Bron B
Fortschr Med. 1989 Apr 20;107(12):266-70.
Major depression is an often unrecognized cause of suicide in the elderly. The high risk of suicide is not realized early enough and depression not treated rigorously. The most common initiating events are marital conflict, social isolation, loneliness, physical illness and conflicts with relatives, especially children. Socio-cultural influences and the role of elderly people in society have a significant relevance for the incidence of suicide in the elderly. "Considered" suicides are less common than is often assumed. The treatment of suicidal elderly people must involve the whole life situation, requiring a critical rethinking and a change in the attitude of society towards old age, suffering and dying.
重度抑郁症是老年人自杀的一个常被忽视的原因。自杀的高风险没有得到足够早的认识，抑郁症也没有得到严格治疗。最常见的引发事件是婚姻冲突、社会孤立、孤独、身体疾病以及与亲属尤其是子女的冲突。社会文化影响以及老年人在社会中的角色与老年人自杀的发生率密切相关。“蓄意”自杀比通常认为的要少见。对有自杀倾向的老年人的治疗必须涉及他们的整个生活状况，这需要进行批判性反思，并改变社会对老年、痛苦和死亡的态度。
