Möllhoff G
Versicherungsmedizin. 1989 Nov 1;41(6):174-81.
The thesis, that suicides are chiefly understood to be terminal stage developments and indemnified through compliance with prerequisites of the insurance law norm, is critically explained with regard to the scientific-theoretical evolution. Recent interdisciplinary investigations (epidemiology, statistics, sociology, psychology, psychiatry) as well as the changing approach of a large section of the population towards suicidal behaviour (self-determination and the responsibility of the individual, human dignity, breaking away from handed down moral judgements) show that the estimation held with cogency in many quarters with respect to suicide as being a reliable symptom of a disease, cannot be maintained. This result is further supported by the record number of individuals, within the sphere of the private insurance, finding themselves in financial and political "marginal situations" (class and social problems, material safeguard for families and the like) and committing suicide after reasonably pondering their dilemma; a condition which in many aspects comes close to "balance suicide". From an insurance medical angle the relevant statutory provisions and the supreme court jurisdiction of the last years are put forward to the medical experts with the requirements derived hereunder.
有一种观点认为,自杀主要被理解为晚期发展阶段,并通过符合保险法规范的先决条件来得到补偿,本文将从科学理论演进的角度对此观点进行批判性阐释。近期的跨学科研究(流行病学、统计学、社会学、心理学、精神病学)以及大部分人群对自杀行为的态度转变(个人的自决权与责任、人的尊严、摆脱传统道德评判)表明,许多人坚信自杀是疾病可靠症状的这种看法已无法成立。在私人保险领域,有创纪录数量的人处于经济和政治上的“边缘状况”(阶级和社会问题、家庭的物质保障等),在合理思考自身困境后自杀,这一情况在很多方面接近“平衡自杀”,这进一步支持了上述结果。从保险医学角度出发,向医学专家提出了相关的法律规定以及过去几年最高法院的司法管辖权,并据此提出了相应要求。