Wächtler C
Psychiatr Prax. 1984 Jan;11(1):14-9.
Age extensively influences suicidal behaviour. Compared with younger persons, the elderly show higher suicide rates. Suicide attempts more often show characteristics of "unsuccessful suicides". Somewhat more frequent then in younger persons the suicide attempts are caused by depressive or schizophrenic psychosis. Nevertheless with the elderly the most frequent diagnoses are neurosis and depressive reaction. The elderly react depressive more often in relation to life events as conflicts with or loss of relatives or contracting a severe physical disease. Conclusions are drawn for a more adequate treatment of elderly suicidal patients with regard to their specific needs concerning psychological, physical and social problems. In many respects the G.P. seems to be the most suitable person for this task.
年龄对自杀行为有广泛影响。与年轻人相比，老年人的自杀率更高。自杀未遂往往表现出“不成功自杀”的特征。与年轻人相比，自杀未遂更常由抑郁或精神分裂症性精神病引起。然而，老年人最常见的诊断是神经症和抑郁反应。老年人更容易因生活事件，如与亲属发生冲突或失去亲属，或患上严重躯体疾病而出现抑郁反应。针对老年自杀患者在心理、身体和社会问题方面的特殊需求，得出了更适当治疗的结论。在许多方面，全科医生似乎是最适合这项任务的人选。
