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Psychiatric trainees' experiences of, and reactions to, patient suicide

  • Ian Dewar (a1), John Eagles (a2), Susan Klein (a3), Nicola Gray (a3) and David Alexander (a4)...
Abstract
Aims and Method

This survey is the first UK study of trainee psychiatrists' experiences of patient suicide. One hundred and three senior and specialist registrars in psychiatry working in Scotland completed the questionnaire, representing an 81% response rate.

Results

Almost half (47%) had experienced suicide of a patient in their care or otherwise known to them (e.g. through on-call experiences). Although only 28% recalled previous training on issues to consider following a suicide, all of these doctors found this to be of value. Many reported that patient suicide had a deleterious impact on their personal and professional lives. The most valuable supports were informal, and the trainees' consultants appeared particularly well placed to offer support and advice.

Clinical Implications

Many trainee psychiatrists experience the suicide of a patient. Such experiences have potential for adverse effects on doctors' professional practice and personal life. Greater availability of training in this area would allow trainees to be better prepared for such an event. Trainees' consultants have a pivotal role to play in providing appropriate advice and support after a patient suicide.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Caplan, R. P. (1994) Stress, anxiety and depression in hospital consultants, general practitioners and senior health service managers. British Medical Journal, 309, 12611263.
Chemtob, C. M., Hamada, R. S., Bauer, G., et al (1988) Patients' suicides: frequency and impact on psychiatrists. American Journal of Psychiatry, 145, 224228.
Farrington, A. (1995) Suicide and psychological debriefing. British Journal of Nursing, 4, 209211.
Firth-COZENS, J. (1987) Emotional distress in junior house officers. British Medical Journal, 295, 533536.
Goldstein, L. S. & Buongiorno, P. A. (1984) Psychotherapists as suicide survivors. American Journal of Psychotherapy, 38, 392398.
Guthrie, E. Tattan, T., Williams, E., et al (1999) Sources of stress, psychological distress and burnout in psychiatrists: comparison of junior doctors, senior registrars and consultants. Psychiatric Bulletin, 23, 207212.
Kaye, N. S. & Soreff, S. M. (1991) The psychiatrist's role, responses and responsibilities when a patient commits suicide. American Journal of Psychiatry, 148, 739743.
Menninger, W. W. (1991) Patient suicide and its impact on the psychotherapist. Bulletin of the Menninger Clinic, 55, 216227.
Prosser, D., Johnson, S., Kuipers, E., et al (1996) Mental health ‘burnout’ and job satisfaction among hospital and commmunity-based mental health staff. British Journal of Psychiatry, 169, 334337.
Ramirez, A. J., Graham, J., Richards, M. A., et al (1996) Mental health of hospital consultants: the effects of stress and satisfaction at work. Lancet, 347, 724728.
Thomsen, S., Dallender, J., Soares, J., et al (1998) Predictors of a healthy workplace for Swedish and English psychiatrists. British Journal of Psychiatry, 173, 8084.
Valente, S. M. (1994) Psychotherapist reactions to the suicide of a patient. American Journal of Orthopsychiatry, 64, 614621.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Psychiatric trainees' experiences of, and reactions to, patient suicide

  • Ian Dewar (a1), John Eagles (a2), Susan Klein (a3), Nicola Gray (a3) and David Alexander (a4)...
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