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February 21, 2026 81 mins

Abby and Patrick welcome Helen Epstein, Visiting Professor of Human Rights and Global Public Health at Bard College and author of the new book Why Live: How Suicide Becomes an Epidemic. After sketching out the history of contemporary western sociological and philosophical accounts of suicide in general from Durkheim to the existentialists and beyond, the three turn to the specific focus of Epstein’s research: suicide epidemics. As Epstein elaborates, suicide epidemics – wherein entire communities experience sudden and acute spikes in suicide rates – raise urgent questions about the social, economic, and emotional contexts of suicidal distress. What broad conditions can make people feel like life is no longer worth living? What models of meaningful life do communities transmit intergenerationally, and how do those models – and those communities – crumble under pressure? Exploring examples from Micronesia to Nunavut and from 1990s Russia to the contemporary United States and taking up communities from 19th century industrial workers to contemporary American military veterans, Epstein walks Abby and Patrick through her findings, leading the three to reflect on how societies metabolize historical change and economic dislocation on the level of families and across generations. 

Helen Epstein, Why Live: When Suicide Becomes an Epidemic.

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