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The reference to suicide was not accidental.
The earliest known reference to suicide is a poem, written on papyrus in Egypt 4,000 years ago.
The chief executive of the Butterfly Foundation, Christine Morgan, said it was the first case she was aware of in which a death certificate would include a reference to suicide alongside anorexia nervosa.
Though the letters made no specific reference to suicide, and the group has no history of violence, the apocalyptic talk incited fears of the worst in a part of the country that has seen cult suicides in the past.
The gunman who killed a 16-year-old girl and then himself in a small mountain town southwest of Denver on Wednesday had sent a rambling 14-page letter to a relative that day that officials said made reference to suicide and his pending death.
She didn't mind at all the reference to suicide, she said, but she thought I might be interested to know that her daughter Becky had been upset, "a) that I'd once attempted suicide; b) that I'd told anyone - well, particularly the readers of a newspaper".
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One of the mini-games sees workers leaping from their factory building: a clear reference to suicides and attempted suicides by workers at Apple's manufacturing partner Foxconn.
They come threaded with references to suicide, dead rabbits, blow jobs and infanticide.
Then his grades began to drop, and he made references to suicide in a letter to Mr. Grunow.
There are references to suicide bombings as well, and the novel suggests persuasively that we live in a world in which human sacrifice is very much alive.
It is saddening and worrying that references to suicide and serious mental health problems are batted around on the internet; either because they are used flippantly or because, when serious, individuals should feel they can seek help offline.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com