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Death

Death is the permanent end of the life of a biological organism. Death may refer to the end of life as either an event or condition. Many factors can cause or contribute to an organism's death, including predation, disease, habitat destruction, senescence, malnutrition and accidents. The principal causes of death in developed countries are diseases related to aging. Traditions and beliefs related to death are an important part of human culture, and central to many religions. In medicine, biological details and definitions of death have become increasingly complicated as technology advances.

Historically, attempts to define the exact moment of death have been problematic. Death was once defined as the cessation of heartbeat (cardiac arrest) and of breathing, but the development of CPR and prompt defibrillation have rendered the previous definition inadequate because breathing and heartbeat can sometimes be restarted. This is now called "clinical death". Events which were causally linked to death in the past no longer kill in all circumstances; without a functioning heart or lungs, life can sometimes be sustained with a combination of life support devices, organ transplants and artificial pacemakers.
Today, where a definition of the moment of death is required, doctors and coroners usually turn to "brain death" or "biological death": People are considered dead when the electrical activity in their brain ceases (cf. persistent vegetative state). It is presumed that a stoppage of electrical activity indicates the end of consciousness. However, suspension of consciousness must be permanent, and not transient, as occurs during sleep, and especially a coma. In the case of sleep, EEGs can easily tell the difference.

Those maintaining that only the neo-cortex of the brain is necessary for consciousness sometimes argue that only electrical activity there should be considered when defining death. Eventually it is possible that the criterion for death will be the permanent and irreversible loss of cognitive function, as evidenced by the death of the cerebral cortex. All hope of recovering human thought and personality is then gone. However, at present, in most places the more conservative definition of death — irreversible cessation of electrical activity in the whole brain, as opposed to just in the neo-cortex — has been adopted (for example the Uniform Determination Of Death Act in the United States). In 2005, the case of Terri Schiavo brought the question of brain death and artificial sustenance to the front of American politics.

Even by whole-brain criteria, the determination of brain death can be complicated. EEGs can detect spurious electrical impulses, while certain drugs, hypoglycemia, hypoxia, or hypothermia can suppress or even stop brain activity on a temporary basis. Because of this, hospitals have protocols for determining brain death involving EEGs at widely separated intervals under defined conditions.

There are many anecdotal references to people being declared dead by physicians and then coming back to life, sometimes days later in their own coffin, or when embalming procedures are just about to begin. Owing to significant scientific advancements in the Victorian era, some people in Britain became obsessively worried about living after being declared dead.

A first responder is not authorized to pronounce a patient dead. Some EMT training manuals specifically state that a person is not to be assumed dead unless there are clear and obvious indications that death has occurred. These indications include mortal decapitation, rigor mortis (rigidity of the body), livor mortis (blood pooling in the part of the body at lowest elevation), decomposition, incineration, or other bodily damage that is clearly inconsistent with life. If there is any possibility of life and in the absence of a do not resuscitate (DNR) order, emergency workers are instructed to begin rescue and not end it until a patient has been brought to a hospital to be examined by a physician. This frequently leads to situation of a patient being pronounced dead on arrival (DOA). However, some states allow paramedics to pronounce death. This is usually based on specific criteria. Aside from the above mentioned conditions include advanced measures including CPR, intubation, IV access, and administiring medicines without regaining a pulse for at least 20 minutes.

In cases of electrocution, CPR for an hour or longer can allow stunned nerves to recover, allowing an apparently-dead person to survive. People found unconscious under icy water may survive if their faces are kept continuously cold until they arrive at an emergency room. This "diving response", in which metabolic activity and oxygen requirements are minimal, is something humans share with cetaceans called the mammalian diving reflex.

As medical technologies advance, ideas about when death occurs may have to be re-evaluated in light of the ability to restore a person to vitality after longer periods of apparent death (as happened when CPR and defibrillation showed that cessation of heartbeat is inadequate as a decisive indicator of death). The lack of electrical brain activity may not be enough to consider someone scientifically dead. Therefore, the concept of information theoretical death has been suggested as a better means of defining when true death actually occurs, though the concept has few practical applications outside of the field of cryonics.

