Jacobsson L
Department of Psychiatry I, University of Umeå, Sweden.
Acta Psychiatr Scand Suppl. 1988;344:55-63. doi: 10.1111/j.1600-0447.1988.tb09002.x.
The paper deals with three problem areas regarding depression and suicide in traditional society; 1) What is the relation between the depression and suicide? 2) Is there any illness like depression all over the world? 3) What do we know about suicide in traditional societies? The author agrees with Dürkheim's classical conclusion that the incidence of suicide in a society has no clear correlation with the prevalence of mental disorders and no clear correlation with different forms of mental disorders. There are a number of studies showing that depressive syndromes exist in traditional societies. However, there is a clear difference in symtomatology between different cultures which might be the result of differences in the conception of illness. The suicide rate is generally very low in traditional societies. The ultimate solution to an unbearable life situation is apparently known to all human cultures and the suicide rate is an important indication in every society of the existential conditions of life.
1)抑郁症与自杀之间的关系是什么?2)世界各地是否存在类似抑郁症的疾病?3)我们对传统社会中的自杀了解多少?作者赞同涂尔干的经典结论,即一个社会中的自杀发生率与精神障碍的患病率没有明显关联,与不同形式的精神障碍也没有明显关联。有多项研究表明,传统社会中存在抑郁综合征。然而,不同文化在症状学上存在明显差异,这可能是疾病观念差异的结果。传统社会的自杀率通常非常低。显然,所有人类文化都知道解决无法忍受的生活状况的最终办法,而自杀率是每个社会生活存在状况的重要指标。