Hahn S
Karl-Sudhoff-Institut für Geschichte, Medizin und Naturwissenschaften, Medizinischen Fakultät der Universität Leipzig, Deutschland.
Zentralbl Pathol. 1991;137(5):456-61.
Alarming suicide records encouraged the community of science-oriented medicine in the last third of the 19th century to pay more attention to the suicide phenomenon and, in the context of pathological anatomy, to try to identify causes as well as possible approaches to prophylaxis and therapy. Hopes were not satisfied for specific morphological findings from suicide cases, as may be seen from various research results reported in this paper. Nevertheless, this approach had to it social potentials helpful in reducing bias and sanctions against suicides. However, attempts failed to enlarge scientific and social effectiveness by closer coordination of scientific research with efforts to control suicide at psychic and social levels and in public life. Science-oriented medicine actually retreated to biological factors, even before the first world war, and thus left the people concerned exposed to social degradation and marginalisation, as suicide continued to be considered an inescapable fate.
19世纪最后三分之一时期,令人震惊的自杀记录促使科学医学领域更加关注自杀现象,并在病理解剖学的背景下,试图找出自杀原因以及预防和治疗的可能方法。正如本文所报道的各种研究结果所示,人们并未从自杀案例的特定形态学发现中得到满足。然而,这种方法具有一定的社会潜力,有助于减少对自杀者的偏见和制裁。然而,通过将科学研究与在心理、社会层面及公共生活中控制自杀的努力更紧密地协调起来,扩大科学和社会成效的尝试却失败了。甚至在第一次世界大战之前,科学医学实际上就已退回到关注生物因素,结果让相关人群面临社会地位下降和被边缘化的处境,因为自杀仍被视为一种不可避免的命运。