Grief and mourning
Grief is a multi-faceted response to loss. Although conventionally focused on the emotional response to loss, it also has a physical, cognitive, behavioural, social and philosophical dimensions. Common to human experience is the death of a loved one, be they friend, family, or other. While the terms are often used interchangeably, bereavement often refers to the state of loss, and grief to the reaction to loss. Response to loss is varied and researchers have moved away from conventional views of grief (that is, that people move through an orderly and predictable series of responses to loss) to one that considers the wide variety of responses that are influenced by personality, family, culture, and spiritual and religious beliefs and practices.

Bereavement, while a normal part of life for most people, carries a degree of risk when limited support is available. Severe reactions to loss may carry over into familial relations and cause trauma for children, spouses and any other family members. Many forms of what are termed 'mental illness' have loss as their root, but covered by many years and circumstances this often goes unnoticed. Issues of personal faith and beliefs may also face challenge, as bereaved persons reassess personal definitions in the face of great pain. While many who grieve are able to work through their loss independently, accessing additional support from bereavement professionals may promote the process of healing. Individual counseling, professional support groups or educational classes, and peer-lead support groups are primary resources available to the bereaved. In some regions local hospice agencies may be an important first contact for those seeking bereavement support.

Mourning is the process of and practices surrounding death related grief. The word is also used to describe a cultural complex of behaviours in which the bereaved participate or are expected to participate. Customs vary between different cultures and evolve over time, though many core behaviors remain constant. Wearing dark, sombre clothes is one practice followed in many countries, though other forms of dress are also seen. Those most affected by the loss of a loved one often observe a period of grieving, marked by withdrawal from social events and quiet, respectful behavior. People may also follow certain religious traditions for such occasions.

Mourning may also apply to the death of, or anniversary of the passing of, an important individual like a local leader, monarch, religious figure etc. State mourning may occur on such an occasion. In recent years some traditions have given way to less strict practices, though many customs and traditions continue to be followed.

Legal aspects
Settlement of legal entity
Aside from the physical disposition of the corpse, the estate of a person must be settled. This includes all of the person's legal rights and obligations, such as assets and debts. Depending on the jurisdiction, laws or a will may determine the final disposition of the estate. A legal process, such as probate, will guide these proceedings.

Capital punishment
Capital punishment, also known as the death penalty, is the execution of a convicted criminal by the state as punishment for crimes known as capital crimes or capital offences. Historically, the execution of criminals and political opponents was used by nearly all societies—both to punish crime and to suppress political dissent. Among democratic countries around the world, all European (except Belarus) and Latin American states, many Pacific Area states (including Australia, New Zealand and Timor Leste), and Canada have abolished capital punishment, while the United States, Guatemala, and most of the Caribbean as well as some democracies in Asia (e.g., Japan and India) and Africa (e.g., Botswana and Zambia) retain it. Among nondemocratic countries, the use of the death penalty is common but not universal.

In most places that practice capital punishment today, the death penalty is reserved as punishment for premeditated murder, espionage, treason, or as part of military justice. In some countries, sexual crimes, such as adultery and sodomy, carry the death penalty, as do religious crimes such as apostasy, the formal renunciation of one's religion. In many retentionist countries, drug trafficking is also a capital offense. In China human trafficking and serious cases of corruption are also punished by the death penalty. In militaries around the world courts-martial have imposed death sentences for offenses such as cowardice, desertion, insubordination, and mutiny.

Capital punishment is a very contentious issue. Supporters of capital punishment argue that it deters crime, prevents recidivism, and is an appropriate form of punishment for the crime of murder. Opponents of capital punishment argue that it does not deter criminals more than life imprisonment, violates human rights, leads to executions of some who are wrongfully convicted, and discriminates against minorities and the poor.

Warfare
War is a prolonged state of violent, large scale conflict involving two or more groups of people. When and how war originated is a highly controversial topic. Some think war has existed as long as humans, while others believe it began only about 5000 years ago with the rise of the first states; afterward war "spread to peaceful hunter-gatherers and agriculturalists.

Often opposing leaders or governing bodies get other people to fight for them, even if those fighting have no vested interest in the issues fought over. In time it became practical for some people to have warfare as their sole occupation, either as a member of a military force or mercenary. The original cause of war is not always known. Wars may be prosecuted simultaneously in one or more different theatres. Within each theatre, there may be one or more consecutive military campaigns. Individual actions of war within a specific campaign are traditionally called battles, although this terminology is not always applied to contentions in modernity involving aircraft, missiles or bombs alone in the absence of ground troops or naval forces.

