RT Journal A1 Harris JC T1 POrtrait of dr gachet JF Archives of General Psychiatry JO Archives of General Psychiatry YR 2002 FD December 1 VO 59 IS 12 SP 1083 OP 1084 DO 10.1001/archpsyc.59.12.1083 UL http://dx.doi.org/10.1001/archpsyc.59.12.1083 AB ON JULY 27, 1890, Vincent van Gogh (1853-1890) died in the arms of his brother Theo at 1:30 AM, poignantly saying to Theo, "if it could always be like this."2 He died 29 hours after staggering back to his hotel in Auvers, France, after shooting himself in the chest.2 He had gone out to paint immediately after breakfast2 days before, taking a gun with him that he used to keep crows away when he worked. When he returned home late, about 9 PM, the landlady's wife expressed her worries about his absence and asked if anything unfortunate had happened. He started to answer but then went directly to his room. Upstairs, the landlord heard him groaning and went to him asking if he was ill. Vincent lifted his shirt to reveal bleeding from a "dark red hole surrounded by a purplish halo3-4 cm below the left nipple"—a self-inflicted gunshot wound.3 The local physician was called, but Vincent asked for Dr Paul Gachet. When Dr Gachet arrived, he spoke of Vincent's possible recovery, but Vincent said, "then I should have to do it all over again."2