Department of Psychiatry, University of Manitoba, Winnipeg, MB.
Can J Public Health. 2012 Jul 18;103(5):e338-41. doi: 10.1007/BF03404437.
In Canada, suicide has transitioned from being a criminal activity with much associated stigma, to being a public health concern that needs to be managed by governments and clinicians in a culturally sensitive manner. In Canada and worldwide, the social attitudes toward and legal interpretation of suicide have been dynamic. Much has been proposed in the development of suicide policy in Canada, however Canada is unique in that it remains one of the only industrialized countries without a national suicide prevention strategy. The current article provides a critical review of the history of suicide in Canada, as well as an appraisal of Canadian suicide prevention policies and key government and political milestones that have impacted suicide policy. Current activity regarding a national suicide prevention strategy in Canada is discussed, as well as potential options for clinician involvement.
在加拿大,自杀已从一种带有严重污名的犯罪行为,转变为一种需要政府和临床医生以文化敏感的方式管理的公共卫生问题。在加拿大和全世界,社会对自杀的态度和法律解释一直在变化。加拿大在制定自杀政策方面提出了很多建议,但加拿大的独特之处在于,它仍然是唯一一个没有国家自杀预防战略的工业化国家。本文对加拿大自杀的历史进行了批判性回顾,并对加拿大自杀预防政策以及对自杀政策产生影响的政府和政治关键里程碑进行了评估。讨论了加拿大制定国家自杀预防战略的当前活动,以及临床医生参与的潜在选择。