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Relentless work, extremely long hours create depression, burnout and suicidal risks for those in US medical residency programs. Research shows that between the last year of medical schoool and the first year of residency, the depression risks grow 5 times. Of people in US medical residency programs it found that 25% considered self-harm, 20% know peer or colleague who considered suicide -US residents in 2024 survey by Physician  Foundation. First year residents get about $67,000 a year and have total average debt of $200,000. 

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This story from "Japan Untold Stories" looks at the use of blue light in Japan's railway stations as a way to reduce the suicide rate. Studies show it has worked with the suicide rate since 2013 falling by as much as 84%. It is attributed to making persons more aware of what they are doing. It is based on a nudge technique of influencing behaviour.

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The suicide of celebrity chef Anthony Bourdain who had a popular television program, brings new attention to the increase in middle age suicides ages 45 to 64 in the U.S.  The CDC figures show a 60% increase for women and 37% for men between 2000 and 2016. A clinical instructor in psychiatry and medicine at Cornell, Ms. Boardman says life satisfaction is low at this age,a dip in satisfaction called the U curve. A 2016 study in the American Journal of Preventive Medicine  shows stress factors as problems with intimate partners job/finances, health, family, and criminal/legal problems.  The demographic group driving suicide rates up is mainly white people without a 4 year college degree, who have done poorly compared to that group in a previous generation, say experts at Columbia University. 

Generally isolation and loneliness is also a factor, and social connections a big antidote to depression type stress.

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Krugman calls the fiscal compact agreement in Europe and the efforts to impose austerity measures- at a time of 24% unemployment in Spain- simply insane and a form of economic suicide. A different view was expressed by Martin Feldstein in the WSJ, April 5, 2012, Europe Needs the Bond Vigilantes, in which he pointed to areas in the Fiscal Compact agreement for Europe that do not impose strict spending limits.

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China's rapidly aging population is leading to a new problem of rapidly increasing rural suicides. With urbanization about half of the people over 60 have no adult children living with them and 10% live alone. With meagre savings there are more suicides in isolated communities. 

Over two decades the number of people over 65 has risen from 7% of the population to 12%. The one-child policy is only partly to blame. A rapid drop in births as seen in Latin America was also taking place in China with urbanization and modernization.

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Lack of coordination between EU nations and with Turkey on terrrorism risks is a serious problem. Information on one of the suicide bombers in the Brussels airport and subway attacks in March 2016 is not shared by Turkey with the EU countries because of lack of adequate coordination and no proper mechanism for this. Hillary Clinton points to this as a serious problem to address in a speech at Stanford University following the attacks.

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William Broeksmit built Merrill Lynch's business of trading financial derivatives with Anshu Jain in the early 1990's, and was later hired by Deutsche Bank with Jain for the investment bank of Deutsche Bank. He is found to have committed suicide by hanging, with multiple suicide notes including one to Jain. Coroners say the notes show Broeksmit felt he was being investigated in connection with probes into Deutsche Bank and was being abandoned by colleagues.

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The suicide note left by CFO Wauthier of Zurich Insurance in August 2013. This followed heated and tense exchanges with chairman Josef Ackermann of Zurich Insurance, who joined the company in 2012. Wauthier says Ackermann created a very stressful working environment and treated managers disrespectfully, putting pressure on the finance department. Ackermann joined Zurich Insurance after a career as investment banker and CEO of Deutsche Bank AG. Zurich Insurance's board said an internal investigation will be conducted on cultural issues about whether excessive pressure was placed on the finance department by senior management. Ackermann resigned immediately. Ackermann had tried to change the culture at Zurich of courteous and quiet internal meetings. His position was non executive chairman but he took a vigorous role. Zurich Insurance was facing a difficult macroeconomic environment and missed three year operational targets set in 2010. Wauthier was a 53 year old dual French-British citizen who joined the company in 1996. He worked in southern California for the company in one position, where he improved his surfing skills. The differences between the hard charging investment banking demeanor of Ackermann and the quiet demeanor with engagement in sports of Wauthier, suggests serious differences in management styles leading to conflict that ended in tragedy....

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Lufthansa's CEO announced in the early days following the crash that pilot Lubitz was "100 percent" fit to fly. Kulish and Clark point to the denial at Lufthansa and some other airlines about the need for airlines to have a clear understanding about the psychological condition of pilots. This exceptional report with contributions by a team of NYT reporters tells the story of Lubitz and the airline industry's lack of effective screening. The lack of systematic screening of pilots for psychological issues was raised by the UN's Civil Aviation Organization in 2012, and by the European Commission's Aviation Safety Agency focussing on strict data protection rules with Germany in November 2014. A culture of privacy in Germany following the experience of pervasive intrusions into privacy by the Nazis and the Soviet backed GDR government in East Germany, and strict data protection rules, create a special situation in Germany of being reluctant to pass on information or delve into personal records. The head of Lufthansa's department of aviation psychology, says he would not have accepted the pilot Lubitz if he had known about his medical problems of depression before or during the training period....

