Suicidal lunatics were only one patient group among several that alienists and asylum attendants had to care for, but the danger and risk associated with suicide made them one of the more difficult to manage. The task of suicide prevention was a priority for asylum staff as they endeavoured to save life and avoid criticism and investigation from the asylums' regulating body. This article investigates the contribution alienists and attendants made to the management and prevention of suicide in English public lunatic asylums during the second half of the nineteenth century. It examines the respective contribution alienists and attendants made to the handling of suicidal patients, with varying levels of involvement. In doing so, it argues that the practical application of suicide prevention fell to asylum attendants, as their work determined how, and with what success, alienists' suicide policy was implemented.
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