This paper examines how history and psychiatry have shaped social work approaches to suicide prevention. Current social work intervention strategies rely on the following four positivist assumptions: (1) suicide is the result of mental illness, (2) suicidal individuals are irrational, (3) social workers have more knowledge about suicide than their clients, and (4) that preserving life is the least harmful outcome. Analysis reveals that these assumptions hold little validity and cannot be generalised to all cases. Discussion encourages intervention strategies that are informed by the experiences of attempt survivors and a broader sociopolitical context. Social workers are encouraged to use methods that are not only life-preserving, but life affirming. Finally, community specific initiatives to increase resources and decrease isolation and marginalization are posited as potential ways to reduce suicide ideation.

中文翻译：

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自杀和社会工作者报告义务的重新概念化

本文探讨了历史和精神病学如何塑造了预防自杀的社会工作方法。当前的社会工作干预策略依赖于以下四个实证主义假设：（1）自杀是精神疾病的结果，（2）自杀的人是非理性的，（3）社会工作者比他们的客户对自杀有更多的了解，以及（4）保住生命是危害最小的结果。分析表明，这些假设几乎没有有效性，不能推广到所有情况。讨论鼓励以未遂幸存者的经历和更广泛的社会政治背景为依据的干预策略。鼓励社会工作者使用不仅可以保护生命，而且可以肯定生命的方法。最后，