The factors leading to war are often complicated and due to a range of issues. Where disputes arise over issues such as sovereignty, territory, resources, ideology and a peaceable resolution is not sought, fails, or is thwarted, war often results.

A war may begin following an official declaration of war in the case of international war, although this has not always been observed either historically or currently. Civil wars and revolutions are not usually initiated by a formal declaration of war, but sometimes a statement about the purposes of the fighting is made. Such statements may be interpreted to be declarations of war, or at least a willingness to fight for a cause.

Military suicide and suicide attacks
A suicide attack occurs when an individual or group violently sacrifice their own lives for the benefit of their side. In the desperate final days of World War II, many Japanese pilots volunteered for kamikaze missions in an attempt to forestall defeat for the Empire. In Nazi Germany, Luftwaffe squadrons were formed to smash into American B-17s during daylight bombing missions, in order to delay the highly-probable Allied victory, although in this case, inspiration was primarily the Soviet and Polish taran ramming attacks, and death of the pilot was not a desired outcome. The degree to which such a pilot was engaging in a heroic, selfless action or whether they faced immense social pressure is a matter of historical debate. The Japanese also built one-man "human torpedo" suicide submarines.

However, suicide has been fairly common in warfare throughout history. Soldiers and civilians committed suicide to avoid capture and slavery (including the wave of German and Japanese suicides in the last days of World War II). Commanders committed suicide rather than accept defeat. Spies and officers have committed suicide to avoid revealing secrets under interrogation and/or torture. Behavior that could be seen as suicidal occurred often in battle. Japanese infantrymen usually fought to the last man, launched "banzai" suicide charges, and committed suicide during the Pacific island battles in World War II. In Saipan and Okinawa, civilians joined in the suicides. Suicidal attacks by pilots were common in the 20th century: the attack by U.S. torpedo planes at the Battle of Midway was very similar to a kamikaze attack.

Martyrdom
A martyr is a person who is put to death or endures suffering for their beliefs, principles or ideology. The death of a martyr or the value attributed to it is called martyrdom. In different belief systems, the criteria for being considered a martyr is different. In the Christian context, a martyr is an innocent person who, without seeking death, is murdered or put to death for his or her religious faith or convictions. An example is the persecution of early Christians in the Roman Empire. Christian martyrs sometimes decline to defend themselves at all, in what they see as an imitation of Jesus' willing sacrifice.

Islam accepts a broader view of what constitutes a martyr, including anyone who dies in the struggle between those lands under Muslim government and those areas outside Muslim rule. Generally, some seek to include suicide bombers as a "martyr" of Islam, however, this is widely disputed in mainstream Islamic thought, which argues that a martyr may not commit suicide.

Though often religious in nature, martyrdom can be applied to a secular context as well. The term is sometimes applied to those who die or are otherwise severely affected in support of a cause, such as soldiers fighting in a war, doctors fighting an epidemic, or people leading civil rights movements. Proclaiming martyrdom is a common way to draw attention to a cause and garner support.

Suicide
Suicide is the act of intentionally taking one's own life. The term "suicide" can also be used as a noun to refer to a person who has killed himself or herself.

Views on suicide have been influenced by cultural views on existential themes such as religion, honor, and the meaning of life. Most Western and Asian religions—the Abrahamic religions, Buddhism, Hinduism—consider suicide a dishonorable act; in the West it was regarded as a serious crime and offense against God due to religious belief in the sanctity of life. Japanese views on honor and religion led to seppuku being respected as a means to atone for mistakes or failure during the samurai era. In the 20th century suicide in the form of self-immolation has been used as a form of protest. Self-sacrifice for others is not usually considered suicide.

The predominant view of modern medicine is that suicide is a mental health concern, associated with psychological factors such as the difficulty of coping with depression, inescapable pain or fear, or other mental disorders and pressures. Suicide is often interpreted as a "cry for help" and attention, or to express despair and the wish to escape, rather than a genuine intent to die. Most suicides (for various reasons) do not succeed on a first attempt; those who later gain a history of repetitions are significantly more at risk of eventual completion. Nearly a million people worldwide die by suicide annually. While completed suicides are higher in men, women have higher rates for suicide attempts. Elderly males have the highest suicide rate, although rates for young adults have been increasing in recent years.

Customs and superstitions
Death's finality and the relative lack of firm scientific understanding of its processes for most of human history have led to many different traditions and cultural rituals for dealing with death.

