以預防醫學的觀點正視自殺問題

Facing the Challenge of Suicide: A Perspective from Preventive Medicine

廖麗娟(Lee-Chuan Liao) ； 李美娟(Mei-Chuan Lee) ； 楊燦(Tsan Yang) ； 許秀月(Hsiu-Yueh Hsu)

《中華職業醫學雜誌》 13卷2期 (2006/04) Pp. 59-70

https://doi.org/10.30027/CJOM.200604.0001

摘要

自殺是一種相當令人費解的事情，因為它違背了生物自我保存的原則，死亡是人人避之唯恐不及，而自殺者卻嚐試讓它加速發生，究竟是怎樣的心態才會讓一個人認定除了自殺一途外沒有別條路可走了？本篇文章主要探討自殺的理論、導因、危險因子與處理方式，以提供讀者處理自殺個案的因應之道，進而建議以三段五級的預防醫學觀念，提供臨床醫護人員、社工人員與國民健康保健政策之參考。

關鍵字

自殺 ； 預防醫學 ； 三段五級預防

並列摘要

From an ordinary point of view, suicide is something very difficult to comprehend, since it defies a fundamental principle that all human beings have a strong will to live. Instead, persons with a suicidal intention would rather kill themselves than surviving for a longer lifetime. What makes a person think that he or she has no choices but to commit a suicide? The main purpose of this study is to have a better understanding about the etiology of suicide. This paper also deals with the theories, rationales, risk factors, and treatments. In order to provide a better care to the people with suicide attempts, a comprehensive strategy incorporating primary, secondary, and tertiary prevention of suicide. Policy recommendations to health professionals and officials are included as well.

並列關鍵字

Suicide ； Preventive medicine ； Primary ； Secondary and Tertiary prevention