Schwartz D A
Psychiatr Q. 1979 Spring;51(1):64-70. doi: 10.1007/BF01064720.
Suicidal behavior is generally taken to be symptomatic in nature rather than egosyntonic. However, any behavior which comes to be used as a means of adaptation to the world long enough tends to become ego-syntonic. There are some suicidal people for whom suicidality has become a means of securing nurturance from the interpersonal world. The usual "crisis response" to suicidality reinforces such patients in their suicidal styles. Increased long-term risk becomes the price of short-term nurturance. Specific alterations of treatment and management are indicated if such patients are to be helped to long-term survival.
自杀行为通常被认为本质上是有症状的，而非与自我和谐一致。然而，任何被长期用作适应世界的手段的行为往往会变得与自我和谐一致。有些自杀者将自杀作为从人际世界获得养育的一种手段。对自杀行为常见的“危机应对”方式强化了这类患者的自杀模式。长期风险增加成为短期养育的代价。如果要帮助这类患者长期存活，就需要对治疗和管理进行特定调整。
