Mazaira Silvina
Departamento de Salud Mental, Facultad de Medicina, UBA.
Vertex. 2014 May-Jun;25(115):189-94.
The clinical work of the psychiatrist often faces him to people who openly talk about their wish to die. However, although such thoughts did not culminate in most cases, unfortunately statistics show that suicide is a concrete possibility, more frequent than suspected. Globally, a million people die by suicide each year. The will to kill themselves is a complex phenomenon that is neither new nor modern. Suicide has crossed different times adopting different forms and meanings according to culture and history. As doctors, we tend to describe behaviors, in this case highly such a variable one, which involves various reasons and determinants. Thus, much has been written in the scientific literature about suicide in the causes, risk and protective factors, most vulnerable groups, etc. It has also been remarked the pain that the suicide causes in the family and close friends. Lots of articles propose psychotherapeutic and supporting measures for the suicide survivors to avoid the traumatic consequences of the experience. But, what about the psychiatrist? Isn't him a person who has been in close contact with the subject who has killed himself? The survivor risk of having traumatic symptoms, does it not apply to the doctor who was in charge? In this article, it will be taken into account the point of view of the psychiatrist in the grief after a patient's suicide.
精神科医生的临床工作常常使他们面对那些公开谈论自己想死愿望的人。然而,尽管在大多数情况下这些想法并未导致最终的结果,但不幸的是,统计数据表明自杀是一种切实存在的可能性,其发生频率比人们想象的更高。全球范围内,每年有100万人死于自杀。自杀意愿是一种复杂的现象,既不是新鲜事物也不是现代才有的。自杀在不同时代出现,根据文化和历史的不同呈现出不同的形式和意义。作为医生,我们倾向于描述行为,在这种情况下,自杀行为极具变异性,涉及多种原因和决定因素。因此,科学文献中已经有很多关于自杀的原因、风险和保护因素、最脆弱群体等方面的内容。人们也注意到自杀给家人和亲密朋友带来的痛苦。许多文章提出了针对自杀幸存者的心理治疗和支持措施,以避免他们经历创伤性后果。但是,精神科医生呢?他难道不是与自杀者有过密切接触的人吗?创伤症状的幸存者风险,难道不适用于负责治疗的医生吗?在本文中,我们将考虑精神科医生在患者自杀后的悲痛中的观点。