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Tahir Rahman M.D.
Tahir Rahman M.D.
Clinical and Forensic Dimensions of Psychiatry
Self-Harm

Self-Destructive Protesting in the Waves of Political Change

Violence towards self or others is something we should all work to prevent.

Key points

  • Self-immolation due to political protests have recently increased in the United States.
  • Suicide often occurs in individuals with psychological distress, and can have a contagion effect.
  • In the aftermath of any suicide, media can play a crucial role in shaping public perception.
  • Mental health providers should understand the powerful destructive forces of extreme overvalued beliefs.

Self-immolation is the act of setting fire to oneself. Once considered a rare event in the United States, there has been an increase in cases of self-immolation in the U.S. These were not from patients with psychosis (for example, who might have command auditory hallucinations or delusions). Instead, they are an extreme form of protest, similar to others that have occurred in waves throughout history. They are typically motivated by amplified and defended political, social, or other grievances to serve a cause. As a dramatic form of self-destructive behavior, its practice should be understood as motivated by extreme overvalued beliefs, just as mass shootings, terrorism, or other forms of ideologically framed acts are.

Political Protests

In 2023, a protester self-immolated in front of the Israeli consulate in Atlanta while draped in a Palestinian flag. In February 2024, an active-duty U.S. Air Force service member, self-immolated outside the Israeli consulate in Washington D.C., in protest against the U.S. support for Israel. He lit himself on fire while shouting "Free Palestine." It was filmed and live-streamed on Twitch. On September 11, 2024, Matt Nelson self-immolated outside the Israeli consulate and the Four Seasons Hotel in Boston. He urged the U.S. government to stop sending weapons to Israel. On October 5, 2024, a photojournalist named Samuel Mena Jr attempted to self-immolate in front of the White House in front of thousands of protesters. He survived with burn injuries to his arm. Each of these cases of self-immolation involves the same shared subculture of protesting U.S. support for Israel.

The belief should be differentiated from a delusion or obsession. The belief grows more dominant over time, refined, and resistant to challenge. The individual has an intense emotional commitment to the belief and may carry out harm to self and or others in its service. The belief grows increasingly binary, simplistic, and absolute (for example, "Free Palestine").

Historical Waves

  • Vietnam War (1960s): One of the most notable instances of self-immolation occurred during the Vietnam War. Thích Quảng Độ, a Buddhist monk, famously set himself on fire in 1963 to protest the repression of Buddhists by the South Vietnamese government. Several other monks followed suit, and these acts received widespread media attention and condemnation of the government's actions.
  • Tibet (2009-2023): In recent decades, numerous Tibetans have self-immolated to protest Chinese rule and to call attention to their struggle for autonomy. This wave of self-immolations has been particularly intense around significant anniversaries, such as the 2008 Tibetan uprising.
  • Civic and Political Protest: Norman Morrison took his daughter Emily, then one year of age, to the Pentagon, and either set her down or handed her off to someone in the crowd before pouring kerosene on himself. He set himself ablaze in protest of the U.S. involvement in the Vietnam War.

Psychological Dimensions

The decision to self-immolate often stems from a combination of psychological and emotional factors. Many individuals who resort to this extreme form of protest experience helplessness, alienation, or despair. They may perceive self-immolation as a last resort, a way to reclaim agency in situations where they feel powerless.

In some cases, those who self-immolate are driven by the desire to make a profound statement in a shared subculture of individuals who perceive the same grievances. The dramatic nature of the act can draw attention to their cause, in an attempt to force society to confront issues they feel are being ignored. However, this act can also reflect a culmination of trauma, oppression, or lack of sophisticated psychological defenses.

Suicide Prevention

Suicide for any reason (desperation, sorrow, grief, or grievance) has profound negative effects on families, communities, and societal stability. Those within the individual's subculture will view it as an "honorable act of sacrifice." Similar to the aftermath of an act of terrorism, media play a crucial role in shaping public perception of such events. Mental health workers should not be complicit in sensationalizing any violent or suicidal acts and instead can offer an analysis that condemns the taking of life for any sensationalized causes.

In the digital age, the reach of social media can amplify the contagion or "copycat" acts of self-immolation. Images and videos can spread rapidly, bringing immediate attention to self-destructive or violent behavior. Individuals who contemplate suicide are often struggling with mental health issues and may begin exploring extreme ideologies. Addressing these needs through prevention, support, and intervention is vital in keeping us all safe.

References

Romm S, Combs H, Klein MB. Self-immolation: cause and culture. Journal of burn care & research. 2008 Nov 1;29(6):988-93.

Romm S, Combs H, Klein MB. Self-immolation: cause and culture. Journal of burn care & research. 2008 Nov 1;29(6):988-93.

Alfonso CA, Chandra PS, Schulze TG, editors. Suicide by self-immolation: Biopsychosocial and transcultural aspects. Springer International Publishing; 2021.

Rahman T, Zheng L, Meloy R. DSM-5 cultural and personality assessment of extreme overvalued beliefs: Aggression and Violent Behavior. Vol 60, Sept-Oct 2021.

Rahman T, Meloy JR, Cognitive-Affective Drivers of Fixation in Threat Assessment: Behavior Sciences and the Law, 3(2):170-189, Oct 2020.

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About the Author
Tahir Rahman M.D.

Tahir Rahman, M.D., is an associate professor of psychiatry at Washington University and the author of Extreme Overvalued Beliefs.

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