Inpatient suicides in late life: A retrospective analysis of a hospital group with nine psychiatric clinics

Objective Inpatient suicides are rare incidents; however, the impacts of such events on associated families and hospital staff are severe. Therefore, preventive strategies need to focus on risk factors. Clinical management in a hospital setting must integrate the home environment and social life of patients. Nevertheless, home leaves require careful preparation. Methods Suicides were reported […]

The impact of patient suicide on doctors and nurses: A critical interpretive meta-synthesis

Objective To provide a conceptual overview of how medical doctors and nurses experience patient suicide. Method A systematic search identified ten qualitative papers for this interpretive meta-synthesis. Constructs were elicited and synthesized via reciprocal translational analysis. Results Findings comprised four inter-related themes: (1) Intrinsic but taboo: patient suicide perceived as inevitable yet difficult to discuss. […]

“I was close to helping him but couldn’t quite get there”: Psychiatrists’ experiences of a patient’s death by suicide

Objectives A patient’s death by suicide is a common experience for psychiatrists, ranging from 33% to 80%, however, research about the impact of patient suicide on psychiatrists is limited to a few survey studies. This study had three main objectives: (1) understanding the emotional and behavioural impact of a patient’s suicide on psychiatrists, (2) exploring […]

Support for community mental health teams post-suicide

Suicide is a relatively common event in those seeking psychiatric care. However, its impact is nonetheless traumatic and devastating for those involved in the care of the patient. Community mental health teams (CMHTs) address every aspect of a patient’s life, which creates a unique relationship between the team and the patient. Patient suicide can have […]

Exploring the Role of age and gender on the impact of client suicide in mental health practitioners

Objective: Previous research has revealed that mental health professionals (MHPs) often experience severe, yet varying, levels of short-term impact in the aftermath of client suicide. Individual differences are significant, yet what factors help explain these differences remains unclear. The current study investigated the role of the MHPs’ and the clients’ age and gender upon the impact […]

Exploring the role of coping strategies on the impact of client suicide: A structural equation modeling approach

Client suicide refers to cases where a mental health practitioner is exposed, affected, or bereaved by a client’s suicide and is known to have a profound impact on MHPs. The current study investigated the role of coping styles in understanding short- and long-term impact of client suicide. An international sample of 213 mental health practitioners […]

Increasing resident support following patient suicide: Assessing resident perceptions of a longitudinal, multimodal patient suicide curriculum

Objective Patient suicide is a common experience in psychiatry residency, and its effects on trainees can be profound. There are currently no ACGME Common Program Requirements for education about patient suicide, and a need exists for evidence-based curricula to prepare residents for this difficult outcome. Methods A comprehensive patient suicide curriculum was developed utilizing multiple […]

Mental health and social care professionals after a patient suicide: Interrelation between support needed, sought, and received

Metrics Abstract This article investigates the support needed, sought, and received by professionals following a patient suicide. A self-administered questionnaire about the consequences of patient suicide and support issues was completed by 704 professionals. Profiles of support were defined using a 3-dimensional, 8-fold typology based on need for, search for, and sufficiency of support. Stress […]

The impact on mental health practitioners of the death of a patient by suicide: A systematic review

There is a growing body of research investigating the impact on mental health professionals of losing a patient through suicide. However, the nature and extent of the impact is unclear. This systematic review synthesizes both quantitative and qualitative studies in the area. The aim was to review the literature on the impact of losing a […]

Patient suicide and self-harm prevention strategies in hospitals

Inpatient suicide and self-harm attempts are two sentinel events hospitals seek to avoid. Nonetheless, each year, patients are able to commit suicide or self-harm within hospitals. While several national entities have provided guidance to reduce the risk of self-harm among inpatients, no global standard exists to address these preventable events. The objectives of this paper […]

Losing a patient to suicide: what we know. Navigating the aftermath

This 2-part article summarizes what is currently known about the unique personal and professional issues experienced by clinician-survivors (clinicians who have lost patients and/or loved ones to suicide). In Part 1, I cover: the impact of losing a patient to suicide confidentiality-related constraints on the ability to discuss and process the loss legal and ethical […]

Factors contributing to therapists’ distress after the suicide of a patient

OBJECTIVE: Factors contributing to therapists’ severe distress after the suicide of a patient were investigated. METHOD: Therapists for 34 patients who died by suicide completed a semistructured questionnaire about their reactions, wrote case narratives, and participated in a workshop. RESULTS: Thirteen of the 34 therapists were severely distressed. Four factors were identified as sources of […]

The impact of patient suicide on the professional reactions and practices of mental health caregivers and social workers.

Background: Mental health and social professionals are at high risk of experiencing at least one patient suicide during their career. Aims: This paper investigates the impact of patient suicide on the reactions and working practices of mental health and social professionals. It also examines how such an impact may vary depending on the professionals’ characteristics, […]

Making it safer: A health centre’s strategy for suicide prevention.

Developing and implementing consistent methodology for suicide assessment and intervention is challenging, particularly in a large community hospital which provides both inpatient care and a wide range of ambulatory and community based mental health programs. Patients, families, staff, and ongoing evaluation contributed to the development of an initiative to determine what is best practice and […]

Professionals’ reactions following a patient’s suicide: Review and future investigation.

The objective of this study was to review the literature and make suggestions for further investigation into the topic of professionals’ reactions following a patient’s suicide. An extensive search of the literature has been undertaken using computer database search. Even if findings are heterogenous, most studies suggest limited stress-related or affective-related reactions for the majority […]

Stress reactions after a patient suicide and their relations to the profile of mental health professionals.