 Sacrifices
Sacrifice ("to make sacred") includes the practice of offering the lives of animals or people to the gods, as an act of propitiation or worship. The practice of sacrifice is found in the oldest human records, and the archaeological record finds corpses, both animal and human, that show marks of having been sacrificed and have been dated to long before any records. Human sacrifice was practiced in many ancient cultures. The practice has varied between different civilizations, with some like the Aztecs being notorious for their ritual killings, while others have looked down on the practice. Victims ranging from prisoners to infants to virgins were killed to please their gods, suffering such fates as burning, beheading and being buried alive.
Animal sacrifice is the ritual killing of an animal as practised by many religions as a means of appeasing a god or spiritual being, changing the course of nature or divining the future. Animal sacrifice has occurred in almost all cultures, from the Hebrews to the Greeks and Romans to the Yoruba. Over time human and animal sacrifices have become less common in the world, such that modern sacrifices are rare. Most religions condemn the practice of human sacrifices, and present day laws generally treat them as a criminal matter. Nonetheless traditional sacrifice rituals are still seen in less developed areas of the world where traditional beliefs and superstitions linger, including the sacrifice of human beings.

Philosophy, religion and mythology
Faith in some form of afterlife is an important aspect of many people's beliefs. Such beliefs are usually manifested as part of a religion, as they pertain to phenomena beyond the ordinary experience of the natural world. For example, one aspect of Hinduism involves belief in a continuing cycle of birth, life, death and rebirth (Samsara) and the liberation from the cycle (Moksha). Eternal return is a non-religious concept proposing an infinitely recurring cyclic universe, which relates to the subject of the afterlife and the nature of consciousness and time. Though various evidence has been advanced in attempts to demonstrate the reality of an afterlife, these claims have never been validated. For this reason, the material or metaphysical existence of an afterlife remains a matter outside the scope of science.

Many cultures have incorporated a god of death into their mythology or religion. As death, along with birth, is among the major parts of human life, these deities may often be one of the most important deities of a religion. In some religions with a single powerful deity as the source of worship, the death deity is an antagonistic deity against which the primary deity struggles.

In polytheistic religions or mythologies which have a complex system of deities governing various natural phenomena and aspects of human life, it is common to have a deity who is assigned the function of presiding over death. The inclusion of such a "departmental" deity of death in a religion's pantheon is not necessarily the same as the glorification of death which is commonly condemned by the use of the term "death-worship" in modern political rhetoric. In the theology of monotheistic religion, the one god governs both life and death. However, in practice this manifests in different rituals and traditions and varies according to a number of factors including geography, politics, traditions and the influence of other religions.

Personification of death
Death has been personified as a figure or fictional character in mythology and popular culture since the earliest days of storytelling. Because the reality of death has had a substantial influence on the human psyche and the development of civilization as a whole, the personification of Death as a living, sentient entity is a concept that has existed in many societies since the beginning of recorded history. In western culture, death is usually shown as a skeletal figure carrying a large scythe, and sometimes wearing a midnight black gown with a hood.

Examples of death personified are:

  • In modern-day European-based folklore, Death is known as the "Grim Reaper" or "The grim spectre of death". This form typically wields a scythe, and is sometimes portrayed riding a white horse.
     
  • In the Middle Ages, Death was imagined as a decaying or mummified human corpse, later becoming the familiar skeleton in a robe.

 Glorification of and fascination with death
Whether because of its very poetic nature or because of the great mystery it presents, or both, death is and has very often been glorified in many cultures through many different means. War, crime, revenge, martyrdom, suicide and many other forms of violence involving death are often glorified by different media, often in modern times being glorified even in spite of the attempts at depicting death meant to be de-glorifying. For example, film critic Roger Ebert mentions in a number of articles that Francis Truffaut makes the claim it's impossible to make an anti-war film, as any depiction of war ends up glorifying it. The most prevalent and permanent form of death's glorification is through artistic expression. Through song, such as Knockin' on Heaven's Door or Bullet in the Head, many artists show death through poetic analogy or even as a poetic analogy, as in the latter mentioned song. Events such as The Charge of the Light Brigade and The Battle of the Alamo have served as inspirations for artistic depictions of and myths regarding death.

Perception of glory in death is subjective and can even differ wildly from one member of a group to another. Religion plays a key role, especially in terms of expectations of an afterlife. Personal and perceptions about mode of death are also important factors. One person's martyr could be another person's waste of life.