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自杀是否是一种心理健康,公共健康或社会问题?
Digvijay Goel1, Brian Dennis2, Sarah K McKenzie3
1Mental Health, Addictions & Intellectual Disability Services, Southland Hospital, Te Whatu Ora (Southern).
自杀是一个复杂的问题,不仅仅是一个心理健康问题. 目前的生物医学方法已经失败,需要一个更广泛的社会视角,以有效的自杀预防策略.
科学领域:
- 社会学 社会学 社会学
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
背景情况:
- 自杀是一个多方面的问题,受心理,医学,社会,经济和政治因素的影响.
- 从历史上看,自杀主要是通过生物医学镜头来看待的,主要是心理健康专业人员.
- 这种狭的重点将替代和互补的方法排除在话语之外.
研究的目的:
- 批判性地检查现有的自杀的生物医学框架.
- 质疑基本假设,包括被广泛引用的'90%统计'来自有缺陷的心理解剖研究.
- 倡导一个更具包容性和社会视角的自杀.
主要方法:
- 文献审查和对现有研究和公共卫生干预措施的批判性分析.
- 检查宏观层面的跨国数据.
- 挑战心理解剖研究中的方法缺陷.
主要成果:
- 公共卫生干预措施和国家自杀预防计划总是失败.
- 生物医学框架已经杀了关于自杀的基本话语.
- 宏观层面的数据支持将自杀视为社会问题.
结论:
- 目前的公共卫生和心理健康对自杀的定义是不充分的.
- 生物医学干预措施的有效性有限.
- 为了解决自杀的复杂性,需要采取包容性,社会化的方法.
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