Lindner Reinhard
Institut für Sozialwesen, Fachbereich Humanwissenschaften, Universität Kassel, Arnold-Bode-Str. 10, 34127, Kassel, Deutschland.
Z Gerontol Geriatr. 2025 Feb;58(1):23-27. doi: 10.1007/s00391-024-02394-1. Epub 2025 Jan 14.
The principles of suicide prevention and easy access to assisted suicide are not compatible. Although suicide prevention does not aim to prevent suicide at all costs, it is fundamentally geared towards supporting people in existential crises and emergency situations in developing options for a successful life. Based on empirical facts on suicide and suicidal ideation in old age as well as clinical psychodynamic theories on the understanding of suicide, the corresponding foundations of assisted suicide are presented. After a brief introduction to the basic principles of suicide prevention, the relationship between suicide prevention and assisted suicide is explained and described. Based on the empirical knowledge of specific emergencies that can lead to a request for assisted suicide, possibilities of universal, selective and indicated suicide prevention are derived for this field.
自杀预防原则与轻松获得协助自杀的途径并不兼容。尽管自杀预防并非旨在不惜一切代价防止自杀,但它从根本上致力于在存在危机和紧急情况下支持人们,帮助他们找到成功生活的选择。基于关于老年人自杀和自杀意念的实证事实以及关于自杀理解的临床心理动力学理论,阐述了协助自杀的相应基础。在简要介绍自杀预防的基本原则之后,解释并描述了自杀预防与协助自杀之间的关系。基于对可能导致协助自杀请求的特定紧急情况的实证认识,得出了该领域普遍、选择性和针对性自杀预防的可能性。