Impact of Patient Suicide on Front-Line Staff in Ireland
HSE Child & Adolescent Mental Health Service, Drumalee Cross, Cavan, Ireland.Death Studies (Impact Factor: 0.92). 09/2009; 33(7):639-56. DOI: 10.1080/07481180903011990
Research and anecdotal evidence suggests that coming to terms with the suicide of a patient can be extremely distressing for front-line professionals. Some research also suggests that exposure to such situations can undermine professionals' functioning and feelings of competence, cause them to question their professional standing and ultimately contribute to burnout. A survey of 447 front-line professionals' experiences of patient suicide was undertaken to further explore these issues. Thematic analysis of open-ended questionnaire items revealed that concerns for the bereaved family, feelings of responsibility for the death and having a close therapeutic relationship with the client are key factors that influence the adjustment and coping of a health professional in the aftermath of the death of a client by suicide. The results are discussed with a focus on the impact of suicide on front-line staff, the need for ongoing support and training and the development of specific post-suicide protocols.
[Show abstract] [Hide abstract]
- "Indeed, 33% of mental health social workers report having lost a patient to suicide (Sanders , Jacobson, & Ting, 2008). This experience has been found to undermine a sense of professional competence, cause acute stress and grief reactions, and lead to burnout (Gaffney et al., 2009; Linke, Wojciak, & Day, 2002). Job burnout is now one of the most frequently studied concepts in organizational and employment research in all occupational domains (Acker, 1999; Lloyd, King, & Chenoweth, 2002; Swider & Zimmerman, 2010; Van Hook & Rothenberg, 2009). "
ABSTRACT: Professional judgment in complex clinical situations such as the assessment of suicide risk encompasses a multifaceted cognitive understanding of the substantive issues, technical expertise, and emotional awareness. This experimental design study investigated the degree to which the previous work-related experiences of clinicians and their preexisting emotional state influence professional judgment regarding acute risk in patients presenting with suicidal ideation. Experienced social workers and social work students conducted suicide risk assessments on 2 standardized patients performing in scenarios constructed to depict individuals presenting with suicidal ideation. This study revealed significant variations in clinical judgments of practitioners assessing suicide risk. While scores on standardized risk assessment measures were the strongest predictor of judgments regarding the need for hospitalization to ensure the safety of the patient, other influences included clinician age and levels of posttraumatic stress symptoms. Mental health clinicians and organizations that employ them should be aware of possible individual influences on professional judgments related to suicide risk. (PsycINFO Database Record (c) 2015 APA, all rights reserved).American Journal of Orthopsychiatry 06/2015; 85(4). DOI:10.1037/ort0000075 · 1.36 Impact Factor
- [Show abstract] [Hide abstract]
ABSTRACT: The aftermath of an adolescent's suicide can be devastating to family, friends, and treating professionals, yet not much has been written on this subject. In this article, we briefly develop a conceptualization of suicide and a typology of suicide and the physicians' attitudes toward suicide. This is followed with a more detailed review of the aftermath of suicide (focusing on the suicide grievers) and the impact of suicide on clinicians. The work ends with discussion of research data and the role of spirituality as well as an outline of therapeutic interventions.Adolescent medicine: state of the art reviews 08/2011; 22(2):229-39, ix.
- [Show abstract] [Hide abstract]
ABSTRACT: The death of a young patient is a difficult but universal experience in the field of medicine. It is less common in the field of child and adolescent psychiatry. However, when a child or adolescent patient commits suicide, a child and adolescent psychiatry trainee's response could include shock, denial, disbelief, sadness, sleep difficulties, rumination about patient's death, fears of litigation, social withdrawal, and a sense of failure. Trainees generally find themselves dealing with the academic, personal, administrative, and legal consequences of this unfortunate but unavoidable event. This article attempts to review the literature on the experience of patients' unexpected death, including suicide, on child and adolescent psychiatry trainees.Innovations in Clinical Neuroscience 11/2011; 8(11):15-9.
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.