Watzka Carlos
Lehrstuhl für Soziologie und Empirische Sozialforschung, Katholische Universität Eichstätt-Ingolstadt, Ostenstraße 24, 85072, Eichstätt, Deutschland,
Neuropsychiatr. 2012;26(3):95-102. doi: 10.1007/s40211-012-0039-1. Epub 2012 Sep 29.
Referring to the 'biopsychosocial' model of health first, the article deals with the relevance of social factors in letal suicidality, giving an overview upon recent research findings specific for the Austrian society. In the beginning, the sociodemographic 'basic variables' of gender, age, marital status, partnership and parenthood are treated: Older men must be seen as a high risk population for suicide here, and married persons still have the lowest relative suicide risks. Regarding social status a study for the region of Styria shows an U-shaped-pattern, the highest suicide rates being situated at the lower end of the occupational prestige scale, amongst factory and unskilled workers, but also within the category of farmers, which is rather heterogeneous in terms of the economic status of its members. Moreover, people without occupation show much higher suicide rates-compared to those, who were economically active, the risk of committing suicide was more than five times higher in the years 2000-2004. After these topics, the suicide-protective consequences of the extension of the supply systems regarding medicine, psychiatry, psychotherapy and psychosocial support, taking place since the late twentieth century, are discussed. Likewise long-term changes in town-village-differences of suicide rates in the context of 'postmodernisation' and the theme of multiple psychosocial problem situations as triggers for suicide are addressed.
本文首先参照健康的“生物心理社会”模型,探讨社会因素在致命自杀行为中的相关性,并概述奥地利社会的最新研究成果。文章开篇讨论了性别、年龄、婚姻状况、伴侣关系和为人父母等社会人口统计学“基本变量”:老年男性在这里被视为自杀的高危人群,已婚人士的相对自杀风险仍然最低。关于社会地位,施蒂利亚州的一项研究显示出一种U型模式,自杀率最高的人群位于职业声望量表的低端,包括工厂工人和非技术工人,以及农民群体,而农民群体在其成员的经济状况方面相当多样化。此外,与有经济活动的人相比,无业人员的自杀率要高得多,在2000年至2004年期间,无业人员自杀的风险是有经济活动人员的五倍多。在讨论了这些话题之后,文章探讨了自20世纪末以来在药品、精神病学、心理治疗和心理社会支持方面供应体系扩展所带来的自杀预防效果。同样,文章还讨论了在“后现代”背景下城乡自杀率的长期变化,以及多种心理社会问题情境作为自杀诱因的主题。