The history of public health has been a flourishing field in the last three decades. Yet despite a spate of excellent monographs about various epidemic diseases and many good collections about health and disease in Africa, Asia, The Middle East, Latin America, as well as Europe and North America, the most recent textbook on the history of public health is four decades old.
Why attempt the history of suicide? Leaving aside the rare episodes of mass self-destruction by such people as sect members and warriors determined to die rather than fall into the hands of their enemies, suicides have never made up more than a tiny m inority of any known human population. A rate of 25 per 100,000, or one in four thousand, counts as high in the late twentieth century.
Early-modern Europe (here covering the years from 1492 to 1750) was constantly beset by plagues of all kinds. Scarcely a year passed in western Europe until the 1720s without an outbreak of ‘pestilence’, and scarcely a decade without a major epidemic that killed ten, twenty, or even forty per cent of the community. Expansion brought with it new dangers.
Until Irina Metzler published her first volume on medieval disability in 2006 (1), the lives of the physically impaired in the Middle Ages had received relatively little scholarly attention.
‘In me,’ wrote Bishop Thietmar of Merseburg in the early 11th century: