Prevalence of trauma- and stress-related symptoms in psychiatrists and trainees following patient suicide in the United States

Purpose Global studies show patient suicides among psychiatrists, including trainees, range from 33 to 80%. To our knowledge, there is no such data in the United States following a single study in 1988 regarding psychiatrists’ or resident trainees’ emotional response to patient suicide. The objectiv...

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Bibliographic Details
Published in:Social Psychiatry and Psychiatric Epidemiology 2021-07, Vol.56 (7), p.1283-1288
Main Authors: Barman, Rajdip, Kablinger, Anita
Format: Article
Language:English
Subjects:
Emotional factors
Emotions
Epidemiology
Health Personnel - psychology
Humans
Internship and Residency
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Occupational Stress - epidemiology
Original Paper
Prevalence
Psychiatrists
Psychiatry
Signs and symptoms
Suicide
Suicides & suicide attempts
Surveys
Surveys and Questionnaires
Training
United States - epidemiology
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Summary:Purpose Global studies show patient suicides among psychiatrists, including trainees, range from 33 to 80%. To our knowledge, there is no such data in the United States following a single study in 1988 regarding psychiatrists’ or resident trainees’ emotional response to patient suicide. The objective of our study was to assess the stress- and trauma-related symptoms following patient suicide in practicing psychiatrists and trainees. Methods Data were collected by sending an online version of the survey to randomly selected psychiatrists and residency programs throughout the United States. Program directors were requested to share the questionnaires with their residents and fellows in training. Participants’ stress was assessed by the impact of event scale–revised version (IES-R). Results Our study shows 324 (63.6%) of the participants experienced patient suicide, which included 292 psychiatrists (76.1%) and 31 trainees (27.2%). Among the respondents, 3.8% of the psychiatrists and 9.7% of the trainees had clinically significant stress- and trauma-related disorders. Conclusion The presence of higher levels of emotional exhaustion and depression than medical or surgical colleagues depicts the need for training programs, formal and informal support, workshops, or curricular changes to address this almost inevitable issue in a psychiatrist’s career.
ISSN:0933-7954
1433-9285
DOI:10.1007/s00127-020-02023-3