Reflections on Suicide Research: Challanges, Opportunities, Moral Imperatives / Reflectii asupra cercetarii in comportamentul suicidar: provocari, oportunitati, imperative morale - Gabriel Diaconu

Abstract:

I entered the field of suicidology with a belief that suicide is a not-so-well known phenomenon, and not-so-well known phenomena are a puzzle to be deciphered by the scientist. Answers should be found. Explanations should be given. A model of reality should then lead to a theory of suicide. It became quickly apparent, though, that I had been naïve. In order to review the progress in the field, this paper will offer a birds-eye view on the topic of suicidal behavior as seen through the eyes of the investigator, the difficulties to parcel out various sources of knowledge, as well as the moral imperatives that govern a otherwise deep domain of psychiatry. The main take-home message, at the end of the lecture, is that suicidality, in its entirety, is a field worthy of exploration for the psychiatrist, rich in nuances and much more complex than a simple disorder of mind. Neither good nor bad are the colors that shape it, the byproduct of events that lie not only with the suicidal, but with its keen, its family, and the community whence he came.

 

Keywords: suicidal behavior, suicide attempts, stress-diathesis model

 

Rezumat:

Am intrat în domeniul suicidologiei cu credinta ca suicidul este un fenomen nu foarte bine înteles, iar astfel de fenomene sunt un puzzle de descifrat pentru omul de stiinta. Ar trebui sa gasim raspunsuri. Ar trebui sa oferim explicatii. Ar trebui, ulterior, sa formulam un model care sa reflecte cel mai bine realitatea, iar apoi sa conduca la o teorie despre suicid. A devenit aparent rapid, totusi, ca eram un naiv. Pentru o buna revizie a progresului în acest domeniu, articolul ofera o privire de ansamblu, narativa, asupra comportamentului suicidar vazut prin ochii investigatorului, dificultatile de a integra diverse surse de cunoastere, si de asemenea, de a identifica imperativele care guverneaza o arie altfel intens profunda a psihiatriei. La final principalul mesaj de retinut pentru cititor ar trebui sa fie ca suicidalitatea, în intregimea ei, este un domeniu demn de explorare pentru psihiatrii, bogata în nuante si mult mai complexa decât o simpla cale finala a tulburarii mintale. Nici bune, nici rele, sunt culorile care o formeaza, rezultanta a evenimente care tin nu doar de suicidar, dar si semenii sai, familia, si comunitatea din care face parte.

 

Cuvinte cheie: comportament suicidar, tentative de suicid, modelul stres-diateza

 

Citeste articolul integral in format PDF / Read the full article in PDF format

 

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Dr. Diaconu is an Associate Investigator of the McGill Group for Suicide Research, McGill University, Montreal, Qc. and Member, CRISE Center, UQAM, Montreal, Qc, Canada;

Correspondence: gabriel.diaconu@douglas.mcgill.ca at Clinical Hospital of Psychiatry Al. Obregia,  Berceni Road No. 10 – 12, Bucharest, ROMANIA, (+40) 726 101 707

 

 

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