Pfeffer C R
Suicide Life Threat Behav. 1982 Winter;12(4):240-8. doi: 10.1111/j.1943-278x.1982.tb00712.x.
Five features of the family organization of suicidal children include family inhibition of change, lack of defined generational boundaries, severity of spouse conflict, projection of inappropriate parental feelings onto the child, and a symbiotic parent-child interaction. The treatment of suicidal children must encompass a holistic family technique. The acute phases of treatment include protecting the child from harm, promoting family recognition of the seriousness of the child's suicidal behavior, promoting appropriate parental role responsibilities, and effecting an immediate significant family change. During the long-term process of treatment, attention must be focused on the child's unique psychopathology, the conflicts that preclude appropriate parental response to the child's needs, and the characterological difficulties of each parent.
自杀儿童家庭组织的五个特征包括家庭对变化的抑制、缺乏明确的代际界限、配偶冲突的严重性、将不适当的父母情感投射到孩子身上以及共生的亲子互动。对自杀儿童的治疗必须采用整体家庭治疗技术。治疗的急性期包括保护儿童免受伤害、促使家庭认识到儿童自杀行为的严重性、促使父母承担适当的角色责任以及立即实现家庭的重大改变。在长期治疗过程中，必须关注儿童独特的精神病理学、妨碍父母对孩子需求做出适当反应的冲突以及每位父母的性格困难。
