 10: 467–475.Google Scholar
  55. Mathews, Gordon 1996 The Stuff of Dreams, Fading: Ikigai and “The Japanese Self.” Ethos 24(4): 718–747.CrossRefGoogle Scholar
  56. McIntosh, John L. 2004 Year 2004 Official Final Data on Suicide in the United States. American Association of Suicidology. Available at: www.suicidology.org.
  57. McVeigh, Brian 1997 Life in a Japanese Women’s College: Learning to be Ladylike. New York: Routledge.Google Scholar
  58. Mead, Margaret 2000 Coming of Age in Samoa. New York: Harper Perennial Modern Classics.Google Scholar
  59. Nageki Keijiban 2006 Nageki Keijiban [Wailing BBS]. Available at: http://wailing.org/freebsd/jisatu/index.html. Accessed December 15, 2006.
  60. Nilsson, Brita, Unni Å. Lindström, and Dagfinn Nåden 2006 Is Loneliness a Psychological Dysfunction? A Literary Study of the Phenomenon of Loneliness. Scandinavian Journal of Caring Sciences 20: 93–101.Google Scholar
  61. Ogata, Yasuko, Yukiko Izumi, and Tadashi Kitaike 2006 Mobile-Phone e-mail Use, Social Networks, and Loneliness Among Japanese High School Students. Japanese Journal of Public Health 53: 480–492. Google Scholar
  62. Ohnuki-Tierney, Emiko 1984 Illness and Culture in Contemporary Japan. Cambridge: Cambridge University Press.Google Scholar
  63. Ohsawa, Masaki 1996 Kyokō no Jidai no Hate: AUM to Sekai Saishu Sensou [The End of the Era of Fiction]. Tokyo: Chikuma Shobo.Google Scholar
  64. Omae ha mou shindeiru 2005 Omae ha mou shindeiru [You Are Already Dead]. Available at: http://jamu.cc/2ch/test/read.cgi/xyz/#1.
  65. Ozawa, Chikako 1996 Japanese Indigenous Psychologies: Concepts of Mental Illness in Light of Different Cultural Epistemologies. British Medical Anthropology Review 3(2): 11–21Google Scholar
  66. Ozawa-de Silva, Chikako 2006 Psychotherapy and Religion in Japan: The Japanese Introspection Practice of Naikan. London: Routledge Press.Google Scholar
  67. Ozawa-de Silva, Chikako 2007 Demystifying Japanese Therapy: An Analysis of Naikan and the Ajase Complex through Buddhist Thought. Ethos 35(4): 411–446.CrossRefGoogle Scholar
  68. Pike, Kathleen, Amy Borovoy 2004 The Rise of Eating Disorders in Japan: Issues of Culture and Limitations o the Model of “Westernization.” Culture, Medicine and Psychiatry 28: 493–531.CrossRefGoogle Scholar
  69. Pinguet, Maurice 1993 Voluntary Death in Japan. Cambridge: Polity Press.Google Scholar
  70. Plath, David W. 1980 Long Engagements. Maturity in Modern Japan. Stanford: Stanford University Press.Google Scholar
  71. Renshaw, Peter D., and Peter J. Brown 1993 Loneliness in Middle Childhood: Concurrent and Longitudinal Predictors. Child Development 64: 1271–1284.Google Scholar
  72. Richardson, Michael 1994 Georges Bataille. London: Routledge. Google Scholar
  73. Roland, Alan 1988 In Search of Self in India and Japan. Princeton, NJ: Princeton University Press.Google Scholar
  74. Ryff, Carol D., Corey L. M. Keyes, and Diane L. Hughes 2003 Status Inequalities, Perceived Discrimination, and Eudaimonic Well-Being: Do the Challenges of Minority Life Hone Purpose and Growth? Journal of Health and Social Behavior 44(3): 275–291.CrossRefGoogle Scholar
  75. Sadler, William, and Thomas B. Johnson 1980 From Loneliness to Anomie. In The Anatomy of Loneliness. J. Hartog, J. Audy, and Y.A. Cohen, eds., pp. 34–64. New York: International Univ. Press.Google Scholar
  76. Saito, Kan 2003 Iki Kihaku sa, Kontei ni [On the Fundamental Thinness of Life]. Asahi Shinbun May 2, morning ed.Google Scholar
  77. Saito, Tamaki 1998 Shakai teki Hikikomori [Social Withdrawal]. Tokyo: PHP Shinsho.Google Scholar
  78. Sasaki, Tishinao 2007 Ōte masukomi intānetto shinjyū hōdō no otoshiana [The Catch of the Major Mass Media Reports on Internet Suicide Pacts). Available at: http://homepage3.nifty.com/sasakitoshinao/pcexplorer_5.html. Accessed January 3, 2007.
