Van Gogh returned home a fortnight later and resumed painting, producing a mirror-image Self-Portrait with Bandaged Ear and Pipe, several still lifes, and La Berceuse (Woman Rocking a Cradle; Augustine-Alix Pellicot Roulin, 1851–1930). Several weeks later, he again showed symptoms of mental disturbance severe enough to cause him to be sent back to the hospital. At the end of April 1889, fearful of losing his renewed capacity for work, which he regarded as a guarantee of his sanity, he asked to be temporarily shut up in the asylum at Saint-Rémy-de-Provence in order to be under medical supervision.
Gogh, Vincent van: Landscape at Saint-Rémy (Enclosed Field with Peasant)Landscape at Saint-Rémy (Enclosed Field with Peasant), oil on canvas by Vincent van Gogh, 1889; in the Indianapolis Museum of Art. 73.66 × 92.07 cm.Photograph by Jenny O'Donnell. Indianapolis Museum of Art, gift of Mrs James W. Fesler in memory of Daniel W. and Elizabeth C. Marmon, 44.74
Van Gogh stayed within what he called the "guise of reality", and was critical of overly stylised works. He wrote afterwards that the abstraction of Starry Night had gone too far and that reality had "receded too far in the background". Hughes describes it as a moment of extreme visionary ecstasy: the stars are in a great whirl, reminiscent of Hokusai's Great Wave, the movement in the heaven above is reflected by the movement of the cypress on the earth below, and the painter's vision is "translated into a thick, emphatic plasma of paint".
The adult Broadway cast (Dick, Paul Lynde, Maureen Stapleton) who recreated their roles for the film version of Bye Bye Birdie (1963) were generally disappointed in the film. It was felt that director George Sidney placed far too much focus on Ann-Margret's teen role, a role that was secondary in the stage hit. Ann-Margret was at the time experiencing a meteoric rise in films.
On 27 July 1890, aged 37, Van Gogh shot himself in the chest with a 7mm Lefaucheux à broche revolver. There were no witnesses and he died 30 hours after the incident. The shooting may have taken place in the wheat field in which he had been painting, or a local barn. The bullet was deflected by a rib and passed through his chest without doing apparent damage to internal organs – probably stopped by his spine. He was able to walk back to the Auberge Ravoux, where he was attended to by two doctors, but without a surgeon present the bullet could not be removed. The doctors tended to him as best they could, then left him alone in his room, smoking his pipe. The following morning Theo rushed to his brother's side, finding him in good spirits. But within hours Vincent began to fail, suffering from an untreated infection resulting from the wound. He died in the early hours of 29 July. According to Theo, Vincent's last words were: "The sadness will last forever".
Ill from drink and suffering from smoker's cough, in February 1888 Van Gogh sought refuge in Arles. He seems to have moved with thoughts of founding an art colony. The Danish artist Christian Mourier-Petersen became his companion for two months, and at first Arles appeared exotic. In a letter, he described it as a foreign country: "The Zouaves, the brothels, the adorable little Arlésienne going to her First Communion, the priest in his surplice, who looks like a dangerous rhinoceros, the people drinking absinthe, all seem to me creatures from another world."
Van Gogh wrote that with The Night Café he tried "to express the idea that the café is a place where one can ruin oneself, go mad, or commit a crime". When he visited Saintes-Maries-de-la-Mer in June, he gave lessons to a Zouave second lieutenant – Paul-Eugène Milliet – and painted boats on the sea and the village. MacKnight introduced Van Gogh to Eugène Boch, a Belgian painter who sometimes stayed in Fontvieille, and the two exchanged visits in July.
In 1892 Émile Bernard organised a small solo show of Van Gogh's paintings in Paris, and Julien Tanguy exhibited his Van Gogh paintings with several consigned from Johanna van Gogh-Bonger. In April 1894 the Durand-Rue Gallery in Paris agreed to take 10 paintings on consignment from Van Gogh's estate. In 1896, the Fauvist painter Henri Matisse, then an unknown art student, visited John Peter Russell on Belle Île off Brittany. Russell had been a close friend of Van Gogh; he introduced Matisse to the Dutchman's work, and gave him a Van Gogh drawing. Influenced by Van Gogh, Matisse abandoned his earth-coloured palette for bright colours.