Debate: Suicide is a Societal, not a Mental Health or Even a Public Health Problem

D. Goel, Brian Dennis, Alok Sarin
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Abstract

In this debate the focus is on suicide which is a complex maze, wherein multiple parameters intersect. The first part of the paper questions many basic premises which have been taken as given in the discourse of suicide and currently form the substrate of conversations around suicide. The basic premise is that this societal problem has been expropriated by health professionals. They have assumed ownership without having the wherewithal to address the many contributory factors to suicide – social, economic, cultural, and moral. Suicide prevention plans are ritually rolled out despite a consistent record of repeated failures. There is a need to move against the tide and reimagine the subject in light of macrolevel evidence. The second part posits that for an issue as complex as suicide, it is important to think inclusively rather than looking for simplistic answers in either/or way, and the larger societal, economic and even political issues will need to be factored in.
辩论:自杀是一个社会问题,而不是心理健康问题,甚至不是公共健康问题
在这场辩论中,焦点是自杀,这是一个复杂的迷宫,其中多个参数相交。论文的第一部分质疑了许多在自杀话语中被认为是给定的基本前提,这些前提目前构成了围绕自杀的对话的基础。基本前提是,这一社会问题已被卫生专业人员征用。他们承担了责任,却没有必要的资金来解决导致自杀的许多因素——社会的、经济的、文化的和道德的。尽管自杀预防计划屡遭失败,但仍例行公事地推出。有必要逆潮流而动,根据宏观层面的证据重新构想这一主题。第二部分认为,对于像自杀这样复杂的问题,重要的是要包容地思考,而不是以非此即彼的方式寻找简单的答案,更大的社会、经济甚至政治问题将需要考虑在内。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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