Effects of patient suicide on psychiatrists: survey of experiences and support required

Aims and methodDeath of patients by suicide can have powerful effects on psychiatrists. We report the findings of a survey completed by 174 psychiatrists on the effects of patient suicide on their emotional well-being and clinical practice, and the support and resources they felt would be helpful.Re...

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Bibliographic Details
Published in:BJPsych Bulletin 2019-10, Vol.43 (5), p.236-241
Main Authors: Gibbons, Rachel, Brand, Fiona, Carbonnier, Anne, Croft, Alison, Lascelles, Karen, Wolfart, Gislene, Hawton, Keith
Format: Article
Language:English
Subjects:
Advisory groups
Career development
Careers
Clinical medicine
Death & dying
Education and Training
Emotional well being
Friendship
Gender differences
Health services
Mental disorders
Polls & surveys
Prevention
Prevention programs
Professionals
Psychiatrists
Psychiatry
Risk assessment
Stress
Suicide
Suicides & suicide attempts
Trusts
Women
Workshops
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Summary:Aims and methodDeath of patients by suicide can have powerful effects on psychiatrists. We report the findings of a survey completed by 174 psychiatrists on the effects of patient suicide on their emotional well-being and clinical practice, and the support and resources they felt would be helpful.Results and clinical implicationsThe death of a patient by suicide usually had a major effect on respondents. Clinical practice was often negatively affected, and over a quarter of respondents considered a change of career path as a result. There were some gender differences in responses, with women reporting more sense of responsibility for the deaths and a greater effect on their clinical confidence. Desired support included a senior suicide lead clinician, support during formal post-suicide processes, opportunity for reflection on practice, information about resources to support families and help communicating with families and friends of the deceased.Declaration of interestK.L. is Nurse Consultant for Suicide Prevention at Oxford Health NHS Foundation Trust. K.H. is a member of the National Suicide Prevention Strategy for England Advisory Group. G.W. offers independent workshops on working with suicidal patients.
ISSN:2056-4694
2056-4708
2053-4868
DOI:10.1192/bjb.2019.26