Harkavy-Friedman J M, Nelson E
Department of Psychiatry, Columbia University, New York, New York, USA.
Psychiatr Clin North Am. 1997 Sep;20(3):625-40. doi: 10.1016/s0193-953x(05)70334-8.
No matter what the course of treatment determined to be most appropriate, suicidal behavior must be considered thoroughly, and it must be conveyed to the patient that the clinician can assist him or her through this period of increased distress. Hopelessness must be viewed as a symptom with the assumption that a more meaningful sense of purpose will emerge despite the chronic and potentially limiting nature of schizophrenia. Most people with schizophrenia are not suicidal, and most who are suicidal can be offered interventions that will reduce their symptomatology and thereby dissipate their suicidal behavior.
无论确定何种治疗方案最为合适，都必须对自杀行为进行全面考量，并且必须向患者传达，临床医生能够在这段痛苦加剧的时期协助他或她。绝望必须被视为一种症状，要假定尽管精神分裂症具有慢性且可能有局限性的特点，但仍会出现更有意义的目标感。大多数精神分裂症患者不会自杀，而且大多数有自杀倾向的患者都可以接受干预措施，以减轻其症状，从而消除其自杀行为。