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The U.S. aid package to tackle the coronavirus includes $425 million for mental health and substance use disorders and $50 million for suicide prevention to ramp up mental health services. A telemedicine program for mental health providers is being expanded and a suicide prevention program at Veteran Affairs Department is being expanded to other Americans. Second lady Mrs Pence is supporting the suicide prevention program. 

Widespread anxiety and post traumatic stress disorder is expected by experts as a profound aftershock from the coronavirus.

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Adolf Merckle of Blaubeuren, near Ulm, in Germany, whose financial dealings led to the collapse of his pharmaceuticals and other businesses, committed suicide probably by putting himself in front of a train at the rail tracks in Blaubeuren. The picture in the NYT is communicative of this period, with the few candles placed near the snowy railroad tracks of Blaubeuren, just as the train passes. It reflects the shock and grief of the town and the shock felt in Germany.

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Hon Hai has about 800,000 workers. About 400,000 are employed in the southern industrial town of Shenzhen. After a number of worker suicides (13 people have committed or attempted to commit suicide in 2010 so far), the company has announced that it will give 20% raise to its workers. Workers at one plant in Longhua are paid 900 yuan or $132, the legal minimum wage in Guangdong province, though many workers work overtime at 1.5 times the standard rate. The company is secretive about its activities and uses the trade name of Foxconn. It makes personal computers and other products for Apple, HP and other companies. The company uses a military style discipline and it is reported that there is excessive stress in working conditions.

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Professor Mia Bloom of Penn State University has written two books on suicide terror. She point out that Al Quaeda learnt about suicide bombing from the Tamil Tigers terrorist actions in Sri Lanka, especially suicide bombings.

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A terrorist attack in Istanbul, Turkey, in Jan. 2015. Most of the people killed and injured are German tourists. The attack targets Turkey's tourism industry.

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Adolf Merckle, a native of Dresden, left for West Germany after World War II and built up businesses RatioPharm a generics pharmaceutical maker, and Heidelberg Cement. After making a bad bet in shortselling of VW shares, just when the Prosche family moves ran up the price of VW shares from 210 euros to 1000 euros in 2 trading sessions to obtain majority control of VW, Merckle faced losses of several hundred million euros and possible loss of RatioPharm. A badly timed acquisition by Heidelberg Cement also created worsening finances for Merckle's business. When he failed to get a bridge loan Merckle committed suicide. A public outcry prevented the state government there to provide any loans to Merckle.

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Belgium's justice and interior ministers acknowledge the error in not taking action after being alerted by Turkish authorites of Islamic radicals suspected to be a serious terrorist threat. Turkey's president raised this issue in the media about the Belgian officials failure to act on a Turkish request to take into custody a radical arrested in Turkey for trying to enter Syria. The individual was one of two brothers who were suicide bombers in the attack at the Brussels airport and subway in March 2016.

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NYT's Landon Thomas gives this exceptional report on how Deutsche Bank changed from a lender to the German auto industry and safe banking practices to enter the derivatives business and other opaque financial products that led to taking on huge risks. Deutsche Bank has agreed on Dec. 22, 2016 to settle with the U.S. Justice Department paying a fine of $7.2 billion for practices relating to faulty mortgage securities. This report says the problems started in 1995 with Deutsche Bank's leadership hiring Edson Mitchell of Merrill Lynch to promote the investment banking business at Deutsche Bank. Mitchell hired two derivatives traders Broeksmit and Anshu Jain. Mr. Mitchell died in plane crash in 2000 when he was 47 years age, Mr. Broeksmit committed suicide in 2014, 58 years in age, Mr. Anshu Jain, 53 years old, is the only surviving person of the three. Under Mr. Jain Deutsche Bank assumed more and more risk, and was involved in complex and opaque financial products leading to the toxic mortgage crisis, and manipulation of the lending rate for London banks.  It also lent $300 million to Donald Trump's businesses. Most of the profits generated from this venture have evaporated, with analysts estimating $15 billion in fines and penalties owed of the $20 billion that these ventures generated. Not counting the serious damage to the bank's reputation in Germany and the U.S. This report points out the role played by the CEO from 2002 to 2012 of Deutsche Bank, Josef Ackermann, in encouraging these ventures converting the bank from its original loan as a contintental lender to business to a bank selling opaque financial products for most of its profits. Landon Thomas also describes the events and days leading up to the suicide by Broeksmit, including a visit to a psychiatrist and Broeksmit's facing enormous stress about the investigations underway in Germany and the U.S. looking into the opaque financial products and practices of Deutsche Bank. This is also a cautionary tale about what happened in banking from the late 1990's leading to the collapse in 2008, leading to the problems of today- the need to rescue the economy in 2008-2009 and the low rate world that ensued damaging the savings of ordinary people, the infrastructure that was never built, the parallel crisis of the hollowing out in manufacturing as a false prosperity boomed in banking and finance. In a sense it is also a story of everyday lives that were damaged in the high flying boardrooms of finance in New York, London and Frankfurt. The revolving door between regulators and the banks made it harder to monitor and control banking risk letting this story unfold over decades, damaging the credibility of governments and the established political parties without clear alternatives from outside; as the dominance of Wall Street executives in the new outsider Trump administration shows.  ...