South Africa has one of the world’s highest rates of sexual assault. According to a 2009 government survey, one in four men admit to having sex with a woman who did not consent to intercourse, and nearly half of these men admitted to raping more than once. An earlier government study found that a majority of rapes were committed by friends and acquaintances of the victim.
Just as disturbing is a practice called “corrective rape” — the rape of gay men and lesbians to “cure” them of their sexual orientation.
Our understanding of how suicidal thinking progresses, or how to spot and halt it, is little better now than it was two and a half centuries ago, when we first began to consider suicide a medical rather than philosophical problem and physicians prescribed, to ward it off, buckets of cold water thrown at the head.
At the start of a flare-up, immune cells invade bruised muscles. Instead of healing the damaged area, they annihilate it. A few progenitor cells then crawl into the empty space, and in some cases give rise to new bone.
“Your muscle isn’t turning to bone,” says Shore. “It’s being replaced by bone.”
The bridge comes into the lives of all Bay Area residents sooner or later, and it often stays. Dr. Jerome Motto, who has been part of two failed suicidebarrier coalitions, is now retired and living in San Mateo. When I visited him there, we spent three hours talking about the bridge. Motto had a patient who committed suicide from the Golden Gate in 1963, but the jump that affected him most occurred in the seventies. “I went to this guy’s apartment afterward with the assistant medical examiner,” he told me. “The guy was in his thirties, lived alone, pretty bare apartment. He’d written a note and left it on his bureau. It said, ‘I’m going to walk to the bridge. If one person smiles at me on the way, I will not jump.’ ”