Bron B
Fortschr Neurol Psychiatr. 1986 Jul;54(7):232-40. doi: 10.1055/s-2007-1001869.
The discussion on the freedom to commit suicide and on medical assistance to suicide is a challenge for psychiatry to consider critically the ethical aspects of suicide prophylaxis and of the present jurisdiction on suicide. Suicide research has shown that most acts of suicide are not carried out as free acts of will. The increase in clinic suicides and the high frequency of suicides after in-patient psychiatric treatment clearly show the limits of the therapy of suicidal patients and force us to reflect critically on new developments of psychiatry and special forms of therapy. The decision on the necessity and the duration of compulsory measures can always be made only for each individual case. The danger of renewed acts of suicide can never be excluded. Especially great demands are made on the doctor-patient relationship. Suicide prophylaxis is a humanitarian obligation of society and the medical profession, especially of psychiatry, an obligation which must not be jeopardised by one-sided propagations of the right to "voluntary death".
关于自杀自由以及医疗协助自杀的讨论，对精神病学而言是一项挑战，促使其审慎思考自杀预防以及当前关于自杀的司法管辖的伦理层面。自杀研究表明，大多数自杀行为并非出于自由意志。临床自杀事件的增加以及住院精神科治疗后自杀的高发生率，清楚地显示出对自杀患者治疗的局限性，并迫使我们批判性地反思精神病学的新发展以及特殊治疗形式。关于强制手段的必要性和持续时间的决定，始终只能针对每个具体案例做出。自杀再次发生的危险永远无法排除。医患关系面临着特别高的要求。预防自杀是社会和医学界，尤其是精神病学的一项人道主义义务，这项义务绝不能因片面宣扬“自愿死亡”的权利而受到损害。
