Abstract

GARCIA-HARO, Juan et al. Suicide beyond diagnosis: a person and their circumstances-centered approach. Rev. Asoc. Esp. Neuropsiq. [online]. 2023, vol.43, n.144, pp.47-71.  Epub Jan 15, 2024. ISSN 2340-2733.  https://dx.doi.org/10.4321/s0211-57352023000200003.

There is a plurality of understanding approaches to suicide. In the scientific literature and the healthcare field, the biomedical model is hegemonic. This paper presents an alternative existential-contextual model for the study, understanding, prevention and postvention of suicide in the healthcare field. The academic paper is divided into two parts. The first part sets out the three essential elements of the existential-contextual model: the notion of personhood, the concept of life problems and the practice of caring and supportive relationships. The second one develops some of the most important differences in care between the biomedical and the existential-contextual models of suicide. It concludes with the need to overcome the traditional biomedical suicidological paradigm and to build a broad transdisciplinary space for critical suicidological reflection that is up to date with our times. This paradigm shift requires moving from a logic that prioritizes the pathological-biological-pharmacological to a socio-psycho-political logic of suicide that integrates the contributions of the biomedical model without being reduced to them.

Keywords : suicide; contextual; existence; suicide prevention.

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