Schneider P B
Soz Praventivmed. 1979 Feb;24(1):12-20. doi: 10.1007/BF02083317.
Starting from the notion of suicidal risk and a critique of its usage, it is possible to distinguish groups whose suicidal risk is particularly high. The suicidal group-composed of persons who have already attempted to commit suicide once-is in this paper the subject of general considerations as well as personal research. The latter shows that it is still difficult to detect those persons who are about to commit suicide and that tell-tale signs-be they clinical or resulting from tests-are still not very reliable. The difficulties encountered by secondary prevention are made obvious by two pieces of research done on the taking in charge of suicide-prone persons in a university general hospital. the timely recognition of the pre-suicidal syndrome and of the self-denial syndrome is very important for suicide prevention. Self-depreciation, and consequently the narcissistic blow is, as are the aggression phenomena, one of the psychological cores which lead to an act of suicide. Medical attitudes concerning the suicidal person are analyzed, and the difficulty in the psychotherapeutic relationship is stressed. Pratical considerations on the psychotherapeutic approach to the suicidal person close up the article.
从自杀风险的概念及其使用的批判性分析出发，可以区分出自杀风险特别高的群体。自杀群体（由那些已经有过一次自杀未遂经历的人组成）是本文总体思考以及个人研究的对象。后者表明，要发现那些即将自杀的人仍然很困难，而且无论是临床迹象还是测试结果等警示信号仍然不是很可靠。在一家大学综合医院对易自杀人群进行的两项研究，凸显了二级预防所面临的困难。对自杀前综合征和自我否定综合征的及时识别对预防自杀非常重要。自我贬低，进而自恋受挫，与攻击现象一样，是导致自杀行为的心理核心因素之一。分析了对待自杀者的医学态度，并强调了心理治疗关系中的困难。文章最后对针对自杀者的心理治疗方法进行了实际考量。
