Yang Bijou, Lester David
Department of Econmics and International Business, Bennett S. Lebow College of Business, Drexel University, 3141 Chestnut Street, Philadelphia, Pennsylvania 19104-2875, USA.
Death Stud. 2007 Apr;31(4):351-61. doi: 10.1080/07481180601187209.
These authors argue that estimates of the net economic cost of suicide should go beyond accounting for direct medical costs and indirect costs from loss of earnings by those who commit suicide. There are potential savings from: (a) not having to treat the depressive and other psychiatric disorders of those who kill themselves; (b) avoidance of pension, social security and nursing home care costs; and (c) assisted-suicide. By combining all of these costs and savings, it is concluded that the net economic cost of the 30,906 completed suicides in 1990 entailed an economic gain for the society of roughly $5.07 billion in year--2005 dollars. This calculation does not include estimated costs due to the psychological pain and suffering of the survivors. Suicide should be prevented based on humane considerations, not on the economic cost involved.
这些作者认为,自杀的净经济成本估计不应仅考虑直接医疗成本和自杀者收入损失带来的间接成本。还存在潜在的节省:(a)无需治疗自杀者的抑郁症和其他精神疾病;(b)避免养老金、社会保障和养老院护理成本;(c)协助自杀。综合考虑所有这些成本和节省后得出结论,以2005年美元计算,1990年30906起自杀既遂事件的净经济成本为社会带来了约50.7亿美元的经济收益。该计算未包括幸存者心理痛苦造成的估计成本。预防自杀应基于人道考虑,而非所涉及的经济成本。