Finzen A
Psychiatr Prax. 1984 Jan;11(1):1-5.
Suicidality is a frequent accompanying symptom in mental diseases. The prevention of suicide is considered as a task which must be a matter of course to a psychiatric hospital. However, it is an established fact that suicides by patients occur in all psychiatric institutions. In this manner, suicide by a patient is liable to be interpreted as a question of guilt to prove that the therapist has failed in his task. On the other hand, it is naturally impossible to advocate the prevention of suicide at any price. The psychiatric hospital is bound to respect the patients' dignity. At the same time, the question arises whether suicidality among psychiatric patients is merely an expression of a diseased state of mind or also an understandable reaction to the social problem arising out of the disease. It is imperative that the therapists face the suicidality of their patients fairly and squarely and that they should place less emphasis on restrictions suppressing the patient than on an active and positive influence exercised by therapy, so that suicide by a patient can be avoided not only in the hospital but also after the patient's discharge.
自杀倾向是精神疾病中常见的伴随症状。预防自杀被视为精神病院理所当然必须承担的一项任务。然而，患者自杀在所有精神病机构中都时有发生，这是既定事实。如此一来，患者自杀容易被解读为关乎罪责的问题，以证明治疗师失职。另一方面，不惜一切代价倡导预防自杀自然是不可能的。精神病院必然要尊重患者的尊严。同时，问题也随之而来，即精神病患者的自杀倾向仅仅是精神疾病状态的一种表现，还是对因疾病产生的社会问题的一种可理解的反应。治疗师必须直面患者的自杀倾向，并且不应过于强调对患者的限制，而应更注重治疗所发挥的积极正面影响，以便不仅能在医院避免患者自杀，而且在患者出院后也能避免。
