Reply to: Social Causes of Rational Suicide in Older Adults.
Reply to: Social Causes of Rational Suicide in Older Adults.
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回复：老年人理性自杀的社会原因。
DOI：
10.1111/jgs.15704
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发表时间：
2019
影响因子：
6.3
通讯作者：
Pantilat,StevenZ
中科院分区：
文献类型：
--
作者：
Dzeng,Elizabeth;Pantilat,StevenZ
在本期《美国老年医学会杂志》中，Meera Balasubramaniam 博士讨论了老年人的理性自杀，即在没有诊断出精神疾病的情况下的自杀愿望。她认为老年人的理性自杀越来越引起人们的兴趣，但这是一个在老年病学中很少讨论的话题1。鉴于缺乏与理性自杀相关的精神病理学，这是老年科医生越来越可能遇到的一个问题。巴拉苏布拉马尼亚姆对人们可能认为理性自杀的各种原因以及自我、他人和社会在这一决定上的相互作用进行了令人信服的精神病学分析。在这篇评论中，我们强调社会、经济和政治趋势对老年人理性自杀的影响。我们认为，理性自杀想法的趋势部分源于三个因素的共同作用：新自由主义、技术以及一些州与医生协助死亡（PAD）合法化相关的态度变化。通过关注社会学趋势对理性自杀的影响，我们强调，为了有效应对理性自杀的挑战，临床医生不仅必须针对个体患者，还必须进行基于社会的干预措施。
In this issue of the Journal of the American Geriatrics Society, Dr. Meera Balasubramaniam discusses rational suicide in older adults, a desire for suicide in the absence of diagnosed psychiatric illness. She describes rational suicide in older adults to be of growing interest, and yet it is a topic that is rarely discussed in geriatrics1. Given the lack of psychiatric pathology associated with rational suicide, this is an issue that geriatricians are increasingly likely to encounter.Dr. Balasubramaniam provides a compelling psychiatric analysis of the various reasons one might consider rational suicide and the interplay between the self, others, and society on this decision. In this commentary, we highlight the influence of social, economic, and political trends on rational suicide in older adults. We believe that the trends towards rational suicidal thoughts in part stems from a confluence of three factors-neoliberalism, technology, and changing attitudes related to the legalization of physician-assisted death (PAD) in some states. By spotlighting this impact of sociological trends on rational suicide, we emphasize that in order to effectively address the challenge of rational suicide, clinicians must not only address their individual patients, but also engage with societally based interventions.