  79. Schulz, Kathryn 2004 Did Antidepressants Depress Japan? The New York Times, August 22.Google Scholar
  80. Schwab, Reinhold, and Kay Uwe Petersen 1990 Religiousness: Its Relation to Loneliness, Neuroticism and Subjective Well-Being. Journal for the Scientific Study of Religion 29: 335–345.Google Scholar
  81. Sheldon, Kennon M. 2002 The Self-Concordance Model of Healthy Goal-Striving: When Personal Goals Correctly Represent the Person. In E.L. Deci and R.M. Ryan, eds., pp. 65–86. Handbook of Self-Determination Research. Rochester, NY: University of Rochester Press.Google Scholar
  82. Sheldon, Kennon M., Richard M. Ryan, Laird J. Rawsthorne, and Barbara Ilardi 1997 Trait Self and True Self: Cross-Role Variation in the Big-Five Personality Traits and Its Relations with Psychological Authenticity and Subjective Well-Being. Journal of Personality and Social Psychology 73(6): 1380–1393.CrossRefGoogle Scholar
  83. Sheldon, Kennon M., Tim Kasser, Linda Houser-Marko, Taisha Jones, and Daniel Turban 2005 Doing One’s Duty: Chronological Age, Felt Autonomy, and Subjective Well-Being. European Journal of Personality 19: 97–115.CrossRefGoogle Scholar
  84. Site Rank 2005 Jisatsu Saito no Tōhyō Rankingu [Ranking of Suicide Sites]. Available at: http://cat.jp.siterank.org/jp/cat/1100102562/. Accessed January 15, 2005.
  85. Stack, Steven 1998 Marriage, Family and Loneliness: A Cross-National Study. Sociological Perspectives 41: 415–432.Google Scholar
  86. Takahashi, Yoshitomo 1997 Culture and Suicide: From a Japanese Psychiatrist’s Perspective. Suicide and Life-Threatening Behavior 27(1): 137–145.Google Scholar
  87. Takahashi, Yoshitomo 1999 Seishounen no tameno jisatsu yobo manuaru [A Suicide Manual for Young People]. Tokyo: Kongo shuppan.Google Scholar
  88. Takahashi, Yoshitomo 2001 Jisatsu no sain wo yomitoru [Reading a Signal of Suicide]. Tokyo: Kodansha.Google Scholar
  89. Tillich, Paul 1952 The Courage to Be. New Haven, CT: Yale University Press.Google Scholar
  90. Traphagan, John 2004 Interpretations of Elder Suicide, Stress, and Dependency among Rural Japanese. Ethnology 43(4): 315–329.CrossRefGoogle Scholar
  91. Tsuji, Yohko 2006 Mortuary Rituals in Japan: The Hegemony of Tradition and the Motivations of Individuals. Ethos 24(3): 391–431.CrossRefGoogle Scholar
  92. Ueno, Kayoko 2005 Suicide as Japan’s Major Export: A Note on Japanese Suicide Culture. Revista Espaco Academico No. 44 (January). Available at: http://www.espacoacademico.com.br/044/44eueno_ing.htm. Accessed December 25, 2006.
  93. Usui, Mafumi 2002 Internet Shinrigaku [Internet Psychology], September 24. Available at: http://www.n-seiryo.ac.jp/~usui/net/. Accessed February 17, 2007.
  94. van Tilburg, Theo, Eric van Sonderen, and Johan Ormel 1991 The Measurement of Reciprocity in Ego-Centered Networks of Personal Relationships: A Comparison of Different Indices, Social Psychology Quarterly 54: 54–66.Google Scholar
  95. White, Mary 1994 The Material Child: Coming of Age in Japan and America. Berkeley: University of California Press.Google Scholar
  96. Woman 2006 Nihon de Kyūzō suru Netto Jisatsu: 2 nen kan de 3 bai ni [Internet Suicide on the Rise in Japan: It Has Tripled in the Last 2 Years]. Available at: http://ameblo.jp/babanuki/entry–10010138363.html. Accessed March 12, 2007.
  97. Yamamoto-Mitani, Noriko, and Margaret I. Wallhagen 2002 Pursuit of Psychological Well-being (Ikigai) and the Evolution of Self-Understanding in the Context of Caregiving in Japan. Culture, Medicine and Psychiatry 26: 399–417.Google Scholar
  98. Za Keijiban 2003 Jisatsu shitai hito ha oide yo bisshitto shikatte ageru kara [Come Here, Those of You Who Want to Commit Suicide, and I’ll Give You a Stern Scolding!]. Available at: http://psychology.dot.thebbs.jp/1050136588.html. Accessed September 26, 2003.

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  1. 1.Department of AnthropologyEmory UniversityAtlantaUSA

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